中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2012年
11期
894-898
,共5页
郑杰元%张立红%李晶兢%李进让%Chieh-Fu Jeff Cheng
鄭傑元%張立紅%李晶兢%李進讓%Chieh-Fu Jeff Cheng
정걸원%장립홍%리정긍%리진양%Chieh-Fu Jeff Cheng
问卷调查%胃食管反流%疾病严重程度指数%可重复性,结果
問捲調查%胃食管反流%疾病嚴重程度指數%可重複性,結果
문권조사%위식관반류%질병엄중정도지수%가중복성,결과
Questionnaires%Gastroesophageal reflux%Severity of illness index%Reproducibility of results
目的 探讨中文版咽喉反流症状指数(Reflux symtom index,RSI)量表的信度、效度及临床价值.方法 自行引进并将RSI量表翻译成中文.门诊接受中文版RSI量表评估患者107例,其中疑诊患咽喉反流性疾病(laryngopharyngeal reflux disease,LPRD)者72例,非疑诊者35例,1周后均再次填写量表.疑诊患者中的41例和非疑诊患者中的13例(共54例)接受24 h咽喉pH检测. 经pH检测确诊LPRD患者34例,其中30例给予药物治疗,3个月后再次填写RSI量表.结果 RSI 量表内部一致性信度分析Cronbach'sα系数为0.715;重测信度采用Spearman相关分析,各条目及总分的相关系数为0.750～0.971.以pH检测作为诊断LPRD的金标准,RSI量表诊断符合率66.7％,阳性预测值80.8％；区分效度采用两个独立样本Wilcoxon检验,RSI总分比较Z=-3.266,P=0.001,差异有统计学意义.LPRD患者治疗前后自身对照符号秩和检验,各条目与总分的P值均＜0.05,差异均有统计学意义.结论 RSI量表中文版具有良好的信度和效度,可作为LPRD诊断的初筛,也可用于LPRD患者治疗后评估疗效的辅助工具.
目的 探討中文版嚥喉反流癥狀指數(Reflux symtom index,RSI)量錶的信度、效度及臨床價值.方法 自行引進併將RSI量錶翻譯成中文.門診接受中文版RSI量錶評估患者107例,其中疑診患嚥喉反流性疾病(laryngopharyngeal reflux disease,LPRD)者72例,非疑診者35例,1週後均再次填寫量錶.疑診患者中的41例和非疑診患者中的13例(共54例)接受24 h嚥喉pH檢測. 經pH檢測確診LPRD患者34例,其中30例給予藥物治療,3箇月後再次填寫RSI量錶.結果 RSI 量錶內部一緻性信度分析Cronbach'sα繫數為0.715;重測信度採用Spearman相關分析,各條目及總分的相關繫數為0.750～0.971.以pH檢測作為診斷LPRD的金標準,RSI量錶診斷符閤率66.7％,暘性預測值80.8％；區分效度採用兩箇獨立樣本Wilcoxon檢驗,RSI總分比較Z=-3.266,P=0.001,差異有統計學意義.LPRD患者治療前後自身對照符號秩和檢驗,各條目與總分的P值均＜0.05,差異均有統計學意義.結論 RSI量錶中文版具有良好的信度和效度,可作為LPRD診斷的初篩,也可用于LPRD患者治療後評估療效的輔助工具.
목적 탐토중문판인후반류증상지수(Reflux symtom index,RSI)량표적신도、효도급림상개치.방법 자행인진병장RSI량표번역성중문.문진접수중문판RSI량표평고환자107례,기중의진환인후반류성질병(laryngopharyngeal reflux disease,LPRD)자72례,비의진자35례,1주후균재차전사량표.의진환자중적41례화비의진환자중적13례(공54례)접수24 h인후pH검측. 경pH검측학진LPRD환자34례,기중30례급여약물치료,3개월후재차전사RSI량표.결과 RSI 량표내부일치성신도분석Cronbach'sα계수위0.715;중측신도채용Spearman상관분석,각조목급총분적상관계수위0.750～0.971.이pH검측작위진단LPRD적금표준,RSI량표진단부합솔66.7％,양성예측치80.8％；구분효도채용량개독립양본Wilcoxon검험,RSI총분비교Z=-3.266,P=0.001,차이유통계학의의.LPRD환자치료전후자신대조부호질화검험,각조목여총분적P치균＜0.05,차이균유통계학의의.결론 RSI량표중문판구유량호적신도화효도,가작위LPRD진단적초사,야가용우LPRD환자치료후평고료효적보조공구.
Objeetive To investigate the reliability,validity and clinical value of Chinese version of the reflux symptom index(RSI).Methods xThe Chinese version of RSI scale was used in ENT outpatient department.There were one hundred and seven patients,including thirty-five patients with common throat diseases (non-suspected) and seventy-two patients with clinically suspected throat reflux.All 107 patients were asked to complete the two scales one on the first-visiting and one after one week.Thirteen patients with common throat diseases (non-suspected) and forty-one with suspected throat reflux also received RSI testing.Among the thirty-four confirmed acid reflux disease patients,thirty patients received pharmaceutical treatments and self-performed post-RSI testing after three months.Results The RSI Scale internal reliability consistency included the test-retest reliability (0.715-0.971),discriminant validity and construct validity.RSI total targeting percentage was 66.7％,targeting percentage was 80.8％.Discriminant validity was confirmed using 2 independent samples Wilcoxon test,with RSI total score compared to Z =-3.266,P =0.001.The before and after treatment self-control chi-square test (P ＜ 0.05),the difference was statistically significant.Conclusion RSI Simplified Chinese version has good rcliability and validity,and can be used for laryngopharyngeal reflux disease (LPRD) diagnostic screening along with the efficacy for the treatment of patients with appropriate LPRD aids.
