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2024 13 v.39 2341-2345
双胎妊娠剖宫产回收式自体血回输预测模型构建及临床应用研究
基金项目(Foundation): 浙江省金华市重大(重点)科学技术研究计划项目(2021-3-127)
邮箱(Email):
DOI: 10.19829/j.zgfybj.issn.1001-4411.2024.13.004
中文作者单位:

金华市妇幼保健院麻醉科;

摘要(Abstract):

目的 构建双胎妊娠剖宫产回收式自体血回输(IOCS)预测模型并探究其临床应用。方法 回顾性收集2021年10月—2023年6月金华市妇幼保健院自体血回收的150例双胎妊娠剖宫产贫血产妇的临床资料,按照4∶1随机抽样分为建模组(120例)与验证组(30例),基于建模组实际数据,根据是否采用IOCS技术分为IOCS组(63例)和未回输组(57例)。采用logistic多因素回归分析接受IOCS的危险因素,R语言建立列线图模型,采用ROC曲线评估模型的预测能力。结果 建模组和验证组贫血孕产妇基线资料比较,差异均无统计学意义(均P>0.05)。IOCS回输率52.50%,自体血浪费率47.50%。logistic多因素分析结果显示,产前阴道出血、胎盘植入或穿透、胎盘早剥、完全性前置胎盘及凶险性前置胎盘是发生IOCS的独立危险因素(P<0.05)。ROC结果显示,建模组的AUC为0.923(95%CI:0.868~0.979),灵敏度为85.87%,特异度为95.02%;验证组AUC为0.916(95%CI:0.840~0.992),灵敏度为89.45%,特异度为82.48%。结论 临床对于有产后大出血高风险人群应加强监管,基于危险因素建立的列线图模型具有较好的诊断效能,有利于临床决策。

关键词(KeyWords): 产后出血;;双胎妊娠;;剖宫产;;回收式自体血回输;;预测模型;;列线图
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基本信息:

DOI:10.19829/j.zgfybj.issn.1001-4411.2024.13.004

中图分类号:R719.8;R457.1

引用信息:

[1]黄侃,金卫东,宫延基.双胎妊娠剖宫产回收式自体血回输预测模型构建及临床应用研究[J].中国妇幼保健,2024,39(13):2341-2345.DOI:10.19829/j.zgfybj.issn.1001-4411.2024.13.004.

基金信息:

浙江省金华市重大(重点)科学技术研究计划项目(2021-3-127)

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