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疗效判断

疗效判断的相关文献在1993年到2022年内共计149篇,主要集中在内科学、临床医学、中国医学 等领域,其中期刊论文127篇、会议论文13篇、专利文献19752篇;相关期刊107种,包括中国保健、福建中医药、中华实用中西医杂志等; 相关会议12种,包括第十七届中国科协年会、中国中西医结合学会循证医学方法在中西医结合皮肤病临床研究中的应用研讨会、中华医学第九次全国检验医学学术会议暨中国医院协会临床检验管理专业委员会第六届全国临床检验实验室管理学术会议等;疗效判断的相关文献由309位作者贡献,包括李华光、林谋斌、等等。

疗效判断—发文量

期刊论文>

论文:127 占比:0.64%

会议论文>

论文:13 占比:0.07%

专利文献>

论文:19752 占比:99.30%

总计:19892篇

疗效判断—发文趋势图

疗效判断

-研究学者

  • 李华光
  • 林谋斌
  • 丁建民
  • 于文龙
  • 冷天艳
  • 匡铭
  • 吕明德
  • 尹路
  • 崔晗
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 王晓明
    • 摘要: 肿瘤标志物(TM)为癌症筛查的常规项目,是指特征性存在于恶性肿瘤细胞,或由恶性肿瘤细胞异常产生的物质,或是宿主对肿瘤的刺激反应而产生的物质。肿瘤标志物检查数值变化牵动着体检者的心。其实,健康人群体检发现肿瘤标志物升高并不一定是肿瘤或癌症,通常只能说明患某种癌的风险增高,还有可能出现假阴性或假阳性,不必过于紧张。但对于已经确诊的癌症患者,肿瘤标志物的变化则有助于疗效判断
    • 杨勇
    • 摘要: 目的 探讨鳞状细胞癌抗原(SCC-Ag)、糖类抗原19-9(CA19-9)、血管内皮生长因子(VEGF)在晚期食管鳞癌患者化疗疗效判断中的价值.方法 选取晚期食管鳞癌患者112例,所有患者均给予多西他赛+奈达铂化疗,采用酶联免疫吸附试验检测所有患者化疗前及化疗3个疗程后的血清SCC-Ag、CA19-9、VEGF水平,采用受试者工作特征(ROC)曲线评价SCC-Ag、CA19-9、VEGF判断化疗有效的效能.结果 112例食管鳞癌患者化疗有效率为53.57%(60/112).化疗有效组与化疗无效组化疗前血清SCC-Ag、CA19-9、VEGF水平差异均无统计学意义(P>0.05).化疗有效组化疗后血清SCC-Ag、CA19-9、VEGF水平明显低于化疗前(P<0.01).化疗无效组化疗后血清SCC-Ag、CA19-9、VEGF水平高于化疗前(P<0.001).化疗有效组SCC-Ag、CA19-9、VEGF水平的下降比明显高于化疗无效组(P<0.001).ROC曲线分析结果显示,SCC-Ag下降比、CA19-9下降比、VEGF下降比判断食管鳞癌化疗疗效的曲线下面积(AUC)分别为0.741、0.712、0.783,最佳临界值分别为20%、26%、27%,敏感性分别为76.67%、80.00%、83.33%,特异性分别为76.92%、73.08%、80.77%;三者联合检测(三者任意一项高于最佳临界值)判断食管鳞癌化疗有效的AUC为0.926,敏感性为96.67%,特异性为96.15%.结论 SCC-Ag、CA19-9、VEGF可用于晚期食管鳞癌化疗疗效的判断.
    • 苗文静; 张欣; 张艳丽; 赵瑞; 杨咏梅; 张义
    • 摘要: 目的 探讨血清Cripto-1在胃癌诊断和疗效判断中的应用价值,为临床提供参考依据.方法 选择2018年1-6月山东大学齐鲁医院收治的胃癌患者79例(胃癌组)、慢性萎缩性胃炎患者42例(慢性萎缩性胃炎组)和体检健康者30例(健康对照组)的血清标本.Cripto-1采用酶联免疫吸附法检测,癌胚抗原(CEA)、糖链抗原724(CA724)采用电化学免疫发光法测定.结果 胃癌组 、萎缩性胃炎组和健康对照组血清Cripto-1水平中位数(四分位数)分别为3.76(1.42~9.73)μg/L、0.71(0.34~0.86)μg/L、0.36(0.28~0.51)μg/L,差异有统计学意义(P<0.001);其中胃癌组血清Cripto-1水平高于萎缩性胃炎组和健康对照组(均P<0.05);萎缩性胃炎组高于健康对照组(P<0.05).血清CEA水平中位数(四分位数)3.46(2.15~4.59)U/L和CA724水平3.45(2.44~4.75)U/L仅在胃癌组升高(均P<0.05).Cripto-1诊断胃癌的受试者工作特征曲线下面积为0.818(95%CI:0.747~0.876),其明显高于CEA和CA724(均P<0.05).胃癌患者手术后血清Cripto-1水平明显低于手术前水平(P<0.05).结论 血清Cripto-1在胃癌患者中表达升高,经手术治疗后水平发生下降,其诊断价值优于CEA和CA724,是一项潜在的胃癌早期诊断和疗效判断指标.
    • 张晓明
    • 摘要: 目的:探讨肺超声在小儿肺炎疗效判断中的应用效果.方法:选取本院2017年3月 ~2018年3月收治的小儿肺炎患儿34例为研究对象,依据诊断和复查方法的不同分为对照组和观察组,对照组16例,应用X射线检查和复查,观察组18例,应用X射线和超声检查,超声复查,对比两组诊断情况.结果:观察组的诊出率为94.44% 与对照组的93.75%,统计学无意义(P>0.05);观察组的辐射损伤率低于对照组,统计学有意义(P<0.05);经过治疗后,患儿各项症状得到明显好转,出院当天,基本恢复正常.结论:肺超声在小儿肺炎疗效判断中的应用效果显著,能够对患者的疗效进行准确的判定,为医生提供准确的病情变化数据,有利于患儿的恢复.
