神经根型颈椎病“病证结合”评价量表信度的初步研究-《中医正骨》

文章信息/Info

Title:: Preliminary research on the reliability of the disease and syndrome combined scale on nerve-root cervical spondylosis

作者:: 严攀¹; 周建伟²; 虞亚明¹; 李静³; 皮燕²; 谢慧君⁴; 韩进涛⁵; 1.四川省骨科医院,四川成都 610041;
2.四川省中医药科学院,四川成都 610041;
3.四川大学华西医院,四川成都 610041;
4.四川省第二中医院,四川成都 610031;
5.成都中医药大学,四川成都 610075

Author(s):: YAN Pan^*; ZHOU Jian-wei; YU Ya-ming; et al.^*; Sichuan Orthopaedics Hospital,Chengdu 610041,Sichuan,China

Keywords:: Cervical spondylosis; Nerve-root type; TCM; Differentiation; Scale; Reliability

摘要:: 目的:初步考评神经根型颈椎病“病证结合”评价量表的信度。方法:采用访谈式测量风寒湿阻型、瘀血阻滞型、肝肾亏虚型以及气血两虚型神经根型颈椎病患者。受试者入选后,在当天由2名医师分别完成对同一受试者的测评; 首次测评24 h后由其中1名医师再次对该受试者进行测评。评价该量表的重测信度、评定者间信度和内部一致性信度。结果:共纳入120例神经根型颈椎病受试者,其中45例完成量表的重测,各因子、分量表和总量表重测Spearman相关系数在0.697～0.990之间,P值为0.000～0.006。各因子、分量表和总量表评定者之间测评Spearman 相关系数在0.794～0.997之间,P值均为0.000。各因子及分量表的内部一致性用Cronbach's α系数表示,在0.413～0.934之间,若删除条目后,该条目所在的因子或分量表Cronbach's α系数大都减小。结论:该量表具有较好的重测信度、评定者间信度和内部一致性信度。

Abstract:: Objective:To do preliminary research on the reliability of the disease and syndrome combined scale on nerve-root cervical spondylosis(CS).Methods:Nerve-root CS patients who are differentiated as the pattens of blockage by wind cold and dampness, blood staganation, deficiency of kidney and liver, or deficiency of both qi and blood, were investigated in face-to-face format. These patients were tested by two doctors separatedly and retested by one of the doctor after 24 hours. Value the test-retest reliability, inter-rater reliability and internal consistency reliability of this scale.Results:120 nerve-root CS patients were investigated, 45 of which completed the retest after 24 hours. Test-retest Spearman correlation coefficient of factors, subscales and scale are between 0.697～0.997(P=0.000～0.006). Inter-rater Spearman correlation coefficient of factors, subscales and sclale are between 0.794～0.997(P=0.000). Cronbach's alpha coefficient which is used to examine the internal consistency reliability of the factors and subscales are between 0.413～0.934. If some item is deleted, the related factors or subscale's Cronbach's alpha coefficient would decrease in most cases.Conclusion:This scale has good test-retest reliability, inter-rater reliability and internal consistency reliability.