ZHANG Lei, WANG Yong. Clinical significance of coagulation function, blood gasanalysis and serum serum amino terminal pro-brainnatriuretic peptide level in patients with chronicobstructive pulmonary disease[J]. Journal of Clinical Medicine in Practice, 2019, 23(15): 71-74. DOI: 10.7619/jcmp.201915019
Citation: ZHANG Lei, WANG Yong. Clinical significance of coagulation function, blood gasanalysis and serum serum amino terminal pro-brainnatriuretic peptide level in patients with chronicobstructive pulmonary disease[J]. Journal of Clinical Medicine in Practice, 2019, 23(15): 71-74. DOI: 10.7619/jcmp.201915019

Clinical significance of coagulation function, blood gasanalysis and serum serum amino terminal pro-brainnatriuretic peptide level in patients with chronicobstructive pulmonary disease

More Information
  • Received Date: May 10, 2019
  • Revised Date: June 20, 2019
  • Available Online: February 23, 2021
  • Published Date: August 14, 2019
  •   Objective  To investigate the clinical significance of coagulation function, blood gas analysis and serum amino terminal pro-brain natriuretic peptide (NT-proBNP) levels in patients with chronic obstructive pulmonary disease.
      Methods  A total of 120 patients with chronic obstructive pulmonary disease admitted to our hospital were divided into acute group and stable group, with 60 patients in per group. At the same time, another 60 healthy controls in the same period were as the control group. Coagulation function, blood gas analysis and serum NT-proBNP levels were measured in the three groups.
      Results  The thrombin time (APTT), fibrinogen (FBG)and D-dimmer (DD)in the acute group and the stable group were higher than those in the control group, and the acute group was higher than the stable group(P < 0.05). The oxygen partial pressure[p(O2)] level, partial pressure of carbon dioxide[p(CO2)] in the acute group and the stable group was higher than that in the control group. The level of p(O2) in the acute group was lower, and the level of p(CO2) was higher than that in the stable group (P < 0.05). The levels of serum NT-proBNP in the acute group and stable group were higher when compared with the control group, the level of serum NT-proBNP in the acute group was higher than that in the stable group (P < 0.05). NT-proBNP was positively correlated with coagulation function and p(CO2), and was negatively correlated with p(O2) (P < 0.05).
      Conclusion  Coagulation function, blood gas analysis and serum NT-proBNP level can effectively monitor the condition and monitor prognosis of chronic obstructive pulmonary disease, and it has higher clinical value.
  • [1]
    申永春, 文富强. 2018年慢性阻塞性肺疾病全球创议更新解读[J]. 中国实用内科杂志, 2018, 38(5): 443-445. https://www.cnki.com.cn/Article/CJFDTOTAL-SYNK201805014.htm
    [2]
    刘娅钦, 马丽, 刘琳. 慢性阻塞性肺疾病发病机制的研究进展[J]. 临床肺科杂志, 2016, 21(6): 1113-1117. doi: 10.3969/j.issn.1009-6663.2016.06.042
    [3]
    王蕾, 杨汀, 王辰. 2017年版慢性阻塞性肺疾病诊断、处理和预防全球策略解读[J]. 中国临床医生杂志, 2017, 45(1): 104-108. doi: 10.3969/j.issn.2095-8552.2017.01.039
    [4]
    许扬, 张鹏俊, 杨汀, 等. 我国基层慢性阻塞性肺疾病防治现状研究[J]. 中国全科医学, 2016, 19(34): 4153-4158. doi: 10.3969/j.issn.1007-9572.2016.34.001
    [5]
    殷晓娜, 宋卫东. 慢性阻塞性肺疾病评估测试方法的比较研究[J]. 临床肺科杂志, 2017, 22(4): 645-649. doi: 10.3969/j.issn.1009-6663.2017.04.019
    [6]
    中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2013年修订版)[J]. 中华结核和呼吸杂志, 2013, 36(4): 255-264. doi: 10.3760/cma.j.issn.1001-0939.2013.04.007
    [7]
    张胜, 肖利华, 邝丽. 降钙素原、C反应蛋白和D二聚体联合检测对慢性阻塞性肺疾病急性加重期病情评估的价值[J]. 血栓与止血学, 2016, 22(4): 373-375. doi: 10.3969/j.issn.1009-6213.2016.04.004
    [8]
    何雪, 李窕, 彭雅婷, 等. 慢性阻塞性肺疾病的血清标志物研究进展[J]. 中国医师杂志, 2017, 19(2): 314-318. doi: 10.3760/cma.j.issn.1008-1372.2017.02.046
    [9]
    李晓云, 纵单单, 陈燕. 慢性阻塞性肺疾病诊断及综合评估[J]. 中国临床医生杂志, 2017, 45(9): 4-8. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLYS201709004.htm
    [10]
    段玉香, 范晔, 杨海峰, 等. 慢性阻塞性肺疾病急性加重期患者肺部真菌感染对血清炎症因子的影响[J]. 中华医院感染学杂志, 2017, 27(4): 754-757. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201704011.htm
    [11]
    卢险峰. 老年慢性阻塞性肺疾病急性加重期合并呼吸衰竭患者凝血功能指标的变化[J]. 实用临床医药杂志, 2016, 20(3): 169-170. doi: 10.7619/jcmp.201603063
    [12]
    徐祎, 张术华, 米永华. 慢性阻塞性肺疾病急性期患者的凝血功能的变化[J]. 血栓与止血学, 2017, 23(2): 199-201. doi: 10.3969/j.issn.1009-6213.2017.02.006
    [13]
    张荣丽. 凝血功能和动脉血气分析指标在诊断慢性阻塞性肺疾病合并肺栓塞中的价值[J]. 中国慢性病预防与控制, 2016, 24(12): 936-937. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB201612016.htm
    [14]
    来焱, 杨瑞青. D-二聚体联合二氧化碳分压检测在慢性阻塞性肺疾病合并肺栓塞中的诊断价值[J]. 安徽医药, 2018, 22(10): 1919-1921. doi: 10.3969/j.issn.1009-6469.2018.10.018
    [15]
    毕红兵. 凝血功能变化对老年AECOPD患者疾病严重程度的相关性及预测价值研究[J]. 临床肺科杂志, 2018, 23(9): 1695-1698. doi: 10.3969/j.issn.1009-6663.2018.09.036
    [16]
    赵春柳, 张秋蕊, 黄靓雯, 等. N末端脑钠肽前体与慢性阻塞性肺疾病急性加重死亡预后的相关性分析[J]. 中华结核和呼吸杂志, 2018, 41(2): 95-99.
    [17]
    蔺建平. 慢性阻塞性肺疾病患者NT-proBNP的表达与患者肺功能、血气指标的关系[J]. 国际呼吸杂志, 2016, 36(19): 1449-1453. doi: 10.3760/cma.j.issn.1673-436X.2016.19.003
    [18]
    宋雨, 杨伟, 王洁妤, 等. 血浆N末端脑钠肽前体对老年慢性阻塞性肺疾病预后的评估作用[J]. 疑难病杂志, 2018, 17(1): 1-4. doi: 10.3969/j.issn.1671-6450.2018.01.001
  • Cited by

    Periodical cited type(1)

    1. 张佳琦,刘国华,黄建安. 新型冠状病毒奥密克戎变异株的研究进展. 实用临床医药杂志. 2022(19): 143-148 . 本站查看

    Other cited types(2)

Catalog

    Article views (195) PDF downloads (4) Cited by(3)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return