    • 胡云舒
    • 摘要: Objective To investigate the value of peripheral blood cytokines in the diagnosis of chronic hepatitis B.Methods From February 2014 to February 2015,34 patients with chronic hepatitis B were selected as the study group,and 34 healthy persons who came to the hospital for the same period were selected as healthy control group,all patients underwent blood related examination and cell culture,and the study group was treated with Compound Embryonic Bovine Liver Extract Tablets and entecavir Cave.The levels of cytokines in the patients before and after treatment were compared between the two groups.Results The level of IL-4 in the study group was higher than that in the healthy control group,and the level of IFN-γ was lower than that of the healthy control group(P0.05).In the study group,the level of IL-4 was lower than that before treatment,IFN-γ levels were higher than before treatment(P0.05).In the study group,the positive rate of IL-4 in the HBeAg positive group was higher than that in the HBeAg negative group(P0.05).The levels of AST,ALT,Alb and TBiL in the study group were better than those before treatment(P0.05).研究组治疗后IL-4水平低于治疗前,IFN-γ水平高于治疗前,差异均有统计学意义(P0.05).研究组HBeAg阳性者IL-4水平高于HBeAg阴性者,IFN-γ水平低于HBeAg阴性者,差异均有统计学意义(P0.05).研究组治疗后天门冬氨酸氨基转移酶、清蛋白、丙氨酸氨基转移酶及血清总胆红素水平均低于治疗前,差异均有统计学意义(P<0.05).结论 外周血细胞因子可有效明确辅助T细胞1/辅助T细胞2免疫应答的平衡状况,对判断慢性乙型肝炎的治疗效果有重要价值.
    • 刘才冬; 王一杉; 蒋云; 王书奎
    • 摘要: 探讨缺血修饰白蛋白(IMA)及C-反应蛋白(CRP)在阻塞性睡眠呼吸暂停低通气综合征(OSAHS)诊断、病情评估以及疗效评价中的意义.研究选取2016年1月至10月该院呼吸科收治的OSAHS患者97例,根据多导睡眠监测(PSG)结果分为轻度OSAHS组46例,中度OSAHS组31例以及重度OSAHS组20例,同时选取30例单纯打鼾者作为对照组.分别于治疗前以及连续气道正压通气(CPAP)治疗一个月后检测所有患者的血清IMA和CRP水平.结果表明:OSAHS组血清IMA和CRP浓度显著高于对照组(P<0.05),且OSAHS组血清IMA浓度与OSAHS病情程度显著相关(P<0.05),而与年龄、性别及BMI无关.经1个月的CPAP治疗后OSAHS组血清IMA和CRP显著下降(P<0.05).以66.5 U/L为临界值,血清IMA用于诊断OSAHS的敏感性为82.5%,特异性为86.7%,阳性预测值为95.2%,阴性预测值为60.5%.研究提示:血清IMA作为OSAHS的独立预测因素其水平和OSAHS的严重程度密切相关,对OSAHS的诊断、病情分析及疗效评价有一定临床意义;另外,OSAHS患者CRP显著增高,提示炎症反应可能参与了OSAHS的病理发展过程.