The clinical diagnosis and treatment of emergency dyspnea patients and the value of plasma B-type natriuretic peptide detection
急诊呼吸困难患者的临床诊断及治疗中血浆B型钠尿肽检测价值探讨

摘要

目的 探讨血浆B型钠尿肽在急诊呼吸困难患者检测及治疗中的临床应用价值；方法 选取200例临床急诊呼吸困难患者开展研究（2019年7月至2022年8月），利用单双号法将其均分为观察组（n=100）及对照组（n=100），治疗组患者入院后采取常规检测方法进行诊断，同时利用血浆B型钠尿肽进行检测。对于两种患者检测有效率、肺动脉压力水平进行对比。结果 根据检查结果显示在心源性患者方面观察组的检出率占比达到89%，而对照组的检出率为79%，两组相比较，观察组检出率明显更高，差异显著，P＜0.05。经检测发现观察所患者的总体检测有效率达到99%，对照做患者总体检测有效率达到91%，两组相比较观察组整体检测有效率明显更高，差异显著，P＜0.05。且与对照做患者相比较，观察做患者的肺动脉压力水平值明显更高，差异显著，P＜0.05。结论 血浆B型钠尿肽检测方法在急诊呼吸困难患者检测中的应用体现出了病情诊断有效性高的特征，可以为后期临床病情诊断和治疗提供充足依据。

Abstract

Objective To investigate the clinical value of plasma B-type natriuretic peptide in the detection and treatment of emergency patients with dyspnea;
Methods 200 patients with clinical dyspnea were selected for the study (July 2019 to August 2022). They were divided into the observation group (n=100) and the control group (n=100) by the single and double sign method. The patients in the treatment group were diagnosed by routine detection after admission, and the plasma b-type natriuretic peptide was also detected. The effective rate and pulmonary artery pressure of the two kinds of patients were compared.
Results According to the examination results, the detection rate in the observation group was 89%, while that in the control group was 79%. Compared with the two groups, the detection rate in the observation group was significantly higher, with a significant difference (P<0.05). It was found that the overall detection effective rate of the patients in the observation center was 99%, and the overall detection effective rate of the patients in the control group was 91%. Compared with the observation group, the overall detection effective rate of the two groups was significantly higher, with a significant difference (P<0.05). Compared with the control group, the pulmonary artery pressure level of the observed group was significantly higher (P<0.05).
Conclusion   The application of plasma B-type natriuretic peptide detection method in the detection of patients with emergency dyspnea shows the characteristics of high diagnostic effectiveness, which can provide sufficient basis for the later clinical diagnosis and treatment.