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心率对收缩期时间间期的校正:个体回归方程与群体推导回归方程的比较。

Correction of systolic time intervals for heart rate: a comparison of individual with population derived regression equations.

作者信息

Warrington S J, Weerasuriya K, Burgess C D

机构信息

Department of Clinical Pharmacology, St Bartholomew's Hospital, London.

出版信息

Br J Clin Pharmacol. 1988 Aug;26(2):155-65. doi: 10.1111/j.1365-2125.1988.tb03381.x.

Abstract
  1. We have examined the problem of how systolic time intervals (STI) should be corrected for heart rate in clinical pharmacological studies. 2. 'Individual' linear regression equations describing the relationship between STI and heart rate were derived for each of 43 healthy young adults (30 men and 13 women) by measuring STI at different heart rates produced by incremental doses of intravenous atropine. 'Population' equations for each sex were obtained by taking the mean of the 'individual' regression coefficients. 3. In order to assess which method more effectively reduced variability of the STI, 'individual' regression coefficients were derived for eight men who had previously participated in a placebo-controlled study which had used STI to test the cardiovascular effects of calcium antagonists alone and in combination with propranolol. 4. Within-subject variability in rate-corrected STI was similar after application of 'individual' and 'population' regression equations. Between-subject variability tended to be less after the use of 'population' equations. 5. 'Population' regression equations were more effective than 'individual' regression equations in allowing detection of differences between treatments, as judged by F values from ANOVA. 6. In clinical pharmacological studies including measurements of STI in healthy young subjects, 'individual' regression equations appear to have no advantage over 'population' equations derived in a group of subjects of similar age and sex.
摘要
  1. 我们研究了在临床药理学研究中,收缩期时间间期(STI)应如何针对心率进行校正的问题。2. 通过测量静脉注射递增剂量阿托品所产生的不同心率下的STI,为43名健康年轻成年人(30名男性和13名女性)中的每一个人推导了描述STI与心率之间关系的“个体”线性回归方程。通过取“个体”回归系数的平均值获得了每种性别的“总体”方程。3. 为了评估哪种方法能更有效地降低STI的变异性,为8名男性推导了“个体”回归系数,这些男性此前参与了一项安慰剂对照研究,该研究使用STI单独测试钙拮抗剂以及与普萘洛尔联合使用时的心血管效应。4. 应用“个体”和“总体”回归方程后,心率校正后的STI的受试者内变异性相似。使用“总体”方程后,受试者间变异性往往较小。5. 根据方差分析的F值判断,“总体”回归方程在检测治疗差异方面比“个体”回归方程更有效。6. 在包括对健康年轻受试者进行STI测量的临床药理学研究中,“个体”回归方程似乎并不比在一组年龄和性别相似的受试者中推导的“总体”方程更具优势。

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