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建立简易甲状腺功能亢进症诊断指数表
A simplified table of diagnostic indexes for hyperthyroidism
【摘要】 目的 建立简易甲状腺功能亢进症诊断指数表 (以下简称简易表 )。方法 选出与甲亢相关的临床表现作为观察指标 ,对甲亢组和对照组共 73 8例进行调查及分类计算它们各自所占的积分 ,统计出甲亢组和对照组各自总分值范围 ,创建简易表。结果 两组各自总分构成对比分析显示 ,总分在 9分以下可排除甲亢 ,总分在 10分~ 16分为可疑 ,17分以上可诊断为甲亢。诊断符合率达 95 %。结论 与甲亢诊断指数表 (Crooks表 )相比 ,简易表具有调查项目少 ,可操作性强 ,且诊断符合率更高等优点
【Abstract】 Objective To construct and then test the feasibility of a simplified table of indexes for diagnosing hyperthyroidism. Methods Using hyperthyroidism-related clinical symptoms as observational criteria, we investigated 738 subjects, half of whom were patients. The reported frequencies of occurrence of the symptoms were calculated, and those symptoms with low frequencies of occurrence were excluded. Each of the remaining symptoms was then added a certain score. Based on this, a simplified table of indexes for diagnosing hyperthyroidism was constructed. Finally, the Table was used to determine the range of total scores for patients and non-patients. Results The analysis of constituent ratios of the scores obtained by patients and non-patients shows that those who obtain a total score smaller than 9 are not the patients, those who obtain a total between 10 and 16 could be borderline cases, and those who obtain a total of above 17 can be diagnosed as the patients. The accuracy rate of diagnosis is 95%. Conclusion Compared with the similar table developed by Crooks, this table is characterized by fewer items, better operationalizability, and higher accuracy rate of diagnosis.
- 【文献出处】 临床内科杂志 ,Journal of Clinical Internal Medicine , 编辑部邮箱 ,2004年11期
- 【分类号】R581.1
- 【被引频次】4
- 【下载频次】78