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预测酒精性肝病门静脉压力升高的变量。多因素分析结果。

Variables predicting elevated portal pressure in alcoholic liver disease. Results of a multivariate analysis.

作者信息

Krogsgaard K, Christensen E, Gluud C, Henriksen J H, Christoffersen P

出版信息

Scand J Gastroenterol. 1987 Jan;22(1):82-6. doi: 10.3109/00365528708991861.

DOI:10.3109/00365528708991861
PMID:3563415
Abstract

In 46 alcoholic patients the association of wedged-to-free hepatic-vein pressure with other variables (clinical, histologic, hemodynamic, and liver function data) was studied by means of multiple regression analysis, taking the wedged-to-free hepatic-vein pressure as the dependent variable. Four variables showed significant independent association with the wedged-to-free hepatic-vein pressure: indocyanine green clearance (p = 0.031), degree of necrosis (p = 0.023), degree of hepatic architectural destruction (graded as: preserved architecture, nodules alternating with preserved architecture, totally destroyed architecture) (p = 2.3 X 10(-6) and sex (p = 0.0024), male sex being associated with higher wedged-to-free hepatic-vein pressure. The multiple coefficient of determination (R2) was 0.63; thus, 63% of the variation in the wedged-to-free hepatic-vein pressure was 'explained' by variation in these four variables.

摘要

在46例酒精性肝病患者中,以肝静脉楔压与自由压的比值作为因变量,通过多元回归分析研究其与其他变量(临床、组织学、血流动力学和肝功能数据)之间的关系。有四个变量与肝静脉楔压与自由压的比值呈现显著的独立相关性:吲哚菁绿清除率(p = 0.031)、坏死程度(p = 0.023)、肝结构破坏程度(分级为:结构保存、结节与保存结构交替、结构完全破坏)(p = 2.3×10⁻⁶)以及性别(p = 0.0024),男性与较高的肝静脉楔压与自由压比值相关。多元决定系数(R²)为0.63;因此,这四个变量的变化“解释”了肝静脉楔压与自由压比值63%的变异。

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