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论文摘要

N末端脑利钠肽前体(NT-proBNP)在评估慢性肾脏疾病患者心功能中的价值

Assessing Cardiac Function of Patients with Chronic Kidney Disease using N-Terminal Pro-brain Natriuretic 

作者:宋昊岚, 杨婷婷, 李贵星

Author:SONG Haolan, YANG Tingting, LI Guixing

收稿日期:          年卷(期)页码:2017,48(4):561-565

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:慢性肾脏病 N末端脑利钠肽前体 心功能评估

Key words:Chronic kidney disease N-terminal brain natriuretic peptide precursor Cardiac function

基金项目:

中文摘要

目的探讨慢性肾脏疾病(CKD)患者N末端脑利钠肽前体(NT-proBNP)水平及在评价CKD患者心功能中的价值。方法收集2013年1月至2014年12月以慢性肾脏相关疾病为主诊的住院患者567例,按其估算肾小球滤过率分为6组,结合患者心功能分级,分析其血浆NT-proBNP水平与肾功能、心功能的相关性以及CKD患者诊断心功能衰竭的截断值。结果CKD患者心功能越差,血浆NT-proBNP质量浓度越高;估算肾小球滤过率越低,血浆NT-proBNP质量浓度越高,且两者间呈负相关(r=-0.529,P

英文摘要

Objective To determine the plasma level of N-terminal brain natriuretic peptide precursor (NT-proBNP) in patients with chronic kidney disease (CKD) and its association with cardiac function. Methods A total of 567 CKD patients admitted to the hospital from January 2013 to December 2014 were divided into six groups according to their estimated glomerular filtration rate. Their plasma level of NT-proBNP, renal function, and cardiac function were determined. Results The worse patients cardiac function,and the lower eGFR,the higher concentration of plasma NT-proBNP. Plasma level of NT-proBNP was negatively correlated with glomerular filtration rate (=-0.529, P

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