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用于临床癫痫发作诊断的问卷的验证

Validation of a questionnaire for clinical seizure diagnosis.

作者信息

Reutens D C, Howell R A, Gebert K E, Berkovic S F

机构信息

Department of Neurology, Austin Hospital, Melbourne, Australia.

出版信息

Epilepsia. 1992 Nov-Dec;33(6):1065-71. doi: 10.1111/j.1528-1157.1992.tb01760.x.

DOI:10.1111/j.1528-1157.1992.tb01760.x
PMID:1464265
Abstract

A detailed questionnaire has been devised for diagnosis of seizure type. It is suitable for administration by trained interviewers, either directly or by telephone. A comparison of physician-based and questionnaire-based diagnoses showed almost perfect agreement in classification of patients into those with seizures of either generalized or focal origin. Substantial to almost-perfect agreement was reached in diagnosis of patients with most individual seizure types. Disagreement in differentiation between simple and complex partial seizures (CPS) probably reflects the limitations of the clinical method rather than of the questionnaire itself. The questionnaire should be of value in large-scaled clinical and epidemiologic studies.

摘要

已设计出一份详细问卷用于癫痫发作类型的诊断。它适合由经过培训的访谈者直接或通过电话进行询问。基于医生的诊断和基于问卷的诊断相比较,结果显示在将患者分为全身性发作或局灶性发作起源这两类时,二者几乎完全一致。对于大多数个体癫痫发作类型的诊断,二者达成了实质至几乎完全的一致。在单纯性和复杂性部分性发作(CPS)的区分上存在分歧,这可能反映了临床方法的局限性,而非问卷本身的问题。该问卷在大规模临床和流行病学研究中应具有价值。

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