验证儿童功能性胃肠道疾病的评估和治疗的新评分系统
Bhaswati Chakrabarti Acharyya1,2, Pritha Das1, Meghdeep Mukhopadhyay1
1Department of Pediatric Gastroenterology and Hepatology, Institute of Child Health, Kolkata 700017, West Bengal, India.
一个新的评分系统有效地评估了儿童功能性胃肠道疾病 (FGID) 的症状严重程度. 这一工具有助于了解FGID,并指导儿童的治疗决策.
科学领域:
- 儿童胃肠病学
- 肠道与大脑之间的相互作用障碍
- 临床评估工具
背景情况:
- 功能性胃肠道疾病 (FGID) 或肠-大脑相互作用障碍是全球重要的健康问题.
- 现有的FGID评估工具缺乏全面的症状评估,特别是在儿童群体中.
- 一个新的16个症状的评分系统,Bacharyya的问卷量表,是为儿科FGIDs开发的.
研究的目的:
- 验证Bacharyya问卷尺度用于评估儿科FGID的症状严重程度.
- 确定尺度在评估FGID儿童的治疗反应中的有用性.
- 确定这个新的评分系统的临床适用性.
主要方法:
- 被诊断为FGID的5-18岁儿童 (ROME IV标准) 完成了Bacharyya问卷量表和视觉模拟量表.
- 在初始诊断和2个月治疗后收集数据.
- 没有FGID的对照组被用于基线比较;治疗反应被定义为≥50%的得分降低.
主要成果:
- 这项研究包括190例FGID病例和90例对照病例,其中功能性便秘和功能性腹痛是普遍存在的.
- 在治疗前 (r=0. 72) 和治疗后 (r=0. 49) 的评分中,斯皮尔曼等级相关性显示出显著的积极结果 (P< 0. 0001).
- 治疗后96名儿童的症状有所改善,这表明尺度对变化的敏感性.
结论:
- 巴卡里亚问卷表表现出高度可理解性,并提供了对儿童FGID症状的客观测量.
- 这种新的评分系统有助于对儿科FGID进行鉴定.
- 在临床实践中实施这种尺度可以提高FGID的治疗决策.
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