对RSI,RSS,RFS和RSA进行比较评估,用于查喉回流
Bolin Zhang1, Qian Nie1, Shufang Zhang1
1Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical University, Bengbu 233000, China.
Journal of voice : official journal of the Voice Foundation
|December 3, 2025
概括
逆流症状评分 (RSS) 是评估的问卷中对喉逆流 (LPR) 的最有效的查工具. 这项研究发现,与RSI,RFS和RSA相比,RSS对LPR检测表现出更高的灵敏度和特异性.
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
背景情况:
- 喉回流 (Laryngopharyngeal reflux,简称LPR) 是一种胃内含物流入喉的情况.
- 准确的查工具对于早期LPR诊断和管理至关重要.
- 目前的查方法包括症状指数和体检得分.
研究的目的:
- 评估四种LPR查工具的诊断实用性:反流症状指数 (RSI),反流症状得分 (RSS),反流发现得分 (RFS) 和反流症状评估 (RSA).
- 将这些工具的有效性与唾液素测量作为LPR的诊断标准进行比较.
主要方法:
- 五十名怀疑患有LPR的患者填写了RSI,RSS,RFS和RSA问卷.
- 参与者在禁食和晚餐后的条件下测量了唾液素水平.
- 使用权重科恩的kappa统计数据来分析问卷结果和唾液素测试结果之间的一致性.
主要成果:
- 逆流症状评分 (RSS) 与唾液素测试的一致性最高 (kappa = 0.504,P < 0.01).
- RSS表现出最高的灵敏度 (92.68%) 和曲线下的最佳面积 (AUC = 0.741,P = 0.025).
- 虽然RFS具有良好的特异性 (77.78%),但RSS为LPR查提供了更好的整体性能.
结论:
- 逆流症状得分 (RSS) 问卷显示,与RSI,RFS和RSA相比,喉逆流 (LPR) 的查值更高.
- 在临床实践中,RSS被推为初始LPR查的更有效工具.
- 进一步的研究可能会探索将RSS与其他诊断方法相结合,以加强LPR诊断.
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