摘要
目的 建立一种能用于快速准确鉴别急慢性氮质血症的评估工具。方法 采用数学方法系统分析了 2 83例氮质血症患者 (急性 1 1 4例 ,持续进行性 43例 ,慢性 1 2 6例 ) 1 1项鉴别参数在不同种类氮质血症中的出现频率 ,及其单独出现时可能为各类氮质血症的概率 ,据此建立氮质血症鉴别参数评分表。结果 该评分表对急性、持续进行性和慢性氮质血症诊断符合率分别为 90 35 % (1 0 3/ 1 1 4 )、72 0 9% (31 / 4 3)和 88 1 0 % (1 1 1 / 1 2 6)。对该评分表真实性评价结果显示 ,在鉴别急慢性氮质血症方面其灵敏度、特异度、准确度均在 90 %左右。结论 本文建立的氮质血症鉴别参数评分表可用于快速准确地鉴别急慢性氮质血症。
Objective To establish an azotemic scoring system for fast differentiating various types of azotmia.Methods In 283 cases with azotemia (acute 114 cases,progressive 43 cases,and chronic 126 cases),the positive incidence of 11 variables,and the probability of various azotemia associated with single parameter were calculated by bayes test. The azotemic scoring system was established in accordance with above pre-probability.Results Diabnostic accordance rates of the azotemic scoring system were 90.35%(107/114),72.09%(31/43),and 88.10%(111/126)for acute ,progressive and chronic azotemia respectively.The sensitivity,specificity,accuracy of azotemic scoring system was 90% or so in differentiating chronic and acute azotemia.Conclusion The azotemic scoring system may be employed to fast differentiate the emergency cases with acute,progressive,and chronic azotemia.
出处
《中国急救医学》
CAS
CSCD
北大核心
2002年第1期10-12,共3页
Chinese Journal of Critical Care Medicine
基金
安徽省教育厅自然科学基金资助项目( 52 2 0 76 )
关键词
氮质血症
鉴别参数
评分系统
Azotemia
Differentiating variables
Scoring system
