严重感染及感染性休克患者血清脑钠肽变化及其对心功能预后的预测作用

更新时间:2023-06-10 18:25:38 阅读: 评论:0

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严重感染及感染性休克患者血清脑钠肽变化及其对心功能预后的预测作用
作者:金
来源:《中国医药导报》2011年第21
        [摘要] 目的:探讨严重感染及感染性休克患者血清脑钠肽(BNP)变化及其对心功能预后的预测作用。方法:对我院68例严重感染及感染性休克的患者进行前瞻性研究,68例患者进入重症监护病房(ICU与人交往的技巧24 h内测动脉血BNP及左心室射血分数(LVEFxii)。根据患者LVEF水平分为心功能正常组和心功能不全组,比较两组患者BNP水平;患者住院28 d死亡19例作为死亡组,存活49例,作为存活组,回顾性分析两组BNP水平,用ROC曲线评价BNP预测死亡的临界值。结果:天上掉馅饼英文①心功能不全组患者BNP水平显著高于心功能正常组患者BNP水平(P691.8 ng/L为预测死亡的临界值,敏感度为英语必修5单词录音91.7%,特异度为80.7%。结论:严重感染及感染性休克患者BNP水平显著升高,BNP对于患者心功能的预后具有一定的预测价值。
海索草        [关键词] 感染性休克;血清脑钠肽;左心室射血分数;心功能
        [中图分类号] R459.9[文献标识码]bluescreen [文章编号]1673-7210英雄美剧201107c-163-02
       
        The predictive values of B-type natriuretic peptide for the heart function and prognosis in patients with vere psis and ptic shock
        JIN Xin ,WANG Yao
        Daqing Oil Field General Hospital, Heilongjiang Province, Daqing 163001, China
初三英语课文翻译
        [Abstract] Objective: To study the predictive values of B-type natriuretic peptide for the heart function and prognosis in patients with vere psis and ptic shock. Methods: 68 patients of vere psis and ptic shock were prospectively studied, 68 patients into ICU were tested BNP and left ventricular ejection fraction measured arterial blood (LVEF) in 24 h, dividing the patients into the normal heart function and heart failure group according to LVEF, BNP levels were compared between two groups, 19 patients died as the 28 d hospital death group, 49 survived, as the survival group, retrospective analysis of two groups of BNP, BNP predicted by ROC curve analysis threshold of death. Results: ① BNP in patients with heart failure group was significantly higher than normal cardiac function in patients with BNP level group (P 691.8 ng/L was critical value for the p
rediction of death, the nsitivity was 91.7%, specificity was 80.7% (P
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