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根据血清肌酐值估算肌酐清除率:三种肾小球滤过功能数学模型的分析

Creatinine clearance estimation from serum creatinine values: an analysis of three mathematical models of glomerular function.

作者信息

Gates G F

出版信息

Am J Kidney Dis. 1985 Mar;5(3):199-205. doi: 10.1016/s0272-6386(85)80051-2.

Abstract

The logarithmic relationship of serum creatinine and creatinine clearance was analyzed in 100 adult patient studies using a geometric regression technique. Each sex was independently analyzed, and the subsequently derived regression formulae were age corrected resulting in mathematical models useful in estimating creatinine clearance from serum creatinine concentrations. These formulae were tested prospectively in another group of 100 patient studies in which creatinine clearance had been determined, and the results compared to values derived by use of two other published formulae. This newer method resulted in a closer distribution of data around a line of identity compared to other formulae and allowed for a good "bedside" estimation of creatinine clearance from serum creatinine concentration.

摘要

使用几何回归技术对100项成年患者研究中血清肌酐与肌酐清除率的对数关系进行了分析。对每种性别分别进行分析,随后得出的回归公式进行了年龄校正,从而得到了可用于根据血清肌酐浓度估算肌酐清除率的数学模型。这些公式在另一组100项已测定肌酐清除率的患者研究中进行了前瞻性测试,并将结果与使用其他两个已发表公式得出的值进行了比较。与其他公式相比,这种新方法使数据在恒等线上的分布更紧密,并能根据血清肌酐浓度对肌酐清除率进行良好的“床边”估算。

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