【摘要】 目的通过检测慢性心力衰竭患者血清中同型半胱氨酸的浓度水平,分析探讨同型半胱氨酸在慢性心力衰竭诊断中的临床意义。方法选取2012年1月~2013年12月收治的慢性心力衰竭患者58例设为试验组,选择同期健康体检者60例设为对照组,纳入对象均按要求进行同型半胱氨酸浓度水平检测,同时检测心脏功能常规检测指标肌酸激酶和肌酸激酶同工酶,分析检测结果。结果与对照组进行比较,试验组患者血清中的同型半胱氨酸、肌酸激酶、肌酸激酶同工酶的浓度水平都有明显升高,差异具有统计学意义(P<0.05);各阶段慢性心力衰竭患者的同型半胱氨酸的阳性检出率均在70%以上,且对应阶段患者的肌酸激酶和肌酸激酶同工酶分别与同型半胱氨酸两两比较,差异无统计学意义(P>0.05)。结论同型半胱氨酸是一种诊断慢性心力衰竭疾病的具有较高阳性检出率的有效指标,其阳性检出率和其他两项常规心脏功能评价指标无显著性差异。更多还原

【Abstract】 objective To explore the clinical significance of the chronic heart failure diagnosed by Homocysteine testing. Methods 58 cases of patients with chronic heart failure were chosen for the experimental group and 60 cases healthy check-up were for the control group, and tested the Homocysteine,Creatine Kinase, MB Iso Enzyme of Creatine Kinase of all the patients and the healthy people. Then analyzed the results comprehensively. Results Compared with the control group, there were significantly higher of the Homocysteine,Creatine Kinase, MB Iso Enzyme of Creatine Kinase results of the experimental group(P < 0.05). The positive rate of the Homocysteine(over 70.0%)was no obvious difference between the Creatine Kinase or the MB Iso Enzyme of Creatine Kinase(P >0.05). Conclusion Homocysteine is an effective diagnostic indicator, which has higher positive rate of chronic heart disease, and the positive rate and the other two regular evaluation of cardiac function was no significant difference.更多还原