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目的:观察心电图监测结合脑钠素对急性左心衰老年患者预后评价的临床价值。方法:分别于患者入院6h、24h、72h后检测其心电图检测以及血液中脑钠素检测,根据患者治疗后的状态分为预后理想A组、预后不佳B组以及死亡C组,分别比较三组患者在入院6h、24h、72h后血浆脑钠素、QRS波时限以及OTc间期的下降等指标。结果:A组患者的血浆脑钠素、QRS波时限以及OTc间期的下降与B组和C组两组患者比较均明显,差异具有统计学意义(P<0.05)。结论:心电图监测结合脑钠素对急性左心衰老年患者预后的评价具有一定的临床意义。
Objective: To observe the clinical value of ECG monitoring and brain natriuretic peptide in the prognosis evaluation of elderly patients with acute left heart failure. Methods: The electrocardiogram (ECG) and brain natriuretic peptide (BNP) were detected at 6h, 24h and 72h after admission. The patients were divided into three groups according to the state of prognosis: ideal A group, poor prognosis group B, and death group C Group of patients at admission 6h, 24h, 72h after the plasma brain natriuretic peptide, QRS wave duration and OTc interval decreased and other indicators. Results: The plasma BNP, QRS wave duration and the decrease of OTc interval in group A were significantly lower than those in group B and group C (P <0.05). Conclusion: ECG monitoring combined with BNP in patients with acute left heart failure in the evaluation of the prognosis of a certain clinical significance.