期刊文献+

定量检测N末端脑钠肽对心衰的诊断价值 被引量:28

The clinical value of N-terminal pro-brain natriuretic peptide quantitative detection in diagnosis of heart failure
下载PDF
导出
摘要 目的评价血清N末端脑钠肽(NT-proBNP)定量检测对心力衰竭患者的诊断价值。方法采用定量ELISA改进法检测不同心衰程度的患者血清NT-proBNP。结果心衰患者血清NT-proBNP水平明显增高,并随心衰患者程度加重呈指数增加;实验受试者工作特征曲线下面积为0.898;心衰的诊断敏感性和特异性分别为91.9%和92.3%。结论定量检测血清NT-proBNP是目前用于评价心衰患者的最佳实验手段。 Objective To evaluate the diagnostic value of N terminal pro brain natriuretic peptide (NT-proBNP) quantitative detection in patients with heart failure. Methods Quantitative enzymelinked immunosorbent assay (ELISA) improvement method was applied to measuring serum level of NT-proBNP in patients with different degree of heart failure. Results The serum level of NT-proBNP was significantly elevated in patients with heart failure. With the increase of extent of heart failure, NT-proBNP increased in exponent. Receiver operator characteristic curve (ROC) showed that area un der curve (AUC) was 0. 898. The sensitivity and specificity were 91.90% and 92.3% respectively for diagnosis of heart failure. Conclusion Quantitative detection of NT proBNP is at present the best laboratory test for evaluating heart function of patients with heart failure.
出处 《国际检验医学杂志》 CAS 2009年第1期23-25,共3页 International Journal of Laboratory Medicine
关键词 利钠肽 心力衰竭 充血性 诊断 Natriuretic peptide,brain Heart failure,congestive Diagnosis
  • 相关文献

参考文献11

  • 1汪隆海,陈启松,夏芳.N末端脑钠肽的定量ELISA法测定与临床应用[J].现代检验医学杂志,2007,22(1):19-21. 被引量:7
  • 2侯应龙, 卢才义..心血管疾病现代治疗[M],2005.
  • 3刘延玲,熊鉴然编著..临床超声心动图学[M].北京:科学出版社,2001:742.
  • 4郭祖超.医用数理统计方法[M].第3版.北京:人民卫生出版社,1988:653-655. 被引量:8
  • 5方积乾主编..医学统计学与电脑实验 第3版[M].上海:上海科学技术出版社,2006:547.
  • 6Prontera C, Endin M, Zucchelli GC, et al. Analytical performance and diagnostic accuracy of a fully automated electrochemilu minescent assay for the N-terminal fragment of the pro peptide of brain natriuretic peptide in patients with cardiomyopathy:comparison with immunoradiometric assay methods for brain natriuretic peptide and atrial natriuretic peptide[J]. Clin Chem Lab Med, 2004, 42(1) : 37-44. 被引量:1
  • 7Hogenhuis J, Voors AA, Jaarsma T, et al. Anaemia and renal dysfunction are independently associated with BNP and NT-proBNP levels in patients with heart failure[J]. Eur J Heart Fail, 2007, 9(8): 787-794. 被引量:1
  • 8Al-Meslmani BM, Fahoum SK, Shamia MG. NT-proBNP in monitoring treatment of patients with congestive heart failure[J]. Clin Lab, 2007, 53(1-2): 35-39. 被引量:1
  • 9Bayes-Genis A,Vazquez R, Puig T, et al. Left atrial enlargement and NT-proBNP as predictors of sudden cardiac death in patients with heart failure[J]. Eur J Heart Fail, 2007, 9(8): 802-807. 被引量:1
  • 10Clerico A, Fontana M, Zyw L, et al. Comparison of the diagnostic accuracy of brain natriuretic peptide (BNP) and the N-terminal part of the propeptide of BNP immunoassays in chronic and acute heart failure: a systematic review[J]. Clin Chem, Z007, 53 (5): 813-822. 被引量:1

二级参考文献6

  • 1潘柏申,蔡乃绳,李清,范维琥,李勇,郭玮,周琰,陶青.表面健康人群氨基末端B型利钠肽参考范围调查[J].中华检验医学杂志,2006,29(1):23-26. 被引量:66
  • 2郭祖超.医用数理统计方法[M](第3版)[M].北京:人民卫生出版社,1988.302-303. 被引量:14
  • 3尚云 张骏.临床疾病最新诊断与治疗[M].天津:天津科学技术出版社,1995.. 被引量:4
  • 4Seino Y,Oqawa A,Yamashita T,et al.Application of NT-proBNP and BNP measurements in cardiac care:a more discerning marker for the detection and evaluation of heart failure[J].Eur J Heart Fail,2004,6:295-300. 被引量:1
  • 5Yeo KT,Wu AH,Apple FS,et al.Multicenter evaluation of the Roche NT-proBNP assay and comparison to the Biosite Triage BNP assay[J].Clin Chira Acta,2003,338:107-115. 被引量:1
  • 6St Peter JV,Hartley GG,Murakami MM,et al.Btype natriuretic peptide(BNP)and N-terminal proBNP in obese patients without heart failure:relationship to body mass index and gastric bypass surgery[J].Clin Chem,2006,52:680-685. 被引量:1

共引文献13

同被引文献206

引证文献28

二级引证文献148

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部