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在不同姿势中使用调度仪验证眼内压力测量AVIA:Bland Altman分析
Sana' Muhsen1, Alexander Rabadi2, Mahmoud Alqudah2
1Special Surgery Department/Ophthalmology Division, School of Medicine, University of Jordan, Amman, Jordan.
European journal of ophthalmology
|April 16, 2024
概括
笔AVIA (TPA) 在测量眼内压力 (IOP) 方面显示出较高的可靠性,与高盛平面化度仪 (GAT) 相比. 然而,TPA和GAT测量在青光眼患者中是不可互换的.
科学领域:
- 眼科医生 眼科 眼科
- 医疗器械 医疗器械
- 青光眼的诊断 青光眼的诊断
背景情况:
- 度测量对于青光眼的诊断和管理至关重要.
- 高盛平面化度测量 (GAT) 是黄金标准,但有其局限性.
- 像Tono-Pen AVIA (TPA) 这样的移动度仪设备已经获得了普及.
研究的目的:
- 评估Tono-Pen AVIA (TPA) 在眼内压力 (IOP) 测量的可靠性.
- 为了在不同患者姿势中将TPA IOP读数与戈德曼平面化度计 (GAT) 进行比较.
- 评估TPA和GAT在临床实践中的可互换性.
主要方法:
- 对196只眼睛进行前性检查,比较了GAT和TPA.
- 使用TPA,在坐着和躺着的位置进行IOP测量.
- 使用类间相关系数 (ICC) 和布兰德-阿尔特曼分析评估可靠性.
主要成果:
- 在坐着和躺着的位置上,TPA读数明显高于GAT (p < 0.001).
- 在GAT和TPA之间观察到良好的可靠性 (ICC坐着=0.79,躺着=0.76).
- 在两种姿势中发现了GAT和TPA之间的显著正相关性 (r=0.626坐着,r=0.727躺着).
结论:
- 笔AVIA (TPA) 显示出用于IOP测量的良好可靠性.
- 尽管TPA和GAT的可靠性很好,但它们不能在格洛科马患者的临床使用中互换.
- 临床医生应该意识到TPA和GAT读数之间的系统差异.
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