B型钠尿肽在心力衰竭类型鉴别诊断中应用价值.docxVIP

B型钠尿肽在心力衰竭类型鉴别诊断中应用 价值 【摘要】目的：对B型钠尿肽在心力衰竭类型鉴别 诊断中的价值进行评价。方法：选取2010年2月-2013年2 月笔者所在医院收治的200例呼吸困难患者，对其进行B型 钠尿肽测定，比较并分析B型钠尿肽与心力衰竭类型鉴别诊 断的关系。结果：200例呼吸困难患者中，心力衰竭患者120 例，非心力衰竭患者80例。B型钠尿肽诊断的特异性为 81. 3%,其敏感性为90. 0%；阳性和阴性的预测值分别为87. 8% 和84. 4%o随着心力衰竭程度的增加，B型钠尿肽在患者体 内的含量水平也逐渐升高，其中以I级心力衰竭水平最低， IV级心力衰竭水平最高。结论：B型钠尿肽有助于鉴别心力 衰竭的类型，是诊断心力衰竭类型中最重要的诊断指标，为 临床上诊断心力衰竭类型提高了医学参考依据。 【关键词】B型钠尿肽；心力衰竭类型鉴别；诊断价 值；指标 中图分类号R541.6文献标识码B文章编号 1674-6805 (2014) 11-0047-02 The Application Value of B Type Natriure tic Pep tide in Diagnosis of Heart Failure/QIN Xiu~lan. //Chinese and Foreign Medical Research, 2014, 12 (11)： 47-48 [Abstract] Objective： To evaluate the value of B type notriuretic peptide in diagnosis of heart failure?Method： 200 cases with breathing difficulties who were admitted to the hospital from February 2010 to February 2013 were selected as research object. They were given type B natriuretic peptide? The relationship between type B natriuretic peptide and the diagnosis of heart failure types were compared and analyzed .Result : Of 200 cases of patients with breathing difficuIties， 120 patients were diagnosed with heart diseases , 80 patients without heart diseases .The specificity of the diagnosis of B type natriuretic peptide was 81. 3%, and the sensitivity was 90. 0%. Moreover, the predicted values of positiveness and negativeness were respectively 87. 8%, 84.4%. The increased seriousness of the heart failure led to the eleva tion of the con tent of B type nat riure tic pep ti de, among which the I level heart failure was the lowest and the IV level topped was the highest .Conclusion： B type natriure tic pep tide is helpful in the difference diagnosis of heart fa订ure types , also the most important type of heart failure diagnosis index in clinical diagnosis of heart failure, thus it can provide a better medical reference. [Key words] B type natriuretic peptide； Heart failure type identification； Diagnostic value； Index First-authorJ s address： The People, s Hospital of Luzhai Count