本文選題：心力衰竭　切入點(diǎn)：細(xì)菌性肺炎　出處：《中國(guó)老年學(xué)雜志》2017年15期 　論文類(lèi)型：期刊論文

【摘要】：目的探討老年心力衰竭合并細(xì)菌性肺炎患者血清氨基末端腦鈉肽原(NT-pro BNP)、熱休克蛋白(HSP)70和降鈣素原(PCT)水平的變化及臨床意義。方法分別選取老年心力衰竭患者(心力衰竭組)、老年心力衰竭合并細(xì)菌性肺炎患者(合并肺炎組)、老年健康志愿者(對(duì)照組)各100例。檢測(cè)并對(duì)比各組血清NT-pro BNP、HSP70、PCT水平。所有患者均實(shí)施對(duì)癥支持治療,對(duì)比心力衰竭合并肺炎患者中不同心功能分級(jí)、死亡者和存活者血清NT-pro BNP、HSP70、PCT水平差異。結(jié)果合并肺炎組患者血清NT-pro BNP、HSP70、PCT水平均遠(yuǎn)高于心力衰竭組和對(duì)照組(P0.05),且心力衰竭組血清NT-pro BNP、HSP70、PCT水平均遠(yuǎn)高于對(duì)照組(P0.05);合并肺炎患者血清NT-pro BNP、HSP70、PCT水平均隨心功能分級(jí)的增加而明顯升高(P0.05),且死亡者血清NT-pro BNP、HSP70、PCT水平遠(yuǎn)高于存活者(P0.05)。結(jié)論在老年心力衰竭合并細(xì)菌性肺炎患者中血清NT-pro BNP、HSP70、PCT水平均異常升高,且可用來(lái)評(píng)估患者的心功能及預(yù)后。
[Abstract]:Objective to investigate the changes and clinical significance of serum amino-terminal brain natriuretic peptide (NT-pro BNPN), heat shock protein (HSPN) 70 and procalcitonin (PCT) in elderly patients with heart failure complicated with bacterial pneumonia. The serum levels of NT-pro BNPN HSP70 and PCT were measured and compared in 100 elderly patients with heart failure complicated with bacterial pneumonia, 100 elderly healthy volunteers (control group) and 100 elderly patients with heart failure complicated with bacterial pneumonia. All patients were treated with symptomatic support therapy. To compare the different cardiac function grades in patients with heart failure and pneumonia. Results the serum levels of NT-pro BNPP HSP70 and PCT in the patients with pneumonia were significantly higher than those in the heart failure group and the control group (P 0.05), and the serum NT-pro BNPN HSP70 NT-pro levels in the heart failure group were significantly higher than those in the control group (P 0.05), and in the patients with pneumonia the levels were significantly higher than those in the control group (P 0.05). The serum levels of NT-pro BNPG HSP70 + PCT were significantly increased with the increase of cardiac function grade, and the serum NT-pro BNPG HSP70 / PCT levels were significantly higher in the dead patients than in the survivors. Conclusion the serum NT-pro BNPN HSP70PCT levels in the elderly patients with heart failure and bacterial pneumonia are all increased abnormally. It can be used to evaluate cardiac function and prognosis of patients.
【作者單位】： 鄭州中醫(yī)骨傷病醫(yī)院檢驗(yàn)科;
【分類(lèi)號(hào)】：R446.1;R541.6;R563.1

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王孝枝;;老年心力衰竭的臨床特點(diǎn)與護(hù)理[J];中國(guó)實(shí)用醫(yī)藥;2009年01期

2 張鳳霞;;老年心力衰竭的臨床特點(diǎn)和護(hù)理[J];臨床合理用藥雜志;2013年15期

3 張喜天,吳金華,郭俊香,李萍,徐招娣;老年心力衰竭的護(hù)理體會(huì)[J];現(xiàn)代中西醫(yī)結(jié)合雜志;1998年11期

4 孫新;老年心力衰竭患者的臨床特征及護(hù)理[J];臨床護(hù)理雜志;2002年01期

5 胡學(xué)軍,吳慧英,崔玉玲;老年心力衰竭誘發(fā)因素分析對(duì)健康教育的啟示[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2003年08期

6 張小蘭;老年心力衰竭患者的健康教育[J];國(guó)際醫(yī)藥衛(wèi)生導(dǎo)報(bào);2003年18期

7 甘和英;李劍萍;;老年心力衰竭誘發(fā)因素及護(hù)理[J];華西醫(yī)學(xué);2008年01期

8 劉珊珊;;老年心力衰竭先兆護(hù)理觀察及護(hù)理要點(diǎn)[J];中國(guó)誤診學(xué)雜志;2010年23期

9 楊艷麗;高健;;老年心力衰竭的臨床特點(diǎn)與護(hù)理與健康教育[J];中國(guó)傷殘醫(yī)學(xué);2010年06期

10 翁惠卿;張寶英;;老年心力衰竭并發(fā)肺部感染30例護(hù)理[J];福建醫(yī)藥雜志;2011年01期

相關(guān)會(huì)議論文 前5條

1 貝光霞;;老年心力衰竭的臨床特點(diǎn)及護(hù)理[A];全國(guó)內(nèi)科護(hù)理學(xué)術(shù)交流暨專(zhuān)題講座會(huì)議、全國(guó)心臟內(nèi)、外科專(zhuān)科護(hù)理學(xué)術(shù)會(huì)議論文匯編[C];2006年

2 董君梅;王梅玉;;老年心力衰竭患者的護(hù)理干預(yù)及健康指導(dǎo)[A];老年病人健康教育與自護(hù)高級(jí)研修班暨學(xué)術(shù)交流會(huì)論文集[C];2008年

3 王孝枝;;老年心力衰竭的臨床特點(diǎn)與護(hù)理[A];第15屆全國(guó)老年護(hù)理學(xué)術(shù)交流會(huì)議論文匯編[C];2012年

4 貝光霞;張革;;老年心力衰竭的臨床特點(diǎn)及護(hù)理[A];全國(guó)第八屆老年護(hù)理學(xué)術(shù)交流暨專(zhuān)題講座會(huì)議論文匯編[C];2005年

5 黃朝暉;張瑩;劉加林;黃霞;余芳芳;郄淑文;;老年心力衰竭患者腹腔鏡下腹膜透析置管術(shù)探討[A];西南地區(qū)第12屆腎臟病學(xué)術(shù)會(huì)議暨貴州省醫(yī)學(xué)會(huì)腎臟病學(xué)分會(huì)2012年學(xué)術(shù)會(huì)議論文集[C];2012年

，

本文編號(hào)：1646865