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目的:探讨IgE与脑尿钠肽(BNP)联合检测在老年支气管哮喘与心源性哮喘的鉴别作用。方法:通过对襄阳市中医院2011-2013年间肺病科和心病科的85例住院哮喘患者进行分析,抽取静脉血离心分离血清后,用生化仪AERSET检测IgE的浓度,用化学发光的方法检测BNP的浓度。结果:支气管哮喘患者的血清IgE浓度明显高于心源性哮喘患者(P<0.05),而心源性哮喘的BNP浓度明显高于支气管哮喘患者(P<0.05)。结论:联合IgE与BNP的浓度检测可以准确快速的鉴别老年人支气管哮喘与心源性哮喘,从而为临床的治疗提供正确的指导。
Objective: To investigate the combined detection of IgE and brain natriuretic peptide (BNP) in the differential diagnosis of elderly bronchial asthma and cardiogenic asthma. Methods: Eighty-five inpatients with asthma in the Department of Pulmonary Diseases and Cardiology of Xiangyang Hospital of Traditional Chinese Medicine from 2011 to 2013 were analyzed. Serum was collected by venous blood centrifugation. The concentration of IgE was detected by AERSET. Chemiluminescence was used to detect BNP concentration. Results: Serum IgE levels in patients with bronchial asthma were significantly higher than those in patients with cardiogenic asthma (P <0.05), while BNP levels in patients with asthma were significantly higher than those in patients with bronchial asthma (P <0.05). Conclusion: The combined detection of IgE and BNP can accurately and quickly distinguish bronchial asthma and cardiogenic asthma in elderly people, so as to provide proper guidance for clinical treatment.