一个新的预测评分模型,用于胃食道逆流病患者的喉球
Abdulaziz S Alshahrani1, Faris Almasabi2
1Department of Internal Medicine, College of Medicine, Najran University, Najran, Saudi Arabia.
概括
喉紧张的感觉 - - 全球喉 (globus pharyngeus) - - 在患有胃食道逆流病 (GERD) 的患者中,间歇性,心理社会压力和年龄都预示着这种感觉. 一个新的评分模型有助于识别有风险的个人.
科学领域:
- 胃肠道学和耳鼻喉学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 喉球 (globus pharyngeus) 的特点是喉中出现块或异物体的感觉.
- 球和胃食道逆流性疾病 (GERD) 之间存在显著的关联.
研究的目的:
- 在被诊断患有GERD的患者中识别 globus pharyngeus 的预测因素.
- 在这个患者群体中开发一个预测 globus pharyngeus 的评分模型.
主要方法:
- 一项病例对照研究涉及143名患有喉球和GERD的患者,以及109名患有喉球但没有GERD的对照.
- 数据收集包括人口统计,并发症和心理社会压力水平.
- 使用多变量逻辑回归分析来确定独立预测因素.
主要成果:
- 间隙,社会心理压力和年龄被确定为高显著的独立预测者,在GERD患者的喉球 (P < 0.001).
- 在病例组中,对质子抑制剂的使用显著增加 (63.63%对24.78%).
- 开发的预测评分模型在接收器操作特征曲线 (AUROC) 下实现了78.9%的面积.
结论:
- 间隙,心理压力和年龄是GERD的关键预测因素.
- 开发的评分模型可以帮助识别患有球喉病的可能性较高的患者.
- 这种模式可以为受影响的个体提供量身定制的治疗策略.
相关概念视频
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