%To investigate the clinical significance of ischemic modified albumin (IMA),C-reactive protein(CRP) in the diagnosis,disease assessment and evaluation of therapeutic efficiency of obstructive sleep apnea hypopnea syndrome (OSAHS),from January 2016 to October 2016,97 patients with OSAHS admitted in the pneumology Department of Nanjing First Hospital Affiliated to Nanjing Medical University were enrolled.The 97 patients were divided into mild OSAHS group (46 cases),moderate OSAHS group (31 cases) and severe OSAHS group (20 cases) mainly according to polysomnography (PSG).At the same time,30 cases of simple snorers were selected as control group.Serum levels of IMA and CRP were measured before receiving any treatment in all 97 OSAHS patients and 30 simple snorers.Serum levels of IMA and CRP were measured repeatedly after receiving one month standard continuous positive airway pressure (CPAP) treatment in 97 OSAHS patients.The results showed that the serum levels of IMA and CRP in group of OSAHS were significantly higher than those in the control group (P < 0.05).Serum IMA level in OSAHS group was significantly correlated with the severity of OSAHS (P < 0.05).After one month's CPAP treatment,the serum IMA and CRP of OSAHS group decreased significantly (P < 0.05).Taking 66.5 U/L as the cut-off value,the sensitivity of serum IMA in OSAHS diagnosis was 82.5%,the specificity was 86.7%,the positive predictive value was 95.2%,and the negative predictive value was 60.5%.The research indicated that serum IMA was an independent predictor of OSAHS,and its level was closely related to the severity of OSAHS,irrespective of age,sex and BMI.The level of serum IMA has some clinical significance in the diagnosis,disease assessment and evaluation of therapeutic efficiency of obstructive sleep apnea hypopnea syndrome(OSAHS).By the way,in the present study the elevated CRP in patients with OSAHS indicated that inflammatory response was involved in the pathological development of OSAHS.
    • 陈维维; 郝东
    • 摘要: 目的:通过实验研究分析在对医院获得性肺炎的病原菌进行诊断以及治疗效果进行判断时,血清降钙素原(PCT)、内毒素(ET)、C反应蛋白(CRP)在其中起到的作用及价值.方法:随机选取我科2015至2016年收治的70例患有医院获得性肺炎的患者作为此次实验的对象.将这些患者分为G-菌感染肺炎组和G+菌感染肺炎组,并选取22例同期未发生医院获得性肺炎的患者为对照组.对这三组患者血清PCT、ET、CRP、体温、白细胞值进行及时的监测.研究人员在实验过程中对相关数据进行详细的记录,并根据观察、记录的数据进行评估分析.结果:研究人员在统计分析数据时发现,在这92例患者中,G-菌感染肺炎组的血清PCT和ET水平比G+菌感染肺炎组要高,同时还高于对照组患者的相应指标水平,其间的水平差异具有统计学意义(P<0.05).在对G-菌感染肺炎组治疗前后的PCT、ET、CRP指标水平进行比较时发现,治疗后上述三个指标值均降低,其中PCT、CRP的前后变化具有统计学意义(P<0.05).结论:临床上,医护人员在对医院获得性肺炎患者的病原进行诊断时,血清PCT、ET、CRP水平的变化为医护人员提供了重要的参考.同时,对血清PCT、ET、CRP的监测还能对治疗方案、措施的疗效进行判断,具有极其重要的参考、判断价值.
    • 孙彬彬
