Page 125 - 南京医科大学自然版
P. 125

第46卷第7期       张  梦,汤    婷,潘志娟,等. 小细胞肺癌患者化疗期间肺部感染风险评分模型的构建与验证[J].
                  2026年7月                     南京医科大学学报(自然科学版),2026,46(7):1064-1072                      ·1071 ·


                证集病例之间存在约1年的间隔,期间化疗方案、抗                                meta⁃analysis[J]. BMC Pulm Med,2024,24(1):353
                菌药物使用策略及支持治疗水平可能发生变化,因此                          [8] 付金平,陈      惠,赵    洁,等. 肺癌放化疗后患者发生肺
                可能存在一定时间偏倚。此外,本研究训练集中共发                                部感染的危险因素及其风险预测列线图模型构建[J].
                生53例肺部感染事件,最终纳入多因素Logistic回归                           中华医院感染学杂志,2024,34(8):1145-1149
                                                                       FU J P,CHEN H,ZHAO J,et al. Analysis of risk factors
                模型的变量数为 5 个,参考预测模型研究中常用的
                                                                       of pulmonary infection in patients with lung cancer after
                事件数/变量数(events per variable,EPV)原则进行
                                                                       chemoradiotherapy and construction of risk prediction no⁃
                合理性评估,EPV 约为 10.6,高于传统推荐下限,但                           mograph mode[J]. Chinese Journal of Nosocomiology,
                可能对模型稳定性产生一定影响。尽管本研究通过                                 2024,34(8):1145-1149
                Bootstrap重抽样进行内部验证,并在验证集中显示出                     [9] 张俐丽,冯国琴. 个体化预测非小细胞肺癌患者化疗期
                良好的预测性能,但仍需在多中心、大样本研究中对                                间肺部感染风险 Nomogram 模型的建立与验证[J].中
                该模型进行进一步验证和优化。                                         国感染控制杂志,2022,21(2):171-179
                   利益冲突声明:                                             ZHANG L L,FENG G Q. Construction and validation of
                   所有作者声明无利益冲突。                                        Nomogram model for individualized prediction of risk of
                   Conflict of Interests:                              pulmonary infection in patients with non⁃small cell lung
                   All authors disclose no relevant conflict of interests.  cancer during chemotherapy[J]. Chinese Journal of Infec⁃
                   作者贡献声明:                                             tion Control,2022,21(2):171-179
                   张梦负责研究设计、数据收集、数据分析、论文撰写;汤                     [10]金剑英,朱延安,郭群依,等. 老年肺癌化疗患者合并肺
                婷、潘志娟参与制定研究计划、负责部分样本数据分析;朱金                            部感染影响因素分析[J]. 浙江医学,2018,40(08):
                星、刘扣英负责数据分析指导、论文撰写指导以及对整个研                             817-819,823
                究工作负责。                                                 JIN J Y,ZHU Y A,GUO Q Y,et al. Complicated pulmo⁃
                   Author’s Contributions:                             nary infection in patients with advanced lung cancer after
                   ZHANG Meng contributed to study design,data collection,  chemotherapy[J]. Zhejiang Medical Journal,2018,40
                data analysis,and manuscript drafting. TANG Ting and PAN Zhi⁃  (8):817-819,823
                juan contributed to study design and partial data analysis. ZHU  [11]WANG Q,GUMUS Z H,COLAROSSI C,et al. SCLC:epi⁃
                Jinxing and LIU Kouying contributed to data analysis guidance,  demiology,risk factors,genetic susceptibility,molecular
                                                                       pathology,screening,and early detection[J]. J Thorac On⁃
                manuscript revision,and overall supervision of the study.
                                                                       col,2023,18(1):31-46
               [参考文献]
                                                                 [12]MOY M P,LEVSKY J M,BERKO N S,et al. A new,sim⁃
               [1] KIM S Y,PARK H S,CHIANG A C. Small cell lung can⁃   ple method for estimating pleural effusion size on CT
                    cer:a review[J]. JAMA,2025,333(21):1906-1917       scans[J]. Chest,2013,143(4):1054-1059
               [2] THOMAS A,MOHINDROO C,GIACCONE G. Advancing    [13]STACHLER R J,FRANCIS D O,SCHWARTZ S R,et al.
                    therapeutics in small ⁃ cell lung cancer[J]. Nat Cancer,  Clinical practice guideline:hoarseness(dysphonia)(Up⁃
                    2025,6(6):938-953                                  date)[J]. Otolaryngol Head Neck Surg,2018,158(1_sup⁃
               [3] LEE J H,SAXENA A,GIACCONE G. Advancements in        pl):S1-S42
                    small cell lung cancer[J]. Semin Cancer Biol,2023,93:  [14]SULLIVAN L M,MASSARO J M,D'AGOSTINO R B,et
                    123-128                                            al. Presentation of multivariate data for clinical use:the
               [4] MEIJER J J,LEONETTI A,AIRO G,et al. Small cell lung  framingham study risk score functions[J]. Stat Med,
                    cancer:novel treatments beyond immunotherapy[J].   2004,23(10):1631-1660
                    Semin Cancer Biol,2022,86(Pt 2):376-385      [15]XU Y,CHEN Y. Independent risk factors and nomogram⁃
               [5] BERTAGLIA V,MORELLI A M,SOLINAS C,et al. Infec⁃     based prediction of pulmonary fungal infection in lung
                    tions in lung cancer patients undergoing immunotherapy  cancer inpatients:a single⁃center retrospective study[J].
                    and targeted therapy:an overview on the current scenario  Cancer Manag Res,2026,18:1-16
                   [J]. Crit Rev Oncol Hematol,2023,184:103954   [16]MEGYESFALVI Z,GAY C M,POPPER H,et al. Clinical
               [6] NIHO S. Treatment of small cell lung cancer;advances  insights into small cell lung cancer:tumor heterogeneity,
                    and future prospects[J]. Respir Investig,2025,63(4):  diagnosis,therapy,and future directions[J]. CA Cancer J
                    680-685                                            Clin,2023,73(6):620-652
               [7] CHEN J,LIU Y,CAI H,et al. Risk factors for pulmonary  [17]SUN T,LIU J,YUAN H,et al. Construction of a risk pre⁃
                    infection in patients with non ⁃ small cell lung cancer:a  diction model for lung infection after chemotherapy in
   120   121   122   123   124   125   126   127   128   129   130