建立椎动脉型颈椎病的功能评定量表(英文)  

Establishment of the functional scale for cervical spondylosis of vertebral artery type

作　　者：魏毅[1] 梁伟雄[2] 蔡业峰[3] 

机构地区：[1]广州医学院药理教研室,广东省广州市510182 [2]广州中医药大学临床流行病学/DME中心,广东省广州市510407 [3]广东省中医院神经内科,广东省广州市510120

出　　处：《中国临床康复》2005年第26期219-221,共3页Chinese Journal of Clinical Rehabilitation

基　　金：广东省中医药局资助课题 (B01007)~~

摘　　要：背景:目前有临床应用的颈性眩晕症状与功能评估量表可对椎动脉型颈椎病患者整体层次疗效进行评价,但该量表对日常生活功能方面的评价缺乏功能状态和心理功能方面的内容。目的:在借鉴国外眩晕障碍量表基础上,探索性建立包括功能状态和心理功能两个方面内容的椎动脉型颈椎病功能评定量表。设计:横断面调查,预试验后的访谈式测评,内在信度、重测信度、结构效度分别采用克朗巴赫法、“Pearson”相关系数法和因子分析法测量。单位:广州中医药大学临床流行病学/DME中心。对象:选择2001-05/2002-03广东省中医院颈椎病专科门诊的连续椎动脉型颈椎病患者111例,男30例,女81例;年龄31～72岁。有椎-基动脉硬化危险因素者36例。轻度眩晕14例,中度眩晕61例,重度眩晕36例,均知情同意参与本调查。方法:在借鉴国外相关量表的基础上,结合临床实际情况制订椎动脉型颈椎病功能评定量表,主要内容两大方面。①功能状态(独自白天步行出门、晚上户外散步、做较重的家务、社交活动、外出活动、上床、起床和看书、报纸7项,每项分为“没有,有一些,有”3个等级)。②心理功能(情绪低落、烦躁不安、担心病情和挫折感4项,每项分为“没有,有一些,有”3个等级)。采用访谈式测评椎动脉型颈椎病患者,并对其中14例进行重复测评。用SPSS10.0进行量表的信度、效度检验及相关性分析。结果:111例患者均进入结果分析。①椎动脉型颈椎病功能评定量表的功能状态维度和心理功能维度及总量表的克朗巴赫值分别为0.8759,0.6453,0.8595;重测信度值(r)分别为0.8603,0.7148,0.8237。②因子分析显示提取的公因子与两个构想维度相吻合。结论:①建立在患者整体层次上的椎动脉型颈椎病功能评定量表具有较好的信度和效度。②该量表作为一个独立的测量工具,量化了椎动脉型颈椎病患�BACKGROUND： At present, the scale for evaluating cervical vertigo symptoms and functions applied in clinic can evaluate the overall curative effect in patients with cervical spandylosis of vertebral artery type （CSA）. However, this scale lacks the content of functional status and emotional function for evaluating daily life function. OBJECTIVE： To develop a functional scale for cervical spondylosis of vertebral artery type （FS-CSA） including functional status and emotional function based on the vertigo disorder scale made abroad. DESIGN： Cross-sectional survey, interview evaluation ＇after pretest, internal consistency, retest consistency and construct validity were measured by the method of Chronbach＇s α, Pearson correlation coefficients and factor analysis, respectively. SETTING： Clinical Epidemiology/DME Center, Guangzhou University of Traditional Chinese Medicine. PARTICIPANTS： Totally 111 consecutive patients with CSA, 30 men and 81 women aged 31 to 72 years, in the Clinic for Cervical Spondylosis of Guangdong Provincial Hospital of Traditional Chinese Medicine were recruited from May 2001 to March 2002. Altogether 36 patients had risk factors of vertebral-base artery atheroselerosis. There were 14 cases of mild vertigo, 61 eases of moderate vertigo, and 36 cases of severe vertigo. Informed consent was obtained from the participants. METHODS： FS-CSA was made according to clinical actual condition based on the relevant scale made abroad. It contained 2 main aspects. ① Functional status （going for a walk during the day by yourself, walking around the house in the dark, doing strenuous housework, social activity, traveling for business or recreation, getting into or out of bed, reading books or newspaper; each item was divided into three categories “No, Sometimes, and Yes”）. ② Emotional function （feeling depressed, feeling anxious, worried about your illness, and feeling frustrated; each item consisted of three categories “No, Sometimes, and Yes”）. Patients with CSA w

关 键 词：颈椎 椎底动脉供血不足 心理测定学 评价研究 椎动脉型颈椎病 功能评定量表 心理功能维度 颈椎病患者 因子分析法 Pearson 

分 类 号：R274.915.5[医药卫生—中西医结合] R49[医药卫生—中医骨伤科学]