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증상점수표를 이용한 상부위장관질환 상태예측

The Prediction of States of Upper Gastrointestinal Tract Using Scoring System

고신대학교의학부논문집 1992년 8권 2호 p.171 ~ 180
소속 상세정보
김원경 김윤진

Abstract


The prevalence of upper gastrointestinal disease is high. To predict the state of gastrointestinal tract without endoscopy, the sooring sys tem was developed In order to study. 153 patients attending for endoscopy were selected and
asked
to the questionnares with 30 items. State of gastrointestinal tract was divided to two groups, -severe group(erosive gastritis, hcmorrhagic gastritis, atrophic gastritis, polyp, dysplasia, ulcer, cancer) and mild group (normal state,
chronic
superficial gastritis). Data were analysed by stepwise discriminant analysis in SPSS package.
The factors discriminated between groups with severe states and groups with mild states were nine chracteistics which were age over 60, amount of coffee intake, medication of ulcer inducing drugs, symptom of vomiting, symptom duration
over 6
month, disability of daily living, symptom of indigestion, symptom of bloting, symptom of nausea.
The scoring system was devised with nine charateristics. The distribution of score of normal state were below 2900. There were no cancer under 1499. The possibility of cancer was 41.7% over score of 2500. The similar results were obtained in
symplified scoring system.
The scoring system can be useful diagnostic tool to prediction of state of gastrointestinal disease. In primary care setting, scoring system may be useful before gastroendocsopic examination.

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