中国人群反流症状评分-12 与反流症状指数之间存在良好的一致性。

IF 2.5 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice Pub Date : 2025-05-01 DOI:10.1016/j.jvoice.2022.11.021

Ruimin Yang , Fangfang Liang , Ru Tian , Yang Yao , Ming Zhang , Xiaowen Li

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引用次数: 0

摘要

目的研究中国人反流症状评分-12（RSS-12）与反流症状指数（RSI）之间的一致性：方法：纳入耳鼻咽喉头颈外科门诊有 LPR 症状的患者。所有患者均填写了 RSS-12 和 RSI。RSS-12>11或RSI>13的患者提示可能存在LPR。对于 RSI >13 或 RSS-12 >11 的患者，他们接受了饮食建议和为期 12 周的每日两次泮托拉唑处方治疗。用加权科恩卡帕统计法比较了RSS-12和RSI之间的一致性：结果：共纳入 258 名患者。RSS-12和RSI的平均得分分别为（13.21±17.31）分和（12.86±6.15）分。基于 RSI 的 LPR 阳性率为 17.44%，基于 RSS-12 的 LPR 阳性率为 24.42%。RSS-12和RSI之间的卡帕值为0.736（P < 0.001）。治疗 12 周后，RSI 和 RSS-12 均显著下降。根据RSI，73%的患者治疗反应良好，而根据RSS-12，85%的患者治疗反应良好：结论：RSS-12 和 RSI 具有良好的一致性，这意味着 RSS-12 是一种可行的 LPR 初步筛查工具。与 RSI 相比，RSS-12 能更全面地评估 LPR 患者的反流症状和治疗效果。

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There is a Good Consistency Between Reflux Symptom Score-12 and Reflux Symptom Index in Chinese Population

Objective

To investigate the consistency between the Reflux Symptom Score-12 (RSS-12) and Reflux Symptom Index (RSI) in Chinese people.

Methods

Patients with symptoms of LPR from the outpatient otorhinolaryngology-head and neck surgery clinic were included. All included patients completed the RSS-12 and RSI. The patient with RSS-12>11 or RSI>13 suggested possible LPR. For the patients with RSI >13 or RSS-12>11, they were treated using diet recommendations and were prescribed a twice-daily pantoprazole for 12 weeks. The consistency between the RSS-12 and RSI was compared with the weighted Cohen's kappa statistic.

Results

A total of 258 patients were included. The mean scores for RSS-12 and RSI were 13.21±17.31 and 12.86±6.15, respectively. The positive rate of LPR was 17.44% based on the RSI, and 24.42% based on the RSS-12. The kappa value between the RSS-12 and RSI was 0.736 (P < 0.001). Following 12 weeks of treatment, there was a significant reduction in both RSI and RSS-12. Based on the RSI, 73% of patients had a good treatment response, whereas according to the RSS-12, 85% of patients had a good treatment response.

Conclusion

There is a good consistency between RSS-12 and RSI, meaning that the RSS-12 is a feasible LPR initial screening tool. The RSS-12 provides a more comprehensive evaluation of reflux symptoms and treatment effect than RSI in patients with LPR.

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来源期刊

Journal of Voice 医学-耳鼻喉科学

CiteScore

4.00

自引率

13.60%

发文量

395

审稿时长

59 days

期刊介绍： The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.