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过敏性鼻炎鉴别诊断、治疗及结果的结构建模

Structural modeling of differential diagnosis, treatment, and results for allergic rhinitis.

作者信息

Chae Y M, Ho S H, Chung S K, Hong C S, Park I Y

机构信息

Graduate School of Health Science and Management, Yonsei University, Seoul, Korea.

出版信息

Yonsei Med J. 1995 May;36(2):116-29. doi: 10.3349/ymj.1995.36.2.116.

Abstract

This paper analyzed the relationship among the differential diagnosis, treatment, and results for allergic rhinitis using the covariance structural model. The data were collected from 274 patients with suspected allergic rhinitis who visited the Otorlaryngology Department of the Paik Hospital during 1991-1993. After each patient's characteristics was categorized and combined into several common factors, covariance structure analysis was performed to analyze the structural relationships among the differential diagnosis, treatment, and results of treatment using the significant factors obtained from discriminant analysis. The significant characteristics influenced the diagnosis were the results of skin test from mite/animal, and from mugworts, the results from laboratory tests, rhinorrhea and sneezing, and nasal polyps. The significant characteristics that influenced the method of treatment were: nasal polyps, headache/general symptom, family history/medication, and septal deviation. Headache/general symptom was the only significantly influencing factor for the treatment results.

摘要

本文运用协方差结构模型分析了变应性鼻炎的鉴别诊断、治疗及治疗结果之间的关系。数据收集自1991年至1993年期间就诊于白医院耳鼻喉科的274例疑似变应性鼻炎患者。在将每位患者的特征进行分类并合并为几个共同因素后,进行协方差结构分析,以利用判别分析得出的显著因素来分析鉴别诊断、治疗及治疗结果之间的结构关系。影响诊断的显著特征为螨/动物、艾蒿皮肤试验结果、实验室检查结果、鼻溢和喷嚏以及鼻息肉。影响治疗方法的显著特征为:鼻息肉、头痛/全身症状、家族史/用药情况以及鼻中隔偏曲。头痛/全身症状是对治疗结果唯一有显著影响的因素。

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