摘要
目的目的探讨心肌肌钙蛋白I(c Tn I)、肌酸激酶同工酶(CK-MB)和肌红蛋白(Myo)心肌梗死三项联检在急性ST段抬高型心肌梗死急诊诊断中的应用价值。方法选取132例急诊科就诊并确诊的STEMI患者作为观察组,随机选取同期因胸痛就诊的非急性心肌梗死患者100名作为对照组,分别进行心肌梗死三项联检,并进行统计学分析及评价。结果 STEMI组患者c Tn I、CKMB、Myo阳性率均明显高于对照组,差异有统计学意义(P<0.05)。结论 Myo在STEMI急诊诊断中阳性率较高,c Tn I、CKMB、Myo心肌梗死三项联检有助于STEMI早期的快速诊断及鉴别诊断,具有重要的临床意义。
Objective To investigate the clinical significance of cardiac troponin I(cTnI)combined with MB isoenzyme of creatine kinase(CK-MB) and myoglobin(Myo) in the diagnosis of acute ST-segment elevation myocardial infarction(STEMI).Methods Select 132 cases of patients who were diagnosed STEMI In the emergency department as the observation group.Randomly selected 100 cases of patients with chest pain who were not acute myocardial infarction as control group.Then cTnI,CK-MB and Myo were detected.All data were analyzed statistically.Results The cTnI,CK-MB and Myo levels in STEMI patients were all significantly higher than those in control group(P〈0.05).Conclusion Myoglobin has higher positive rate in STEMI emergency diagnosis.Cardiac troponin I combined with MB isoenzyme of creatine kinase and myoglobin is helpful for the diagnosis of acute ST-segment elevation myocardial infarction.
出处
《首都食品与医药》
2016年第16期46-47,共2页
Capital Food Medicine