目的 探讨急性心肌梗死(AMI)患者血清c Tn I、CK-MB、NT-pro BNP的表达水平及3项联合检测的诊断价值。方法 选择我院2021年10月至2023年10月间收治的AMI患者120例为AMI组,另选取同期住院治疗的冠心病不稳定型心绞痛患者60例为心绞痛组,同期健康体检志愿者60例为对照组。比较各组患者血清c Tn I、CK-MB、NT-pro BNP水平,AMI组患者不同时间段血清c Tn I、CK-MB、NT-pro BNP水平,分析c Tn I、CK-MB、NT-pro BNP联合检测的诊断价值。结果 AMI组血清c Tn I、CK-MB、NT-pro BNP显著高于心绞痛组及对照组(P<0.001);心绞痛组与对照组血清c Tn I、CK-MB及NT-pro BNP比较差异均无统计学意义(P>0.05);c Tn I、CK-MB、NT-pro BNP在AMI患者入院2、6、12小时后持续升高(P<0.05),在入院12小时后到达峰值水平,之后开始逐渐下降并于入院5天后恢复到正常水平;ROC曲线下,3项指标联合检测的AUC、敏感度、特异度、阳性及阴性预测值均高于c Tn I、CK-MB、NT-pro BNP单独检测结果 (P<0.05)。结论 c Tn I、CK-MB、NT-pro BNP在AMI患者血清中均具有高表达且随着病情进展呈现动态变化,c Tn I、CK-MB、NT-pro BNP联合检测对于AMI的早期诊断、治疗及改善预后具有重要价值。
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