[1]徐 阳,臧 爽,陈路锋,等.Logistic回归及ROC曲线综合评价血生化指标对肝癌TACE术后发热的预测价值 [J].介入放射学杂志,2013,(06):513-517.
 XU Yang,ZANG Shuang,CHEN Lu? feng,et al. Combination evaluation of plasma biochemical indexes with Logistic regression and ROC analysis in predicting hyperthermia after transcatheter hepatic arterial chemoembolization for liver cancer[J].journal interventional radiology,2013,(06):513-517.
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Logistic回归及ROC曲线综合评价血生化指标对肝癌TACE术后发热的预测价值 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年06期
页码:
513-517
栏目:
护理论坛
出版日期:
2013-06-24

文章信息/Info

Title:
 Combination evaluation of plasma biochemical indexes with Logistic regression and ROC analysis in predicting hyperthermia after transcatheter hepatic arterial chemoembolization for liver cancer
作者:
徐 阳 臧 爽 陈路锋 徐 克
Author(s):
XU Yang ZANG Shuang CHEN Lu?蛳 feng XU Ke.
Department of Radiology, the First Affiliated Hospital, China Medical University, Shenyang 110001, China

关键词:
 【关键词】 肝癌 Logistic回归 曲线 介入治疗 化疗栓塞 发热
文献标志码:
A
摘要:
 【摘要】 目的 研究肝癌经导管肝动脉化疗栓塞术(TACE)后发热的相关因素及其与发热程度、持续时间的关系,探讨Logistic回归及ROC曲线评价血生化指标对肝癌THACE术后发热预测价值。方法 回顾分析232例肝癌患者行304次TACE术前术后的实验室数据,并对其进行有序Logistic回归分析,使用受试者工作特征(ROC)曲线评估剂量学参数的预测性能和最佳诊断界值。结果 按照发热程度(不发热 < 37.0℃、低热37.0℃ ~ 37.9℃、中等热38.0℃ ~ 38.9℃、高热 > 39℃)分组后各组患者的住院天数、碘油剂量,术前血清钠、尿素、肌酐,术后血液粒细胞、白蛋白、血清钠、尿素、肌酐存在显著差异(P < 0.05);有序Logistic回归分析,患者TACE术前血尿素、术后粒细胞比率、术后血小板对患者术后发热具有影响;ROC曲线分析术前血尿素的临界值是4.965 mmol/L,对于术后发热具有良好的预测性;碘油剂量与发热程度、发热程度与住院天数以及发热持续天数有显著相关性(P < 0.05)。结论 TACE术前血尿素、术后血小板与术后发热负相关,术后粒细胞比率与术后发热正相关。术前血尿素在诊断TACE术后发热中具有较高的灵敏度和特异度,可以作为发热的预测指标。

参考文献/References:

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备注/Memo

备注/Memo:
 (收稿日期:2013-01-29)
更新日期/Last Update: