克罗恩病患者周围管裂疾病的自我查问卷
O Seong Kweon1, Ben Kang2, Yoo Jin Lee3
1Division of Gastroenterology, Department of Internal Medicine, Kyungpook National University, School of Medicine, Daegu, Korea.
The Korean journal of internal medicine
|April 5, 2024
概括
一个新的克罗恩病 (CD) 自检问卷有效地识别了周围管裂性疾病. 关于门疼痛和排泄的简单问题显示在检测这种不良预后因素方面具有很高的准确性.
科学领域:
- 胃肠病学 胃肠病学
- 医学诊断 医学诊断 医学诊断
- 患者的自我评估
背景情况:
- 周围管疾病是克罗恩病 (CD) 的一个不良预后因素.
- 缺乏有效的工具来评估CD患者的围症状.
- 这项研究解决了在CD中患上围性裂性疾病的自我查工具的需求.
研究的目的:
- 开发和验证一个自我查问卷,用于克罗恩氏病患者的周围囊疾病.
- 为了确定与周围管裂疾病存在相关的关键症状.
- 评估开发的问卷的诊断准确性.
主要方法:
- 一项前性试点研究涉及93名克罗恩病患者在三个中心.
- 开发一个调查问卷,使用利克尔特尺度来评估近部症状 (,排泄,出血,疼痛,热).
- 调查问卷答复与盆腔MRI发现的相关性,以确定周围管裂疾病的存在.
主要成果:
- 54.8%的患者通过MRI被诊断出患有近管裂性疾病.
- 门疼痛和门泄漏与近门疾病的相关性最强 (斯皮尔曼相关性p < 0.001).
- 调查问卷在检测近管裂疾病方面显示出高准确度 (81.7%),对于结合门疼痛和排泄问题,敏感度为88.2%和特异性为73.8%.
结论:
- 关于门疼痛和排泄的简单问题对于在CD患者中识别门周塞病是有效的.
- 开发的自我查问卷显示了早期发现和管理克罗恩病周围关并发症的前景.
- 这种工具可以帮助临床医生评估克罗恩病患者和潜在的围干涉.
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