Analysis of NT-proBNP detection guided treatment of elderly patients with dyspnea(affiliated 146 cases)
10.3760/cma.j.issn.1008-6706.2014.14.011
- VernacularTitle:急诊检测N末端B型脑钠肽前体指导抢救老年呼吸困难患者146例分析
- Author:
Derui HONG
- Publication Type:Journal Article
- Keywords:
Dyspnea;
N-terminal pro-brain natriuretic peptide;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(14):2107-2108,2109
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of N-terminal pro-brain natriuretic peptide (NT-proBNP) in elderly patients with acute dyspnea .Methods Retrospective analysis of 146 cases of patients with emergency admissions of patients(age ≥60 years)with dyspnea from January 2012 ~December 2013,patients in 2012 with conventional treatment group; patients in 2013 were under the guidance of NT-proBNP treatment group; properties according to the test results of the NT-proBNP clinical reference standard and NT-proBNP to the evaluation of dyspnea and guide rescue,rescue success rate of patients in 2 groups were analyzed and compared .Results 67 cases (15 ca-ses were markedly effective ,37 cases were effective ,11 cases were invalid ,4 cases of death ) were rescued in 2012, 79 cases (27 cases were markedly effective ,44 cases were effective,6 cases were invalid,2 cases of death) were res-cued in 2013.Elderly patients with Dyspnea under the guidance of emergency NT-proBNP levels in 2013(89.87%), the rescue success rate was higher than that in the 2012 traditional treatment group (77.61%) (χ2 =4.11,P <0.05).Conclusion Rapid determination of NT-proBNP level of elderly patients with dyspnea has high clinical value in emergency rescue .
