原发性肝癌血瘀证的量化诊断标准研究

来源 :第二十四次全国中西医结合肝病学术会议 | 被引量 : 0次 | 上传用户:ltycongc2008
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  目的:探讨原发性肝癌血瘀证的量化诊断方法.方法:对符合纳入条件的559例原发性肝癌患者进行中医四诊资料的采集,使用隐结构分析法制定肝癌血瘀证的量化诊断标准,同时借助我科前期制定的肝癌定性诊断规范进行血瘀证的定性诊断,并对二者的诊断结果进行比较.结果:借助隐结构分析法制定原发性肝癌血瘀证的量化诊断模型,根据辨证规则从整体样本中筛选出343例血瘀证患者;借助肝癌定性诊断规范筛选出341例血瘀证患者.以定性诊断规范为"金标准",肝癌血瘀证量化诊断标准的灵敏度为93.3%,特异度为88.5%,误诊率为11.5%,漏诊率为6.7%,阳性预测值为92.7%,阴性预测值为89.4%,阳性似然比为8.1,阴性似然比为0.08.
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