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心力衰竭患者脑钠素水平与6min步行试验相关性研究 被引量:9

Correlation of brain natriuretic peptide level to 6-min walk test performance in patients with heart failure
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摘要 目的:探讨心力衰竭(心衰)患者血浆脑钠素(BNP)水平与6min步行试验的相关性,进一步说明BNP测定对心衰的重要性。方法:随机选择106例住院心衰患者及65例无器质性心脏病患者作为研究对象。入院当日采集血标本以备血浆BNP、血糖、血脂等检查,并于当日完成6min步行试验。采用ELISA法测定血浆BNP水平。血浆BNP水平与6min步行距离的相关性采用SPSS for Windows V10.0软件包分析。结果:随着心衰程度的加重,血浆BNP水平逐渐升高,与6min步行距离具有良好的相关性(r=-0.804,P<0.01)。结论:血浆BNP水平可以判断心衰患者的严重程度,与6min步行试验相比,具有更广泛的临床应用价值。 Objective:To explore the correlation of brain natriuretic peptide level to 6-min walk test perform ance in patients with heart failure(HF) and to elucidate the importance of measurement of BNP to HF. Method: The 106 hospitalized cases with HF and 65 controls without HF were included in the study. Within 1 day blood samples of BNP, sugar and lipid were obtained, and the 6-min walk test were measured. The plasma levels of BNP were examined by ELISA. The correlation of plasma levels of BNP to the 6-min walk distance were analyzed by SPSS for Windows V10.0 statistic package. Result:The plasma levels of BNP were gradually elevated with the severity of HF. A significant correlation was observed between the BNP concentration and the distance walked ( γ =- 0. 804, P 〈0.01 ). Conclusion:The plasma levels of BNP maybe a judgement to assess the severity of HF and have wider application value compared to 6-min walk test.
出处 《临床心血管病杂志》 CAS CSCD 北大核心 2005年第10期586-587,共2页 Journal of Clinical Cardiology
关键词 心力衰竭 脑钠素 6分钟步行试验 Brain natriuretic peptide Six-minute walk test Heart failure
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参考文献4

  • 1Sudoh T, Kangawa K, Minamino N, et al. A new natriuretic peptide in porcine brain. Nature ,1988 ,332:78-81. 被引量:1
  • 2Chen H H, Burnett J C. Natriuretic peptides in the pathophysiology of congestive heart failure. Curr Cardiol Rep, 2000,2: 198-205. 被引量:1
  • 3Maisel A S, Krishnaswamy P, Nowak R M, et al. Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure. N Engl J Med,2002 ,347:161-167. 被引量:1
  • 4Roul G, Germain P, Bareiss P. Does the 6-minute walk test predict the prognosis in patients with NYHA class II or III chronic heart failure? Am Heart J,1998 ,136:449-457. 被引量:1

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