摘要
目的：探讨缺血修饰白蛋白（IMA）检测在呼吸衰竭早期是否影响心肌中的应用价值。方法收集郑州市中医院2011年11月至2012年10月间发生呼吸衰竭或有呼吸困难症状的患者70例，按照心肌损伤的标准分为心肌受损者38例和心肌未受损者32例两组，另选取30例正常人群做为对照组，分别检测缺血修饰白蛋白，采用统计学软件分析检测缺血修饰白蛋白数据，并结合临床症状，探讨发生呼吸衰竭早期或有呼吸衰竭症状时缺血修饰白蛋白的检测对心肌受损的价值。结果心肌损伤组中 IMA 升高比例为65.8%，心肌未损伤组 IMA 升高比例为6.25%，正常组无一例 IMA 升高。三组间 ACB 值比较，差异有统计学意义。结论对于有呼吸困难症状或呼吸衰竭发生而住院的患者，都应检测缺血修饰白蛋白，从而能够使临床医生能够及早了解对患者心肌影响的状况，及时预防，采取措施。
Objective To investigate the application value of ischemia modified albumin（IMA） detection in myocardial damage at the early stage of respiratory failure. Methods Collecting 70 cases of respiratory failure or dyspnea in traditional Chinese Medicine Hospital of Zhengzhou from November 2011 to October 2012. In accordance with the standards of myocardial damage,the patients were divided into myocardial damage group（38 cases）and not impaired group（32 cases）,and 30 cases of normal people as control group. IMA was detected respectively,using statistical analysis software to detect IMA data, and to investigate the value of IMA detection in myocardial damage combined with clinical symptoms when respiratory failure in early phase or symptoms with respiratory failure happens. Results IMA in-creasement proportion of myocardial damage group was 65. 8% ,that of not impaired group was 6. 25% , and IMA of no one in control group differ increased. There was no significant differ ence of the three groups in ACB. Conclusions All inpatients with symptoms of dyspnea or respiratory failure should detect their IMA to make clinicians un-derstand what impacts the systems have on myocardiums earlier,which is helpful to take precautions in time.
出处
《中国实用医刊》
2014年第14期48-49,共2页
Chinese Journal of Practical Medicine
关键词
呼吸衰竭
缺血修饰白蛋白
心肌损伤
Respiratory failure
Ischemia modified albumin
Myocardial damage
