逆流症状得分对喉喉逆流有很好的查价值
Wenbin Guo1, Jinhong Zhang1, Huijun Yue1
1Otorhinolaryngology Hospital, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China.
BMC gastroenterology
|October 3, 2024
概括
逆流症状评分 (RSS) 与用于识别喉回流 (LPR) 的唾液素测试有很好的一致性. 在耳鼻喉科患者中,RSS是查LPR的宝贵工具.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 诊断医学 诊断医学 诊断医学
背景情况:
- 喉回流 (LPR) 诊断可能具有挑战性.
- 需要客观的诊断工具来补充基于症状的评估.
研究的目的:
- 为了评估反流症状评分 (RSS) 和多时唾液素测试对LPR查的一致性.
- 为了确定RSS对LPR的查有效性.
主要方法:
- 一项前性观察性研究包括67名患者,他们在白天同时接受多时唾液素测试和RSS.
- 通过阳性素测试结果或RSS得分>13来定义LPR.
- 使用科恩的卡帕统计学来评估一致性;通过ROC分析分析选值.
主要成果:
- 在LPR阳性率为71.64% (素测试) 和70.15% (RSS).
- 在这两种方法之间发现了良好的一致性 (加权卡帕 = 0.675,p < 0.001).
- RSS表现出良好的查性能 (AUC = 0.843) 具有高灵敏度 (89.58%) 和特异性 (78.95%).
结论:
- 逆流症状评分 (RSS) 与多时唾液素测试表现出良好的一致性.
- 在临床环境中,RSS是查喉回流的有价值和有效工具.
- 这些发现支持RSS用于耳鼻喉科初始LPR查.
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