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心肌标志物联合检测对急性心肌梗死的诊断价值观察 被引量:3

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摘要 目的探讨心肌标志物联合检测在急性心肌梗死.患者诊断治疗中的应用价值。方法回顾性分析2015年12月至2017年12月我院收治的100例因胸前区疼痛、胸B气短等症状就诊的患者临床资料,根据《急性心肌梗死诊断和治疗指南》并结合心电图、B超等检查,将其分为对照组(非急性心肌梗死组)、观察组(急性心肌梗死组),每组各50例。比较两组心肌标志物:肌酸磷化脢-同功脢MB(CK-MB)、肌酸激酶(CK)、肌红蛋白(MYO)、肌钙蛋白1(cTnl),测定结果以及观察组不同时间段心肌标志物变化情况。结果对照组CK-MB、CK、MYO以及cTnl水平均明显低于观察组,CK-MB质量高于对照组,差异有统计学意义(P<0.05):观察组CK-MB、CK水平均在发病后2~24h内迅速升高,于24h达至峰值;cTnl水平在发病后24h内的变化情况基本与CK-MB水平保持一致;MYO水平于发病后12h达到峰值,且发病后2~6h内明显高于其他3个指标;CK-MB质量于发病后24h达到峰值。结论联合检测心肌标志物,可有效鉴别存在相似症状的非急性心肌梗死患者,并可为急性心肌梗死的诊断提供可靠依据。
出处 《贵州医药》 CAS 2018年第12期1502-1503,共2页 Guizhou Medical Journal
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