摘要
目的：探讨心肌酶谱和cTnT在急性冠脉综合征诊断中的应用价值。方法：对311例进行过心肌酶谱和cTnT检测的病例进行统计分析，比较各指标的水平和阳性率。结果：心肌酶谱和cTnT阳性率在不同组别间差异有显著性；CK-MB与cTnT对AMI诊断的符合率为9L7％，但对UA诊断的符合率仅为57．1％；CK-MB／CK比值在不同组别间均有显著意义。结论：cTnT对于ACS诊断有很高的灵敏度和特异性，可以取代心肌酶谱测定，但对于定性的cTnT检测，心肌酶谱是很好的补充。
Objective To study on the value of myocardium enzymogram andcTnT in acute coronary syndrome diagnosis. Methods Analysis the level and positive ratios of myocardium enzymogram and cTnT in 311 patients. Results There are significant difference of positive ratio among different groups; the coincidence of CK--MB and cTnT in AMI is 91.7 percent, and the one is 57. 1 percent in UA; there are significant difference of CK--MB/ CK ratios among different groups. Conclusion There are satisfactory sensitivity and specificity to diagnose ACS by cTnT, and it can replace myocardium enzymogram, but when we detect cTnT using qualitative methods, myocardium enzymogram is a good supplement to cTnT.
出处
《医学信息（下旬刊）》
2010年第7期49-49,53,共2页
Medical information
