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用于诊断喉咽反流的简单定性量表:与 pH 测量值和疾病严重程度高度相关。与其他诊断工具相比,华沙量表在 LPR 诊断中的作用。

A simple qualitative scale for diagnosis of laryngopharyngeal reflux: high correlations with pH measurements and disease severity. The usefulness of the Warsaw Scale in LPR diagnostics compared to other diagnostic tools.

机构信息

World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland.

Institute of Sensory Organs, Kajetany, Poland.

出版信息

Eur Arch Otorhinolaryngol. 2021 Dec;278(12):4883-4892. doi: 10.1007/s00405-021-06989-x. Epub 2021 Aug 6.

Abstract

PURPOSE

Diagnosis and monitoring of laryngopharyngeal reflux (LPR) is a constant challenge in otolaryngological practice, chiefly because there are no specific symptoms characteristic of the disease. In this paper, we present the validation of a simple, 6-level qualitative scale to gauge the clinical findings of LPR. It has been previously published in Polish as the Warsaw Scale.

METHODS

In the study, we enrolled 100 patients with voice problems who had registered in our clinic, and we performed an extended battery of diagnostic tests for LPR, together with 24-h pH monitoring.

RESULTS

The Warsaw Scale significantly outperformed other instruments in both predicting LPR status and correlating with pH measurements. Moreover, the rating provided by the scale showed a strong association with patient-reported symptoms.

CONCLUSION

The data indicate that the Warsaw Scale could be used as an affordable, consistent, and effective diagnostic and monitoring tool for LPR.

摘要

目的

喉咽反流(LPR)的诊断和监测在耳鼻喉科实践中一直是一个挑战,主要是因为该疾病没有特定的症状。本文介绍了一种简单的、6 级定性量表来评估 LPR 的临床发现,该量表先前已在波兰文版的《华沙量表》中发表。

方法

在这项研究中,我们招募了 100 名在我们诊所登记的有嗓音问题的患者,并对他们进行了一系列扩展的 LPR 诊断测试,包括 24 小时 pH 监测。

结果

华沙量表在预测 LPR 状态和与 pH 测量相关方面均显著优于其他仪器。此外,该量表的评分与患者报告的症状有很强的相关性。

结论

数据表明,华沙量表可用作一种负担得起、一致且有效的 LPR 诊断和监测工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a69/8553686/c5013717d960/405_2021_6989_Fig1_HTML.jpg

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