    • 摘要: 目的:探讨超声检查对乳腺增生治疗效果判断的临床价值。方法:选择2013年1月至2016年5月在我院确诊为乳腺增生并接受系统治疗的66例女性患者,比较治疗前后乳腺超声影像学改变及乳腺结构评级与患者症状改善程度的相关性。结果:治疗前66例患者中,Ⅲ级7例,Ⅱ级46例,Ⅰ级11例,0级2例;治疗后,Ⅲ级0例,Ⅱ级10例,Ⅰ级40例,0级16例,两组间差异有统计学意义(P<0.05)。乳乳腺结构评级与患者症状改善存在正相关性,相关系数r为0.557(P<0.05)。结论:超声检查判断乳腺增生治疗效果客观、准确,可作为乳腺增生症疗效评价的有效方法。
    • 段敬利; 曾皎; 顾家鹏; 李瑞杰; 张萍; 顾仁骏
    • 摘要: 目的:探讨抗癫药物治疗过程中24 h动态脑电图(AEEG)检查的价值。方法:对187例临床和脑电图(EEG )确诊为癫的患者进行正规抗癫药物治疗,并进行定期复诊和常规 EEG或AEEG检查,随访2年,观察临床疗效和EEG结果。结果:随访第1年、第2年常规EEG结果与临床疗效一致的比例分别为81.5%与85.9%,AEEG结果与临床疗效一致的比例分别为62.1%与70.5%。在临床无发作时,常规EEG结果正常的比例明显高于AEEG常规,而常规EEG结果无改善的比例明显低于AEEG ,两者之间差异有统计学意义(P<0.01)。在AEEG结果和临床疗效不一致构成中,89.3%~94.5%为临床发作控制或好转,而AEEG结果无改善。结论:AEEG检查可为癫的临床疗效判断提供客观依据,癫患者抗癫药物治疗期间应定期复查24 h AEEG。%Objective:To explore the value of 24 hours’ambulatory electroencephalogram(AEEG) monitoring the treatment of epilepsy .Methods:187 patients with epilepsy received clinical and electroen‐cephalogram diagnosis formal antiepileptic drugs therapy .Regular subsequent examinations and AEEG or REEG monitoring were also made during the two years of follow‐up to observe the consistent rate of clin‐ical efficacy and EEG results .Results:The consistent rate of AEEG and clinical curative effect was 62 .1%for the first year’s follow‐up ,70 .5% for the second year ,and REEG was 81 .5% for the first year and 85 .9% for the second ,The proportion of normal REEG results during controlled clinical seizures was much higher than that of AEEG while the proportion of no improved REEG results during controlled clin‐ical seizures was much lower than that of AEEG .They were statistically significant(P<0 .01) .Among the inconsistent of AEEG and clinical efficacy ,89 .3% ~ 94 .5% was clinical seizure controlled or im‐proved while AEEG result was not improved .Conclusion:AEEG monitoring can provide an objective basis in the judging of clinical curative effect of epilepsy .Patients with epilepsy should take regular AEEG mo‐nitoring during the antiepileptic drugs therapy .
    • 段敬利; 曾皎; 顾家鹏; 李瑞杰; 张萍; 顾仁骏
    • 摘要: 目的:探讨抗癫痫药物治疗过程中24h动态脑电图(AEEG)检查的价值。方法:对187例临床和脑电图(EEG)确诊为癫痫的患者进行正规抗癫痫药物治疗,并进行定期复诊和常规EEG或AEEG检查,随访2年,观察临床疗效和EEG结果。结果:随访第1年、第2年常规EEG结果与临床疗效一致的比例分别为81.5%与85.9%,AEEG结果与临床疗效一致的比例分别为62.1%与70.5%。在临床无发作时,常规EEG结果正常的比例明显高于AEEG常规,而常规EEG结果无改善的比例明显低于AEEG,两者之间差异有统计学意义(P〈0.01)。在AEEG结果和临床疗效不一致构成中,89.3%~94.5%为临床发作控制或好转,而AEEG结果无改善。结论:AEEG检查可为癫痫的临床疗效判断提供客观依据,癫痫患者抗癫痫药物治疗期间应定期复查24hAEEG。
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