Kruis W
Medizinische Universitaetsklinik-I zu Koeln, République Fédérale Allemande.
Gastroenterol Clin Biol. 1990;14(5 ( Pt 2)):42C-44C.
The goals of questionnaires and scores differ. This article emphasizes their value in the diagnosis of the irritable bowel syndrome. In 1978, Manning et al. studied patients with the irritable bowel syndrome or organic disease with a questionnaire of 15 questions. Retrospective analysis of results showed that the presence of one or several characteristic symptoms can lead to the diagnosis of the irritable bowel syndrome. We evaluated a score system based on a 5 question questionnaire and a list of 8 investigations performed to eliminate organic disease. We were able to show that this score allowed to make the diagnosis of irritable bowel syndrome with accuracy because the specificity was 97 percent and the sensitivity was 83 percent. Similar results have been obtained in other studies. Moreover, a group from India has developed a system based on 19 questions which has also proved to be very accurate in the diagnosis of the irritable bowel syndrome.
问卷调查和评分的目的各不相同。本文强调了它们在肠易激综合征诊断中的价值。1978年，曼宁等人用一份包含15个问题的问卷对肠易激综合征或器质性疾病患者进行了研究。对结果的回顾性分析表明，出现一种或几种特征性症状可导致肠易激综合征的诊断。我们评估了一个基于5个问题的问卷和一份用于排除器质性疾病的8项检查清单的评分系统。我们能够证明，该评分能够准确地做出肠易激综合征的诊断，因为其特异性为97%，敏感性为83%。其他研究也得到了类似的结果。此外，印度的一个团队开发了一个基于19个问题的系统，该系统在肠易激综合征的诊断中也被证明非常准确。
