CHF 患者出院时 NT–proBNP、hs–CRP、 Hcy 水平预测心血管事件的价值
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(联勤保障部队第 989 医院,河南 洛阳 471000)

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鲜彦彦,女,住院医师,主要从事心内科方面工作。

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R 541.6+ 1

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The Value of NT-proBNP, hs-CRP and Hcy Levels in Predictive Cardiovascular Events in CHF Patients at Hospital Discharge
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(The 989th Hospital of the Joint Logistics Support Force, Henan Luoyang 471000)

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    摘要:

    〔摘 要〕 目的:探讨慢性心力衰竭(CHF)患者出院时 N 末端 B 型利钠肽原(NT–proBNP)、超敏 C 反应蛋白 (hs–CRP)和同型半胱氨酸(Hcy)水平预测心血管事件的临床价值。方法:选取 2018 年 8 月至 2020 年 3 月期间于 联勤保障部队第 989 医院进行治疗的 86 例 CHF 患者,出院后随访 12 个月,根据随访期间的心血管不良事件发生情 况将所有患者分为心血管事件组 45 例和无心血管事件组 41 例。比较两组患者 NT–proBNP、hs–CRP 和 Hcy 水平,并 采用受试者操作特征曲线(ROC)分析各指标对预测心血管事件的应用价值。结果:心血管事件组的 NT–proBNP、 hs–CRP、Hcy 水平显著高于无心血管事件组,差异具有统计学意义(P < 0.05);CHF 患者出院时 NT–proBNP、 hs–CRP、Hcy 水平及其联合检测均具有预测其短期发生心血管事件的价值。结论:NT–proBNP、hs–CRP、Hcy 水平 与CHF患者的心血管事件密切相关,均可作为预测心血管事件发生的指标,且三者联合检测具有较高的临床应用价值。

    Abstract:

    〔Abstract〕 Objective To investigate the clinical value of N-terminal B-type pronatriuretic peptide (NT-proBNP), hypersensitive C-reactive protein (hs-CRP) and homocysteine (Hcy) levels in predicting cardiovascular events in patients with chronic heart failure (CHF) at hospital discharge. Methods A total of 86 patients with CHF admitted to the 989th Hospital of the Joint Logistics Support Force from August 2018 to March 2020 were selected and followed up for 12 months after discharge. According to the incidence of cardiovascular adverse events during the follow-up period, all patients were divided into the cardiovascular event group with 45 cases and the non-cardiovascular event group with 41 cases. The levels of NT-proBNP, hs-CRP and Hcy were compared between the two groups, and the application value of each index in predicting cardiovascular events were analyzed by receiver operating characteristic curve (ROC). Results The levels of serum NT-proBNP, hs-CRP and Hcy in the cardiovascular event group were significantly higher than those in the non-cardiovascular event group, with statistical significances (P < 0.05). The levels of NT-proBNP, hs-CRP and Hcy of CHF patients at hospital discharge and their combined detection had the value of predicting short-term cardiovascular events in CHF patients. Conclusion The levels of NT-proBNP, hs-CRP and Hcy are closely related to cardiovascular events in patients with CHF, and can be used as indicators to predict the occurrence of cardiovascular events, and the combined detection of the three has high clinical application value.

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  • 收稿日期:2022-05-22
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  • 在线发布日期: 2022-11-15
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