生理变异对个性化参考间隔和决策极限的影响:深入分析
Abdurrahman Coskun1, Giuseppe Lippi2
1Department of Medical Biochemistry, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Türkiye.
医生需要可靠的参考值来准确诊断患者. 个性化参考间隔 (prRI) 应考虑个体生物变异,改善实验室数据解释和患者监测.
科学领域:
- 临床化学 临床化学
- 生物分子分析
- 个性化医疗是个性化的医疗.
背景情况:
- 实验室数据的解释依赖于比较的参考值.
- 人类的新陈代谢表现出动态变化 (节律,随机波动).
- 当前基于人口的参考区间没有捕捉到个体的变化.
研究的目的:
- 概述影响个性化参考区间 (prRI) 的因素.
- 解释prRIs的理论基础.
- 提出与个人代谢变异协调prRI的方法.
主要方法:
- 对影响生物分子度的变化进行审查.
- 对于prRI生成的理论框架.
- 建议使用人口数据进行prRI协调的新方法.
主要成果:
- 识别生物分子中的系统和随机变异.
- 了解生理节奏 (超日,昼夜,红外) 的影响水平.
- 对准确的参考间隔的个人数据的强调.
结论:
- 个性化参考间隔 (prRI) 对于准确的临床决策至关重要.
- prRI必须包含个别的生物变异.
- 将prRI与代谢活动和人口统计相协调,可以改善患者的护理.
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