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
亚洲国产中文字幕在线观看| 免费在线成人午夜视频 | 日本av一区二区不卡| 亚洲性生活一区二区三区| 国产色第一区不卡高清| 日韩中文字幕欧美亚洲| 亚洲中文在线中文字幕91| 亚洲欧美日韩中文字幕二欧美| 国产欧美一区二区三区精品视| 狠狠干狠狠操亚洲综合| 国产大屁股喷水在线观看视频| 欧美整片精品日韩综合| 成人精品国产亚洲av久久| 日本熟妇五十一区二区三区| 国产丝袜美女诱惑一区二区| 亚洲国产性生活高潮免费视频 | 99秋霞在线观看视频| 久热这里只有精品九九| 有坂深雪中文字幕亚洲中文| 国产精品一区二区日韩新区| 加勒比人妻精品一区二区| 极品少妇一区二区三区精品视频| 国产无摭挡又爽又色又刺激| 丁香六月婷婷基地伊人| 九九九热在线免费视频| 日韩人妻少妇一区二区| 亚洲国产成人精品一区刚刚| 国产又黄又爽又粗视频在线| 欧美激情中文字幕综合八区| 高潮少妇高潮久久精品99| 国产户外勾引精品露出一区| 亚洲一区二区三区四区| 大尺度激情福利视频在线观看| 少妇毛片一区二区三区| 中日韩免费一区二区三区| 91人妻人澡人人爽人人精品| 99香蕉精品视频国产版| 婷婷伊人综合中文字幕| 欧美日韩亚洲精品在线观看| 日本免费一本一二区三区| 国产亚洲不卡一区二区|