目的:探讨交叉设计多中心临床试验中事件数资料的分析。方法:采用多水平Poisson回归模型,以重复测量作为第一水平,试验阶段作为第二水平,受试者作为第三水平,建立多水平Poisson回归模型。结果:多水平Poisson模型分析交叉设计数据,不但可以解决层次结构的问题,使用也较重复测量资料的方差分析更为灵活。结论:在交叉设计临床试验中,对于事件数资料,可以采用多水平Poisson回归模型。
AIM: To find the method of analyzing counting data from multi-center crossover clinical trails. METHODS: Multilevel Poisson regression model was fitted with the repeated-measurements as the first level, stage as the second level and patient as the third level. RESULTS: Multilevel model is not only convenient to handle data with hierarchical structures, but also more flexible than traditional methods such as repeated-measurements ANOVA. CONCLUSION: Multilevel Poisson regression model could be used in the analysis of counting data from crossover clinical designs.