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测定了49 例急性心肌梗塞( A M I) 患者治疗前、后血浆心钠素( A N P) 的水平。结果表明, 治疗前 A N P 测定值为405 .54 ±127 .41 pg/m L, 治疗后为342 .34 ±130 .51pg/ m L。而对照组为275 .11 ±120 .63pg/ m L。两组相比,前者差别非常显著( P< 0 .01) ,后者差别亦显著( P<0 .05) 。 A M I组治疗后 A N P 水平明显下降, 与治疗前比较差别显著( P< 0 .05) 。本文对此做了讨论, 提出 A M I 时 A N P 的增高可能与心室顺应性改变和心功能不全以及心肌受损有关, 是保护内环境稳定的一种代偿机制。
The plasma atrial natriuretic peptide (ANP) levels were measured in 49 patients with acute myocardial infarction (AMI) before and after treatment. The results showed that pre-treatment A N P measured value of 405. 54 ± 127. 41 pg / m L, 342 after treatment. 34 ± 130. 51pg / m L. While the control group was 275. 11 ± 120. 63pg / m L. The difference between the two groups was significant (P <0.01), and the difference between the two groups was also significant (P <0.05). The level of A N P in A M I group after treatment was significantly lower than that before treatment (P <0 .05). This article made a discussion, put forward A M I A N P increase may be related to changes in ventricular compliance and cardiac dysfunction and myocardial damage related to the protection of the internal environment is a compensatory mechanism.