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[用于评估肝脏和胆道疾病临床化学参数的多变量判别分析计算方法]

[Multivariant discriminance analytical computation methods for the evaluation of clinico-chemical parameters in liver and biliary tract diseases].

作者信息

Nilius R

出版信息

Z Gesamte Inn Med. 1977 Feb 15;32(4):50-4.

PMID:324153
Abstract

Multivariate variance and discriminance-analytic investigations on the value of evidence of clinico-chemical tests in the diagnostics of diseases of the liver and the biliary tract gave the following results: 1. By means of clinico-chemical methods and discriminance-analytic functions we succeed in 50% of the cases in formulating a correct diagnosis, in more than 75% of the cases a correct probability diagnosis (3 first places in the rank of diagnoses). Sensitivity and specificity of discrimination were established for 15 classes of diagnoses. 2. Due to the intercorrelations of test results biochemical maximum programmes contain numerous redundant parameters measured on diagnostic information values. With the help of a test for indispensability (redundance test) among 20 parameters owy 5-6 were characterized as indispensable. An optimal combination of parameters should not transgress an extent of 14 tests. 3. Results of reclassifications with discriminance analytic functions confirmed that the discriminance analysis is an extraordinarily suitable method for the computer-supported finding of a decision, on which basis aimed additional investigations might be performed.

摘要

对临床化学检验证据在肝脏和胆道疾病诊断中的价值进行多变量方差和判别分析研究,得出以下结果:1. 通过临床化学方法和判别分析函数,我们在50%的病例中成功做出了正确诊断,在超过75%的病例中做出了正确的概率诊断(诊断排名前三位)。确定了15类诊断的判别敏感性和特异性。2. 由于检验结果的相互关联,生化最大程序包含大量基于诊断信息值测量的冗余参数。通过一项不可或缺性检验(冗余检验),在20个参数中只有5至6个被确定为不可或缺。参数的最佳组合不应超过14项检验的范围。3. 用判别分析函数进行重新分类的结果证实,判别分析是一种非常适合于计算机辅助决策的方法,在此基础上可以进行有针对性的进一步调查。

相似文献

1
[Multivariant discriminance analytical computation methods for the evaluation of clinico-chemical parameters in liver and biliary tract diseases].[用于评估肝脏和胆道疾病临床化学参数的多变量判别分析计算方法]
Z Gesamte Inn Med. 1977 Feb 15;32(4):50-4.
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[Computer-assisted laboratory diagnosis].[计算机辅助实验室诊断]
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[Clinical use of a minicomputer in the evaluation of chemico-clinical parameters in the diagnosis of hepato-biliary-pancreatic diseases of surgical significance. 3 methods compared].[小型计算机在评估具有外科意义的肝胆胰疾病诊断中的化学临床参数方面的临床应用。三种方法比较]
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[Laboratory diagnosis of liver and biliary tract disease].[肝胆道疾病的实验室诊断]
Z Gesamte Inn Med. 1977 Jan 15;32(2):29-32.
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Z Gesamte Inn Med. 1977 Jun 15;32(12):265-70.
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[Selection of clinico-chemical parameters of a stepwise program for the diagnosis and differentiation of hepatobiliary diseases].[用于肝胆疾病诊断与鉴别的逐步程序临床化学参数的选择]
Z Med Lab Diagn. 1977 Aug;18(4):219-52.
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引用本文的文献

1
Ranking of liver tests for differential diagnosis of liver parenchymal diseases.
Gastroenterol Jpn. 1983 Apr;18(2):109-13. doi: 10.1007/BF02774684.
2
Differential diagnosis of liver parenchymal diseases by likelihood method using 12 laboratory data and age.运用12项实验室数据及年龄,采用似然法对肝实质疾病进行鉴别诊断。
Gastroenterol Jpn. 1982 Oct;17(5):453-62. doi: 10.1007/BF02774723.