免疫比浊法检测肌酸激酶同工酶质量在急性心肌梗死诊断中的价值

Lixia Zhang, Mao Lu, Haixia Du
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摘要

目的探讨免疫比浊法测定肌酸激酶同工酶(CKMB)质量在急性心肌梗死诊断中的价值。方法选择2018年6月~ 2019年6月金城总医院收治的急性心肌梗死(AMI)患者150例作为观察组。选取同期体检的健康人群150人作为对照组。比较两组患者血清心肌肌钙蛋白T (cTnT)、肌红蛋白(MYO)及CKMB质量。观察组采用电化学发光法和免疫比浊法检测CKMB质量水平。并比较两种方法的阳性检出率。结果观察组患者血清cTnT、MYO、CKMB质量水平均显著高于对照组(P < 0.05)。电致发光(96.00%,144/150)与免疫比浊法(94.67%,142/150)CKMB质量阳性率比较,差异无统计学意义(P>0.05)。结论CKMB肿块的检测对AMI的诊断有重要意义。免疫比浊法检测CKMB肿块的结果与电化学发光法无显著差异,但前者更适合基层医院发展,阳性检出率高。关键词:急性心肌梗死;肌酸激酶同工酶质量;Immunoturbidimetry;电化学发光
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Value of detection of creatine kinase isoenzyme mass by immunoturbidimetry in the diagnosis of acute myocardial infarction
Objective To investigate the value of determination of creatine kinase isoenzyme (CKMB) mass by immunoturbidimetry in the diagnosis of acute myocardial infarction. Methods A total of 150 patients with acute myocardial infarction (AMI) admitted to Jincheng General Hospital from June 2018 to June 2019 were enrolled into the observation group. And 150 healthy persons who underwent physical examination in the same period were selected as the control group. Serum levels of cardiac troponin T (cTnT), myoglobin (MYO) and CKMB mass in the two groups were compared. CKMB mass levels in the observation group were measured by electrochemiluminescence and immunoturbidimetry. And the positive detection rates of the two methods were compared. Results The serum cTnT, MYO and CKMB mass levels in the observation group were significantly higher than those in the control group (P 0.05). There was no significant difference in positive rate of CKMB mass between electroluminescence (96.00%, 144/150) and immunoturbidimetry (94.67%, 142/150), P>0.05. Conclusions The detection of CKMB mass is of great significance for the diagnosis of AMI. The results of immunoturbidimetric method in detecting CKMB mass are not significantly different from the electrochemical luminescence, but the former is more suitable for the development of primary hospitals and has a high positive detection rate. Key words: Acute myocardial infarction; Creatine kinase isoenzyme mass; Immunoturbidimetry; Electrochemiluminescence
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