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口服葡萄糖耐量试验:基于极限值、正常离散度和可重复性的时间点比较。

The oral glucose tolerance test: a comparison of the time points on the basis of limit values, normal dispersion, and reproducibility.

作者信息

Dix D, Cohen P, Barzegar S, Striefler M

出版信息

Acta Diabetol Lat. 1981;18(1):21-6. doi: 10.1007/BF02056102.

Abstract

Time points in the glucose tolerance test (GTT) are compared on the basis of limit values, dispersion within a reference population, and reproducibility. We suggest using the distance between a limit value and the median reference value as a measure of the magnitude of abnormality. The distance between 140 mg/100 ml and the median fasting plasma glucose value is chosen as a standard distance and limits for other points in the GTT are calculated to equal this standard distance of abnormality. We suggest that the probability of correctly interpreting an individual result is directly related to the reproducibility of the test and inversely related to the percentage of the total range of values which is dispersed among the normal population. The ratio of reproducibility to percentage normal dispersion is proposed as an index of the probability of correctly interpreting an individual result. According to this index, and probability of correct interpretation varies in order: fasting plasma glucose concentration greater than 3-h greater than 2-h greater than 0.5-h greater than 1-h plasma glucose concentration.

摘要

根据极限值、参考人群内的离散度和可重复性,对葡萄糖耐量试验(GTT)中的时间点进行比较。我们建议使用极限值与参考中位数之间的距离作为异常程度的衡量指标。选择140mg/100ml与空腹血浆葡萄糖中位数之间的距离作为标准距离,并计算GTT中其他时间点的极限值,使其等于该标准异常距离。我们认为,正确解释个体结果的概率与试验的可重复性直接相关,与正常人群中分散的值的总范围百分比成反比。建议将可重复性与正常离散度百分比的比值作为正确解释个体结果概率的指标。根据该指标,正确解释的概率按以下顺序变化:空腹血浆葡萄糖浓度大于3小时大于2小时大于0.5小时大于1小时血浆葡萄糖浓度。

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