【摘要】：目的探討應(yīng)用積分模型診斷結(jié)核性胸膜炎的價(jià)值,以提高胸腔積液的診斷率。方法分析65例結(jié)核性胸腔積液和87例惡性胸腔積液患者的臨床資料,選取年齡、體溫、胸腔積液中的腺苷脫氨酶(ADA)、血清C-反應(yīng)蛋白(CRP)4個(gè)指標(biāo)建立積分模型,以年齡37歲、體溫37.8℃、ADA45U/L或30U/L、CRP26mg/L為截點(diǎn),根據(jù)logistic回歸方程相關(guān)性設(shè)置每個(gè)指標(biāo)合適的分值,根據(jù)每例患者的指標(biāo)分值,建立積分模型,利用積分模型作為判斷結(jié)核性胸腔積液的依據(jù)。結(jié)果以積分模型分值≥7分作為預(yù)測(cè)結(jié)核性胸腔積液的截點(diǎn),其敏感性為95.4%、特異性為96.6%、準(zhǔn)確性為96.0%。結(jié)論積分模型可以簡(jiǎn)單方便的進(jìn)行結(jié)核性胸腔積液的診斷。
[Abstract]:Objective to evaluate the value of integral model in the diagnosis of tuberculous pleurisy in order to improve the diagnostic rate of pleural effusion. Methods the clinical data of 65 cases of tuberculous pleural effusion and 87 cases of malignant pleural effusion were analyzed. Four indexes, age, body temperature, serum C-reactive protein (CRP) of adenosine deaminase (ADA), in pleural effusion, were selected to establish integral model. Taking the age of 37 years, body temperature 37.8 鈩，

本文編號(hào)：2314639