农村人口大规模消化系统检查中消化系统状况的评估方法

Sovetskoe zdravookhranenie Pub Date : 1991-01-01
E V Minakov, M E Kovalevskiĭ, I P Nesterovskiĭ
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引用次数: 0

摘要

根据医生的逻辑,编制了一份调查问卷,以确定农村人口大规模体检中最常见的消化系统疾病。诊断算法考虑了98种体征组合,对11种疾病做出结论。拟定的方案设想了关于核实诊断所需的检查量的建议。对152名患者进行了问卷调查和规则验证。运用数理统计的方法,对所使用的标志的信息量进行了评价。分析结果表明,在医生逻辑的基础上,考虑其发病相关性,选择体征具有重要的诊断价值。在自动检查的敏感性(疾病平均为78.1%)和特异性(疾病平均为70.0%)条件下,问卷调查的效率已经得到证明,并且是足够的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Methods of assessing the state of the digestive system in mass examinations of rural population].

On the basis of physician's logic a questionnaire has been elaborated for identifying the most common diseases of digestive system during mass medical check-ups of rural population. 98 combinations of signs were considered in the diagnostic algorithm for making conclusions regarding 11 diseases. The programme elaborated envisages recommendations on the volume of examinations necessary for verification of diagnoses. The questionnaire and rules governing it were verified for 152 patients. By means of mathematical statistics methods the informativeness of the signs used have been assessed. The analysis showed a great diagnostic value of choosing signs on the basis of physician's logic taking into account their pathogenetic correlation. The efficiency of questionnaires have been demonstrated and sufficient under conditions of automated examinations sensitivity (on the average for diseases 78.1%) and specificity (on the average for diseases 70.0%).

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