| 反流性疾病问卷对胃食管反流病的诊断价值 |
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| 引用本文： | 张慧茹,王亚雷,许建明.反流性疾病问卷对胃食管反流病的诊断价值[J].安徽医药,2009,13(6):637-639. |
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| 作者姓名： | 张慧茹 王亚雷 许建明 |
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| 作者单位： | 安徽医科大学第一附属医院消化内科,安徽,合肥,230022;安徽医科大学第一附属医院消化内科,安徽,合肥,230022;安徽医科大学第一附属医院消化内科,安徽,合肥,230022 |
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| 摘 要： | 目的探讨反流性疾病问卷（RDQ）在诊断胃食管反流病中的价值。方法在接待消化内科门诊就诊病人中,对存在反流相关症状者进行问卷调查。记录烧心、反流、非心源性胸痛、反酸4个症状的频率及程度的积分,分析经内镜检查证实的反流性食管炎患者RDQ积分分布情况,计算诊断GERD的临界值。结果1655例门诊病人中379人有反流症状,男女比例1.11：1,平均年龄50.16±14.17岁。经内镜检查,诊断反流性食管炎122例,内镜正常者73例,二者RDQ评分差异有显著。以RDQ分值16为临界值,Youden指数最大,ROC曲线下面积为0.75,对GERD诊断阳性符合率81.48%,阴性符合率为60.92%,敏感度为72.13%,特异度为68.49%。RDQ分值与RE的洛杉矶分级无关。结论RDQ可作为初步诊断胃食管反流病易行有效的方法。
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| 关 键 词： | 胃食管反流病 反流性疾病问卷 |
Diagnostic value of reflux disease questionnaires in patients with gastroesophageal reflux disease |
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| ZHANG Hui-ru,WANG Ya-lei,XU Jian-ming.Diagnostic value of reflux disease questionnaires in patients with gastroesophageal reflux disease[J].Anhui Medical and Pharmaceutical Journal,2009,13(6):637-639. |
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| Authors: | ZHANG Hui-ru WANG Ya-lei XU Jian-ming |
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| Institution: | ZHANG Hui-ru,WANG Ya-lei,XU Jian-ming(Department of Gastroenterology,The First Affiliated Hospital of Anhui Medical University,Hefei 230022) |
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| Abstract: | Aim To explore the reflux-related symptoms in outpatients of our hospital and confirm the validity of reflux disease questionaire in the diagnosis of gastroesophageal reflux disease(GERD).Methods Reflux diagnostic questionnaire(RDQ) was used to investigate reflux-related symptoms including heartburn,reflux,non-cardiac chestpain and acid reflux,both in frequency and severity.Upper gastrointestinal endoscopy were carried out and the results were compared with RDQ score to determine the threshold value for GER... |
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| Keywords: | gastroesophageal reflux disease reflux disease questionnaire |
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