建立不孕症诊断和治疗的预测模型

V. Belov, V. Vostrikov, Anastasia A. Ardaeva
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引用次数: 0

摘要

本文提出并解决了一种不孕症诊断和治疗的临床预测方法。考虑了现有的不孕症预测模型。它们的优点和缺点是确定的。后者既在于计算和预测估计已婚夫妇受孕的个人可能性的复杂性,也在于所使用的医学和应用计算技术的保守性,这降低了预测的质量和效率。不孕症的结构是在对患者进行长期全面检查后显示的。考虑到患者的特征、持续时间和其他不孕原因,确定了五组患者。介绍了生殖活动系数(CRA)、生殖健康指数(RPH)和生殖准备指数(PRH)的概念,提出了这些值的一种计算方法,并指出了它们的可能取值范围。PRG被认为是克服不孕症的临床预测的关键特征。它的价值可以反映在诊断和治疗不孕症的四组结果中,其中三组涉及直接转诊到专门的医疗机构。文章提出了在医生的预测活动中使用PRG的广义算法,并给出了患者使用PRG的实用建议。此外,还进行了计算实验,计算了几例患者的PRG值,并对所得结果进行了进一步分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Building a predictive model for diagnostics and treatment of infertility
In this work, the tasks of creating a method for clinical prediction of diagnosis and treatment of infertility are formulated and solved. The existing forecasting models for overcoming infertility are considered. Their advantages and disadvantages are determined. The latter are both in the complexity of accounting and forecasting the individual possibilities for conception of the estimated married couples, and in the conservatism of the medical and applied computing technologies used, which reduces the quality and efficiency of forecasts. The structure of infertility is shown after a comprehensive examination of patients over a long period. Five groups of patients were identified, taking into account the characteristics, duration and other causes of infertility. The concepts of the coefficient of reproductive activity (CRA), the indicator of reproductive health (RPH) and the indicator of reproductive readiness (PRH) are introduced, a variant of the calculation of these values is proposed, and the ranges of their possible values are indicated. The PRG was proposed as a key characteristic for clinical prediction in overcoming infertility. Its values can be projected into four groups of outcomes in the diagnosis and treatment of infertility, three of which involve direct referral to a specialized medical institution. The article presents a generalized algorithm for the use of PRG in the predictive activity of doctor Practical recommendations for the use of the PRG by the patient are given. In addition, a computational experiment was carried out to calculate the values of PRG for several patients with further analysis of the results obtained.
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