心肌损伤标志物联合检测对急性病毒性心肌炎的诊断价值探讨

马进爱

（陕西省吴堡县医院，陕西 榆林，718200）

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摘要：

目的 探讨心肌损伤标志物联合检测对急性病毒性心肌炎的诊断价值，为此急性病毒性心肌炎的早期检出提供参考。 方法 选择2014年8月至2016年2月在我院住院诊治的急性病毒性心肌炎患儿72例作为急性病毒性心肌炎组，选择同期在我院进行体检的健康儿童72例作为对照组，检测分析两组的心肌肌钙蛋白I（cTnI）、肌酸激酶同工酶（CK-MB）、肌红蛋白（Mb）并分析联合监测的效果。结果 急性病毒性心肌炎组的血清cTnI、CK-MB、均显著高于对照组（P<0.05）。在急性病毒性 心肌炎组中，直线相关分析显示cTnI、CK-MB、Mb 两两之间都存在明显的正相关关系（P<0.05）。结论 急性病毒性心肌炎患儿的血清cTnI、CK-MB、Mb水平明显增加，在作为急性病毒性心肌炎患儿发生与发展的筛选指标中，有很好的应用价值。

关键词：急性病毒性心肌炎；肌红蛋白；肌酸激酶同工酶

中图分类号：R725.4文献标志码：A文章编号：2096-1413(2017)09-0126-02

Diagnostic value of combined detection of myocardial injury markers in patients with acute viral myocarditis
MA Jin-ai
(Wubao County Hospital, Yulin 718200, China)

ABSTRACT: Objective To investigate the diagnostic value of combined detection of myocardial injury markers in patients with acute viral myocarditis, and provide reference for the early detection of acute viral myocarditis. Methods Seventy-two cases of children patients with acute viral myocarditis diagnosed and treated in our hospital from August 2014 to February 2016 were selected as the acute viral myocarditis group. 72 healthy children examined in our hospital in the same period were selected as the control group. The cTnI, CK-MB, Mb were detected in the two groups and the combined correlation between the three indexes were analyzed. Results The levels of serum cTnI, CK-MB and Mb in the acute viral myocarditis group were significantly higher than that of the control group (P<0.05). In the group of acute viral myocarditis, linear correlation analysis showed that there was a significant positive correlation between each pair of serum cTnI, CK-MB and Mb (P<0.05). Conclusion The serum levels of cTnI, CK-MB and Mb in children patients with acute viral myocarditis were significantly increased, which can be used as the screening indexes for the occurrence and development of the acute viral myocarditis. It has a good application value.
KEYWORDS: acute viral myocarditis; Mb; CK-MB

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