论文部分内容阅读
目的:了解急性胸痛患者血清心肌肌钙蛋白I(cTnI)水平与心脏事件的相关性。方法:测定45例急性胸痛患者的血清cTnI与磷酸肌酸激酶同工酶(CK-MB),根据cTnI的结果分为二组,分析cTnI与心脏事件的相关因素及它们的关系。结果:45例患者中有24例cTnI阳性,占53.3%;16例CK-MB升高,占35.6%;24例cTnI阳性患者中有6例(25%)发生心脏事件,21例cTnI阴性患者中仅1例(4.8%)发生心脏事件,二组间有显著性差异(P<0.01)。结论:血清cTnI是诊断心肌细胞损伤最特异、最敏感的血清标志物之一。
Objective: To investigate the correlation between serum cardiac troponin I (cTnI) levels and cardiac events in patients with acute chest pain. Methods: Serum levels of cTnI and CK-MB were measured in 45 patients with acute chest pain. The patients were divided into two groups according to the results of cTnI. The correlation between cTnI and cardiac events and their relationship were analyzed. RESULTS: Twenty-four of the 45 patients had a positive cTnI, accounting for 53.3%; 16 had elevated CK-MB, accounting for 35.6%; 6 of 24 (25%) cTnI-positive patients had cardiac events and 21 had cTnI-negative patients In only 1 case (4.8%) had a cardiac event, there was a significant difference between the two groups (P <0.01). Conclusion: Serum cTnI is one of the most specific and sensitive serum markers for diagnosis of cardiomyocyte injury.