|本期目录/Table of Contents|

[1]周萌,梁涛.应用ROC曲线探讨心脏术后获得性吞咽障碍相关因素的临界值[J].慢性病学杂志,2018,(7):857-860.
　ZHOU Meng*,LIANG Tao.The ROC curve was used to investigate the critical value of the factors associated with postoperative cardiac acquired swallowing disorders[J].,2018,(7):857-860.
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应用ROC曲线探讨心脏术后获得性吞咽障碍相关因素的临界值(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2018年7期
页码:
857-860
栏目:
论　著
出版日期:
2018-07-30

文章信息/Info

Title:
The ROC curve was used to investigate the critical value of the factors associated with postoperative cardiac acquired swallowing disorders
作者:
周萌1;  梁涛2
1. 北京大学第一医院，北京100034； 2. 北京协和医学院护理学院，北京100000
Author(s):
ZHOU Meng*;  LIANG Tao
*The First Hospital of Peking University, Beijing 100034, China Corresponding author: ZHOU Meng, E-mail: zhoumengzhoulu@163.com
关键词:
心脏术后; 获得性吞咽障碍; 影响因素; ROC 曲线; 临界值
Keywords:
Cardiac surgery;  Acquired swallowing disorders;  Risk factors;  ROC curve;  Critical value
分类号:
R654.2
DOI:
-
摘要:
目的应用ROC 曲线探讨心脏术后获得性吞咽障碍发生相关因素的临界值，为预测心脏术后获得性吞咽 障碍的发生提供更准确的依据。方法采用便利抽样的方法选取中国医学科学院阜外医院2017 年3—10 月进行 择期心脏手术的患者578例。采用洼田饮水试验对心脏手术患者进行吞咽功能的筛查；采用二元logistic回归分析 来确定获得性吞咽障碍的危险因素后，绘制ROC 曲线，确定影响心脏术后获得性吞咽困难发生的界值点。结果 本研究中578 例患者心脏术后发生获得性吞咽障碍（3~5 级） 的47 例（8.1%）；在47 例阳性患者中吞咽功能5 级 的16 例（2.8%），4 级的16 例（2.8%），3 级的15 例（2.6%）；插管时长、心功能分级、Euroscore 评分对是否发 生心脏术后获得性吞咽障碍的ROC 曲线下有效面积分别为0.728、0.651、0.673，插管时长对心脏术后发生获得 性吞咽障碍的最佳临界值为24 h （P<0.05）。结论气管插管时间＞24 h 对于心脏术后获得性吞咽障碍有一定 预测意义。
Abstract:
Objective To investigate the critical value of the factors associated with postoperative cardiac acquired swallowing disordersby using the ROC curve, and to provide a more accurate basis for predicting the occurrence of acquired swallowing dysphagia after cardiac surgery. Method A descriptive, cross-sectional design was used in this study. Convenient sampling was performed among adult patients after cardiac surgery admitted into Fuwai Hospital from March to October 2017. Acquired swallowing disorders were screened by Water Swallowing Test. Socio-demographic information and data about the related factors were collected by a self- designed questionnaire. Avaliable data were analyzed by nonconditional logistic regression methods using the SPSS 20.0 software, and then the ROC curve was used to investigate the critical value of the factors associated with postoperative cardiac acquired swallowing disorders. Results The areas under the ROC curve （AUC） of the duration of endotracheal intubation, the Euroscore and heart function grade of NYHA were 0.728, 0.651, 0.673, respectively. The critical value of the duration of endotracheal intubation with postoperative cardiac acquired swallowing disorders was 24 h （P<0.05） . Conclusion The duration of endotracheal intubation longer than 24 h has certain predictive significance for the occurrence of acquired swallowing dysphagia after cardiac surgery.

参考文献/References:


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备注/Memo

备注/Memo:
作者简介：周萌，硕士研究生，护师，研究方向：重症护理，心血管护理 通信作者：周萌，E-mail：zhoumengzhoulu@163.com
更新日期/Last Update: 2018-07-30