分析老年急性心力衰竭患者诊断指标的应用价值

摘要

Objective To evaluate the diagnostic value of clinical indicators of acute heart failure in elderly patients, to provide reliable information for clinical diagnosis, to enhance the effectiveness of diagnosis.Methods The hospital selected 78 cases of elderly patients with acute heart failure patients for research and analysis,These patients as study group,And the same period 62 cases of pulmonary dyspnea in elderly patients as a control group, two groups of patients to detect arterial oxygen (PaO2), carbon dioxide partial pressure (PaCO2), B blood type natriuretic peptide (BNP) concentration and muscle calcium protein I (cTnI) levels, hilar shadow widened to check the situation on the clinical value of these indicators were studied.Results PaO2, BNP, cTnI comparative Results for the three indexes higher research group, PaCO2 level was higher in the control group, patients with hilar shadow widened the study group is more. PaO2 in patients with pulmonary heart disease which is the lowest, while PaCO2 is the highest, the presence of these two indicators obvious difference with other patients, cardiac patients with the highest levels of cTnI.Conclusion The elderly patients with acute heart failure clinic, through its PaO2, PaCO2, BNP, cTnI and hilar shadow widened its diagnostic tests as indicators, which are key to the clinical diagnosis of the disease.%目的 对老年急性心衰患者的临床诊断指标应用价值进行探讨分析,为临床诊断提供可靠的参考,提升诊断的有效性.方法 此次我院选取了78例老年急性心衰患者来进行研究分析,这些患者做为研究组,并将同期的62例肺源性呼吸困难老年患者作为对照组,两组患者检测动脉氧分压(PaO2)、二氧化碳分压(PaCO2)及静脉血B型钠利尿肽(BNP)浓度与肌钙蛋白I(cTnI)水平,肺门影增宽情况的检查,对这些指标的临床应用价值进行研究.结果 PaO2、BNP、cTnI三项指标对比结果为研究组较高,PaCO2水平则是对照组较高,肺门影增宽患者也是研究组较多.其中肺心病患者的PaO2分压是最低的,而PaCO2分压是最高的,这两项指标与其他的患者存在较明显的差异性,心肌病患者cTnI水平最高.结论 临床中老年急性心衰患者可以通过对其PaO2、PaCO2、BNP、cTnI及肺门影增宽的检验来作为其诊断指标,这些指标是临床中该疾病诊断的关键.