Accurate prediction method for tacrolimus dosage of organ transplantation patient
A technology of tacrolimus and drug dosage, applied in the computer field, can solve problems such as the quantification of factors that cannot be quantitatively investigated and affecting the pharmacokinetic process of drugs
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Embodiment 1
[0045] like figure 1 As shown, the construction of an accurate prediction model for tacrolimus dosage in kidney transplant patients:
[0046] 1 Research Design
[0047] Collect personal data of renal transplant patients, outpatient and inpatient clinical drug data of tacrolimus after renal transplantation, tacrolimus blood drug concentration monitoring data, genetic testing data and other relevant clinical data. Kinetic methods were used to establish models to clarify the factors that affect individual differences in tacrolimus blood concentration, and to determine the mathematical formula for accurate tacrolimus dose prediction.
[0048] 2 Study population
[0049] 2.1 Inclusion criteria
[0050] Patients included in this study should meet the following criteria:
[0051] (1) Patients undergoing kidney transplantation for the first time.
[0052] (2) Aged 18 to 70 years old.
[0053](3) Patients receiving triple immunosuppressive therapy of tacrolimus + mycophenolic aci...
Embodiment 2
[0129] like figure 2 As shown, the establishment of a clinical decision support system for accurately predicting the dosage of tacrolimus for kidney transplant patients in the present invention includes:
[0130] 1 Development of system architecture
[0131] 1.1 Data support layer
[0132] Based on the data collected by the precision medical comprehensive service platform and the database formed, the data conversion and storage are realized through the remote / mobile medical system.
[0133] 1.2 Analysis and development layer
[0134] Based on the big data analysis system, integrated into the mirror data of various disease precision drug databases, based on the comprehensive application of Bayes, decision tree, Svm and other classification algorithms, Isodata and other clustering algorithms, and improved Apriori method and other association algorithms, the establishment of various diseases Clinical decision support system for precision medicine.
[0135] 1.3 Functional app...
Embodiment 3
[0190] like figure 1 As shown, the construction of the accurate prediction model for tacrolimus dosage in patients with liver transplantation, the differences are as follows, and the rest are the same as the above-mentioned embodiment of the construction of the accurate prediction model for tacrolimus dosage in kidney transplant patients.
[0191] Induction program
[0192] Liver transplantation induction regimens mainly include the following three types: ① basiliximab (Sulle) 20 mg during operation and on the 4th day after operation; ② methylprednisolone 1 g during operation; ③ intraoperative and 1 day after operation Methylprednisolone 500 mg was used for each, and basiliximab (Sulle) 20 mg was used during the operation and on the 4th day after the operation.
[0193] maintenance regimen
[0194] Immunosuppressive therapy was started within 24 hours after operation, and triple immunosuppressive therapy with tacrolimus + mycophenolic acid + glucocorticoid was adopted. Tacr...
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