自制血尿严重程度评分卡在不同人群中应用的可靠性
摘要
目的探讨自制血尿严重程度评分卡(以下简称血尿色卡)在不同人群中应用的可靠性。方法经多次试验制作适用于临床的血尿色卡,对血尿色卡各色块进行红(R)、绿(G)、蓝(B)三原色强度数值分析,验证其是否适合人眼判读;将1例健康体检女性志愿者的血液和尿液按一定的方法配制出200份不同浓度的血尿标本,按照双盲法、随机数字表法分配给10位医生,每人20份,要求其对照血尿色卡进行评分,获得医生组评分;同样方法分配给10位护士、10例患者或家属进行评分,分别获得护士组评分和患者组评分;比较3组评分的差异。将3组人群评分对照血尿色卡的色块浓度转换成3组评分对应浓度,再计算评分对应浓度平均值,并与实验室检查浓度作比较,验证其可靠性。结果随着血尿色卡评分值以及色块浓度的增加,RGB三原色总亮度递减,R占比递增,到7分后又下降,亮度色差均>2.4%(人眼对红色最低分辨能力)。3组人群对照血尿色卡对200份血尿标本进行评分,差异无统计学意义(P>0.05);且在高分段、低分段差异均无统计学意义(P>0.05)。3组人群对照血尿色卡算得的评分对应浓度平均值与实验室检查浓度比较,在低分段(评分平均值≤8分及更低组段)差异均无统计学意义(均P>0.05)。结论不同人群应用自制血尿色卡判读的评分差异无统计学意义,在低分段(评分平均值≤8分及更低组段)较为可靠。
引文
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[13]田仁娣,刘静,杨蓉,等.持续膀胱冲洗引流液比色卡的临床应用[J].肿瘤预防与治疗,2013(5):298-299.
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[16]李汗祖,陈伟.色度3项参数的研究比较[J].中国电子科学技术研究,2016,18(7):5-6.
[2]Mariani AJ,Mariani MC,Macchioni C,et al.The significance of adult hematuria:1000 hematuria evaluations including a risk benefit and cost-effectiveness analysis[J].J Urol,2009,141(2):200-201.
[3]Shinagare AB,Silverman SG,Gershanik EF,et al.Evaluating hematuria:impact of guideline adherence on urologic cancerdiagnosis[J].Am J Med,2014,127(7):625-632.
[4]王薇,张江辉,郑力.经尿道前列腺电切术后失血量评估方法的研究进展[J].全科护理,2015 13(13):1153-1155.
[5]罗婕,曾琼娥,肖杰,等.泌尿外科医务人员膀胱持续冲洗引流液颜色认知现状调查[J].护理学报,2014,17(4B):18-20.
[6]Liss MA,Osann K,Cho J,et al.Severity of hematuria effects resolution in patients treated with hyperbaric oxygen therapy for radiation-induced hematuria[J].Urol Int,2013,91(4):451-455.
[7]Mishriki SF,Nabi G,Cohen NP.Diagnosis of urologic malignancies in patients with asymptomatic dipstick hematuria:prospective study with 13 years'follow-up[J].Urology,2008,71(1):13-16.
[8]Goossens-Laan CA,Kil PJ,Ruud Bosch JL,et al.Pre-diagnosis quality of life(QoL)in patients with hematuria:comparison of bladder cancer with other causes[J].Qual Life Res,2013,22(2):309-315.
[9]孙清,俞弘颀,赵雪志,等.卡络磺钠与止血敏在前列腺电切术后的止血疗效比较[J].中外医学研究,2012,10(32):1-2.
[10]辛建伟,王束玫.阿司匹林对经尿道前列腺电切术的影响[J].中国医疗前沿,2013(18):47-48.
[11]Ukimura O,Kawauchi A,Kanazawa M,et al.Pre-operative administration of chlormadinone acetate reduces blood loss associated with transurethral resection of the prostate:Aprospective randomized study[J].BJU Int,2005,96(1):98-110.
[12]罗婕,肖杰,肖秀玲,等.持续膀胱冲洗引流液比色卡的研制[J].护理学报,2010(19):77-78.
[13]田仁娣,刘静,杨蓉,等.持续膀胱冲洗引流液比色卡的临床应用[J].肿瘤预防与治疗,2013(5):298-299.
[14]王薇,郭希超,何庆伟,等.血尿比色卡[P].中国:CN103575665A,2014-02-12.
[15]史炎泽.TURP、TURB-t术后冲洗液颜色与出血量的定量研究[D].中国医科大学,2013.
[16]李汗祖,陈伟.色度3项参数的研究比较[J].中国电子科学技术研究,2016,18(7):5-6.