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临床甲状腺功能检查新策略的医学决策学方法初步探讨

Primary Study of New-Strategies for Clinical Thyroid Function Tests with Medical Decision Making
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摘要 报告了三个医院八个观察组,623例血s-TSH、FT_4、FT_3分析结果,以医学决策学方法计算其单项检测、两项联检、三项联检的敏感性、特异性、阳性和阴性似然比、机遇外一致率K值,s-TSH可用于甲状腺疾病的初筛试验,三者联检效益更高,只费用更大,作者认为在我国目前情况下,临床上似仍以TT_4、TT_3与s-TSH联检为佳。 The results of the serum s-TSH,FT_4 ,FT_3 levels of 623 cases were analysed in eight groups of three hos-pitals.The sensitivity, specificity,positive and negative likelihood ratio,agreement beyond chances K,thatvalue computed by s-TSH,FT_4,FT_3 tests were determined in single,both-or three union examination withmedical decision making. The s-TSH can be used to primary screen test for thyroid disease. The combinationof s-TSH,FT_4,FT_3 test was more effective, but cost a lot.So far the combination of TT_4,TT_3 and s-TSHtest are best one at clinic in Chna.
出处 《科技通报》 1995年第6期375-380,共6页 Bulletin of Science and Technology
关键词 甲状腺功能试验 FT4 FT3 医学决策学 thyroid function test FT_4 FT_3 s-TSH medical decision making
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