天堂国产午夜亚洲专区-少妇人妻综合久久蜜臀-国产成人户外露出视频在线-国产91传媒一区二区三区

當(dāng)前位置:主頁 > 醫(yī)學(xué)論文 > 兒科論文 >

和肽素、腦鈉肽和C-反應(yīng)蛋白在小兒先天性心臟病合并心力衰竭外周血濃度的變化及臨床意義

發(fā)布時(shí)間:2019-06-08 09:57
【摘要】:目的:探討和肽素(copeptin)、腦鈉肽(BNP)、C-反應(yīng)蛋白(CRP)在兒童先天性心臟病(CHD)伴心衰患兒外周血濃度的變化及臨床意義。 方法:66例CHD患兒分為心衰組、心衰肺炎組和無心衰組,并設(shè)肺炎對照組和健康對照組。酶聯(lián)免疫吸附法(ELISA)檢測外周血copeptin、BNP和CRP濃度,超聲心動(dòng)圖測定左心室射血分?jǐn)?shù)(LVEF)。 結(jié)果:CHD心衰肺炎組血copeptin、BNP和CRP濃度明顯高于心衰組、無心衰組、肺炎對照組和健康對照組(P0.05或0.01)。CHD心衰患兒外周血copeptin、BNP和CRP濃度高于正常對照組(P0.05或0.01),且隨心衰程度的加重而逐漸升高。CHD心衰患兒血copeptin和BNP濃度與LVEF呈明顯負(fù)相關(guān)(r=-0.602和-0.561,P0.05),CRP與LVEF無明顯相關(guān)性(P0.05)。以外周血copeptin1.92ng/ml和BNP239.50pg/ml為臨界點(diǎn)診斷CHD心衰,其ROC曲線下面積分別為0.822和0.801,特異性分別為87.5%和81.2%,敏感性分別為86.8%和89.5%,Youden指數(shù)(0.743和0.707)比較無差異(U=0.24, p0.05); copeptin和BNP的串聯(lián)試驗(yàn)與平行試驗(yàn)診斷心衰的特異性分別為94%和75%,敏感性分別為79%和95%,Youden指數(shù)分別為0.73和0.7,二者比較無差異(U=0.21,p0.05)。 結(jié)論:CHD心衰患兒外周血copeptin、BNP濃度明顯升高,且與LVEF呈現(xiàn)明顯的負(fù)相關(guān);外周血copeptin和BNP濃度可作為心衰患兒診斷、嚴(yán)重度及心功能分級的生物學(xué)標(biāo)志物。
[Abstract]:Aim: to investigate the changes and clinical significance of (copeptin), brain natriuretic peptide (BNP), C-reactive protein (CRP) in peripheral blood of children with congenital heart disease (CHD) with heart failure. Methods: 66 children with CHD were divided into three groups: heart failure group, heart failure pneumonia group and no heart failure group, and divided into pneumonia control group and healthy control group. The concentrations of copeptin,BNP and CRP in peripheral blood were measured by enzyme-linked immunosorbent assay (Elisa), and the left ventricular ejection fraction (LVEF).) was measured by echocardiography. Results: the concentrations of copeptin,BNP and CRP in CHD heart failure pneumonia group were significantly higher than those in heart failure group, no heart failure group, pneumonia control group and healthy control group (P 0.05 or 0.01). CHD). The concentrations of BNP and CRP were higher than those in the normal control group (P 0.05 or 0.001), and increased gradually with the aggravation of heart failure. There was a significant negative correlation between blood copeptin and BNP concentrations and LVEF in children with coronary heart failure (r 鈮,

本文編號(hào):2495201

資料下載
論文發(fā)表

本文鏈接:http://sikaile.net/yixuelunwen/eklw/2495201.html


Copyright(c)文論論文網(wǎng)All Rights Reserved | 網(wǎng)站地圖 |

版權(quán)申明:資料由用戶bc5bf***提供,本站僅收錄摘要或目錄,作者需要?jiǎng)h除請E-mail郵箱bigeng88@qq.com
成人日韩在线播放视频| 精品熟女少妇一区二区三区| 欧美日韩精品视频在线| 日韩国产欧美中文字幕| 高中女厕偷拍一区二区三区| 少妇人妻精品一区二区三区| 日韩中文高清在线专区| 日本人妻免费一区二区三区| 日本加勒比不卡二三四区| 69老司机精品视频在线观看| 男女激情视频在线免费观看| 中国美女草逼一级黄片视频| 日本加勒比中文在线观看| 亚洲欧美天堂精品在线| 国产在线不卡中文字幕| 好吊妞视频这里有精品| 成年人黄片大全在线观看| 国产91色综合久久高清| 黑丝袜美女老师的小逼逼| 国产女优视频一区二区| 久久99国产精品果冻传媒| 国产色偷丝袜麻豆亚洲| 午夜国产福利在线播放| 在线观看视频日韩精品| 丰满少妇被猛烈撞击在线视频| 免费在线播放一区二区| 日韩精品在线观看一区| 91欧美一区二区三区| 激情内射日本一区二区三区| 成人精品日韩专区在线观看| 亚洲国产成人一区二区在线观看| 日韩成人高清免费在线| 欧美成人免费一级特黄| 真实国产乱子伦对白视频不卡| 亚洲欧美中文字幕精品| 天海翼精品久久中文字幕| 色老汉在线视频免费亚欧| 亚洲熟妇熟女久久精品 | 久热在线视频这里只有精品| 亚洲精品熟女国产多毛| 操白丝女孩在线观看免费高清|