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3种血清心肌标志物联合检测在急性冠状动脉综合征诊断中的应用 被引量:7

Clinical significance of myoglobin combined with MB isoenzyme of creatine kinase and cardiac troponin I in the diagnosis of acute coronary syndrome
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摘要 目的探讨肌红蛋白(Mb)、心肌肌钙蛋白I(cTnI)、肌酸激酶同工酶MB型(CK-MB)联合检测在急性冠状动脉综合征(ACS)诊断中的价值。方法选取85例ACS患者[其中不稳定型心绞痛(UA)25例、心肌梗死60例]作为ACS组,除ACS外的冠心病(CHD)患者68例作为CHD组,60例健康体检者作为健康组进行血清Mb、cTnI、肌酸激酶(CK)、CK-MB检测,并进行统计学分析和评价。结果 ACS组患者血清Mb、cTnI、CK-MB水平均高于CHD组及健康组,差异有统计学意义(P<0.05)。结论血清Mb是ACS诊断中敏感且较特异的生化指标,Mb、cTnI、CK-MB联合检测有助于ACS早期的快速诊断和鉴别诊断,具有重要的临床意义。 Objective To investigate the clinical significance of myoglobin(Mb) combined with creatine kinase isoenzyme MB (CK-MB) and cardiac troponin I (cTnI) in the diagnosis of acute coronary syndrome(ACS). Methods 85 patients with acute coro- nary syndrome and 68 patients with coronary heart disease(CHD) were included in disease group in the study. 60 healthy individu- als were selected as controls. Then Mb,CK-MB and cTnI were detected. All data were analyzed statistically by SPSS 16.0. Results The Mb,CK-MB and cTnI levels in ACS patients were all significantly higher than those in control group(P〉0.05). Conclusion Myoglobin is a sensitive and specific biochemical indicator for the diagnosis of acute coronary syndrome. Myoglobin combined with CK-MB and cTnI is helpful for the diagnosis of acute coronary syndrome.
出处 《国际检验医学杂志》 CAS 2014年第3期267-268,共2页 International Journal of Laboratory Medicine
基金 国家高技术研究发展计划("863"计划)基金资助项目(2011AA02A111)
关键词 急性冠状动脉综合征 肌红蛋白 肌酸激酶 MB型 acute coronary syndrome myoglobin troponin I creatine kinase,MB form
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