血清肌红蛋白检验在急性心肌梗塞临床检验中的应用效果分析
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摘要
目的急性心肌梗塞患者在临床检验过程中,通过对血清肌红蛋白进行检验,对其检验结果进行研究分析。方法从该院在2016年3月—2018年3年收治的急性心肌梗塞患者中随机抽取出60例患者,将其作为观察组,在此区间内随机抽取出60名健康体检者,将其作为对照组,对两组患者进行检查,将检查结果进行比较研究。结果观察组患者的血清肌红蛋白水平(Myo)、超敏C反应蛋白(hs-CRP)、心肌肌钙蛋白(cTnI)的水平分别为:(191.6±45.3)μg/L,(17.0±1.6)mg/L,(4.0±0.5)μ个/L,观察组患者的3种指标水平严重增加,(t=6.253 4、5.249 2、5.234 8,P<0.05);观察组患者的第4、12、24小时、第3天的的三种指标检查结果为:cTnI水平以及hs-CRP水平在4～24 h间,逐渐增多,在24 h～3 d期间,逐渐降低,Myo水平在4～12 h间,逐渐增多,在12～3 d内,逐渐降低。结论急性心肌梗塞患者的hs-CRP水平、cTnI水平、Myo水平与正常人相比,水平显著增高。
Objective In the course of clinical testing, patients with acute myocardial infarction were tested for serum myoglobin. Methods The author randomly selected 60 patients from the acute myocardial infarction patients who were admitted to our hospital from March 2016 to March 2018, and took them as observation group. 60 patients were randomly selected in this interval. The health check-ups were used as a control group, and the two groups of patients were examined, and the results of the examination were compared. Results Serum myoglobin levels(Myo), hypersensitive Creactive protein(hs-CRP), and cardiac troponin(cTnI) were observed in the observation group. The levels were:(191.6±45.3)μg/L,(17.0±1.6)mg/L,(4.0±0.5)μ/L. The levels of the three indicators in the observation group were significantly increased,(t=6.253 4 5.249 2 5.234 8,P<0.05); the fourth, twelfth hour, twenty-fourth hour, and third day in the observation group of the results of the three indicators were: cTnI level and hs-CRP level gradually increased in 4-24 hours, during 24 hours to 3 days, gradually decreased, the Myo level gradually increased in 4-12 hours, and gradually decreased in 12 hours to 3 days. Conclusion The levels of hs-CRP, cTnI and Myo in patients with acute myocardial infarction are significantly higher than those in normal subjects.
Objective In the course of clinical testing, patients with acute myocardial infarction were tested for serum myoglobin. Methods The author randomly selected 60 patients from the acute myocardial infarction patients who were admitted to our hospital from March 2016 to March 2018, and took them as observation group. 60 patients were randomly selected in this interval. The health check-ups were used as a control group, and the two groups of patients were examined, and the results of the examination were compared. Results Serum myoglobin levels(Myo), hypersensitive Creactive protein(hs-CRP), and cardiac troponin(cTnI) were observed in the observation group. The levels were:(191.6±45.3)μg/L,(17.0±1.6)mg/L,(4.0±0.5)μ/L. The levels of the three indicators in the observation group were significantly increased,(t=6.253 4 5.249 2 5.234 8,P<0.05); the fourth, twelfth hour, twenty-fourth hour, and third day in the observation group of the results of the three indicators were: cTnI level and hs-CRP level gradually increased in 4-24 hours, during 24 hours to 3 days, gradually decreased, the Myo level gradually increased in 4-12 hours, and gradually decreased in 12 hours to 3 days. Conclusion The levels of hs-CRP, cTnI and Myo in patients with acute myocardial infarction are significantly higher than those in normal subjects.
引文
[1]王训文.绿色通道在抢救急性心肌梗死急诊冠脉介入治疗护理中的应用及对血清肌红蛋白检验的影响分析[J].医学理论与实践,2018,21(2):1268-1269.
[2]章辉.血清肌红蛋白检验在急性心肌梗死患者中的临床价值分析[J].世界最新医学信息文摘,2017(22):254-255.
[3]尤鑫.血清肌钙与肌红蛋白联合检验对急性心肌梗死患者的诊断价值分析[J].中西医结合心血管病电子杂志,2016(21):71-72.
[4]郑玉芳.血清肌红蛋白检验在AMI患者中的临床价值[J].医学理论与实践,2016,29(15):2087-2088.
[5]苗庄,刘刚.血清肌红蛋白检验对急性心肌梗死患者的临床意义探讨[J].中国继续医学教育,2016,8(15):45-46.
[6]王宇.血清肌红蛋白检验在AMI患者中的临床应用观察[J].世界最新医学信息文摘,2015(65):114.
[7]田大斌,蒋祖辉.血清肌红蛋白、cTnI检测在急性心肌梗死的临床诊断价值及炎症因子水平[J].国际检验医学杂志,2017,38(7):953-955.
[8]杨靖,宋谦.血清肌红蛋白、肌钙蛋白I及炎性因子水平检测对心肌梗死的临床诊断意义[J].检验医学与临床,2016,13(16):256-257.
[9]叶黎.血清肌红蛋白在急性心肌梗死检测中的价值分析[J].心理医生,2016,22(2):51-52.
[10]赵秀清.血清肌红蛋白检验在急性心肌梗塞临床检验中的应用效果分析[J].中国医疗设备,2017(s1):137-138.
[2]章辉.血清肌红蛋白检验在急性心肌梗死患者中的临床价值分析[J].世界最新医学信息文摘,2017(22):254-255.
[3]尤鑫.血清肌钙与肌红蛋白联合检验对急性心肌梗死患者的诊断价值分析[J].中西医结合心血管病电子杂志,2016(21):71-72.
[4]郑玉芳.血清肌红蛋白检验在AMI患者中的临床价值[J].医学理论与实践,2016,29(15):2087-2088.
[5]苗庄,刘刚.血清肌红蛋白检验对急性心肌梗死患者的临床意义探讨[J].中国继续医学教育,2016,8(15):45-46.
[6]王宇.血清肌红蛋白检验在AMI患者中的临床应用观察[J].世界最新医学信息文摘,2015(65):114.
[7]田大斌,蒋祖辉.血清肌红蛋白、cTnI检测在急性心肌梗死的临床诊断价值及炎症因子水平[J].国际检验医学杂志,2017,38(7):953-955.
[8]杨靖,宋谦.血清肌红蛋白、肌钙蛋白I及炎性因子水平检测对心肌梗死的临床诊断意义[J].检验医学与临床,2016,13(16):256-257.
[9]叶黎.血清肌红蛋白在急性心肌梗死检测中的价值分析[J].心理医生,2016,22(2):51-52.
[10]赵秀清.血清肌红蛋白检验在急性心肌梗塞临床检验中的应用效果分析[J].中国医疗设备,2017(s1):137-138.