炎症性肠病症状量表在炎症性肠病中的应用

陈梦雪; 王宏刚; 谢睿

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DOI:10.13429/j.cnki.cjcr.2023.01.010

中国临床研究英文版:2023,36(1):50-54

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炎症性肠病症状量表在炎症性肠病中的应用

陈梦雪，王宏刚，谢睿

(南京医科大学附属淮安第一医院消化科，江苏淮安223300)

Inflammatory bowel disease symptoms inventory in inflammatory bowel disease

CHENMeng-xue，WANGHong-gang，XIERui

(DepartmentofGastroenterology,TheAffiliatedHuaianNO.1PeoplesHospitalofNanjingMedicalUniversity,Huaian,Jiangsu223300,China)

摘要

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Received:September 30, 2022 Published Online:January 20, 2023

中文摘要: 目的探讨炎症性肠病症状量表（IBDSI）评分在炎症性肠病（IBD）疾病评估中的临床价值。方法通过问卷方法，对2020年4月至2021年8月淮安市第一人民医院住院治疗的102例IBD患者的临床资料及IBDSI评分进行调查分析。对IBDSI评分与IBD疾病活动度指标和严重程度指标［所有患者的炎症指标,CD患者克罗恩病活动指数（CDAI）,UC患者梅奥内镜评分(MES)及UC内窥镜下严重程度指数(UCEIS)］的相关性进行分析和评价。结果102例IBD患者的IBDSI总分（26.56±15.53）分。CD组、UC组的IBDSI总分及分量表评分差异无统计学意义（P＞0.05）。CD组的腹部不适分量表与C反应蛋白呈正相关（r=0.35，P＜0.05）。UC组的IBDSI总分与血沉降率呈正相关（r=0.49，P＜0.05）。IBDSI总分与CD患者的CDAI、UC患者的MES及UCEIS分别呈正相关（P＜0.05）。结论IBDSI评分是患者自我报告的症状评分，与IBD疾病活动度和严重程度相关。可用于我国IBD患者的疾病评估，且具有较高的临床应用价值。

中文关键词: 炎症性肠病炎症性肠病症状量表克罗恩病活动指数梅奥内镜评分 UC内窥镜下严重程度指数炎症指标

Abstract:ObjectiveToexploretheclinicalvalueoftheinflammatoryboweldiseasesymptomsinventory（IBDSI）scoreinevaluationtheseverityofinflammatoryboweldisease（IBD）. MethodsTheclinicaldataandIBDSIscoresof102IBDpatientshospitalizedinHuaianFirstPeoplesHospitalfromApril2020toAugust2021werecollectedandanalyzedbyquestionnaire,includingIBDSItotalscoresandsub-itemscoresfor43patientswithCrohnsdisease（CDgroup）and59patientswithulcerativecolitis（UCgroup）.ThecorrelationsbetweenIBDSIscoreandIBDdiseaseactivityandseverityindicators［inflammationindexinallpatients,Crohn'sdiseaseactivityindex(CDAI)inCDpatients,Mayoendoscopicscore(MES)andUCendoscopicseverityindex(UCEIS)inUCpatients］wereanalyzedandevaluated. ResultsTheIBDSItotalscoreof102patientswithIBDwas(26.56±15.53).TherewerenosignificantdifferencesinIBDSItotalscoresandsub-itemscoresbetweenCDandUCgroups（P＞0.05）.Theabdominaldiscomfortsub-scalewaspositivelycorrelatedwithC-reactiveproteininCDgroup（r=0.35,P＜0.05）.ThetotalIBDSIscoreswerepositivelycorrelatedwitherythrocytesedimentationrate（ESR）inUCgroup（r=0.49,P＜0.05）.TheIBDSItotalscoreswerepositivelycorrelatedwiththescoresofCDAIofCDpatients,MESandUCEISofUCpatients(P＜0.05),respectively. ConclusionTheIBDSIscoreisaself-reportedsymptomscoreofpatientsandisrelatedtotheactivityandseverityofIBDdisease.IthasahighclinicalapplicationvalueintheevaluationofIBDpatientsinChina.

keywords: Inflammatoryboweldisease Inflammatoryboweldiseasesymptomsinventory Crohnsdiseaseactivityindex Mayoendoscopyscore UCendoscopicseverityindex Inflammationindicator

文章编号： 中图分类号：R574 文献标志码：A

基金项目:江苏省卫生健康委科研课题（H2018082）

Author Name	Affiliation
CHENMeng-xue，WANGHong-gang，XIERui	DepartmentofGastroenterology,TheAffiliatedHuaianNO.1PeoplesHospitalofNanjingMedicalUniversity,Huaian,Jiangsu223300,China

Author Name	Affiliation
CHENMeng-xue，WANGHong-gang，XIERui	DepartmentofGastroenterology,TheAffiliatedHuaianNO.1PeoplesHospitalofNanjingMedicalUniversity,Huaian,Jiangsu223300,China

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