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
欧美偷拍一区二区三区四区| 日本国产欧美精品视频| 国产精品一区二区不卡中文| 欧美综合色婷婷欧美激情| 成人精品亚洲欧美日韩| 亚洲精品福利视频在线观看| 91精品日本在线视频| 男女午夜福利院在线观看| 国产亚洲午夜高清国产拍精品| 粉嫩一区二区三区粉嫩视频| 亚洲精品蜜桃在线观看| 黑丝袜美女老师的小逼逼| 国产午夜精品福利免费不| 麻豆在线观看一区二区| 一本久道久久综合中文字幕| 日韩美女偷拍视频久久| 欧美日韩综合综合久久久| 欧美黑人在线一区二区| 日韩蜜桃一区二区三区| 插进她的身体里在线观看骚| 九九热精彩视频在线播放 | 精品香蕉一区二区在线| 91福利免费一区二区三区| 亚洲欧美日韩精品永久| 中文字幕日韩欧美一区| 伊人久久青草地综合婷婷| 大香蕉伊人一区二区三区| 精品国产品国语在线不卡| 国产麻豆一区二区三区在| 国产内射一级二级三级| 日本精品理论在线观看| 青青操日老女人的穴穴| 国产精品丝袜美腿一区二区| 婷婷色网视频在线播放| 九九九热在线免费视频| 久久成人国产欧美精品一区二区| 亚洲欧美日韩国产综合在线| 欧美韩国日本精品在线| 久久精品中文扫妇内射| 97精品人妻一区二区三区麻豆| 日韩欧美三级中文字幕|