麻风病皮损触觉和神经触摸一致性的评价  

Inter-observer repeatability of sensory test of skin lesion and nerve thickness in newly diagnosed leprosy patients

作　　者：王启华[1] 郑敏 初同胜[1] 陈树民[1] 

机构地区：[1]山东省皮肤病性病防治研究所,济南250022 [2]山东省临朐县皮肤病防治站,临朐262600

出　　处：《中国麻风皮肤病杂志》2007年第2期115-117,共3页China Journal of Leprosy and Skin Diseases

摘　　要：目的：评价麻风病皮损触觉和周围神经粗大临床检查的一致性。方法：应用棉签法检查皮损触觉情况，并进行尺神经和腓总神经的手法触摸。以麻风病专家和其他检查者之间的Kappa值来评价检查者检查结果的一致性。结果：共检查联合化疗（MDT）麻风病人27例，皮损触觉检查的Kappa值为0．20—0．533，尺神经和腓总神经触摸的Kappa值分别为0．358—0．524和0．017—0．285之间。结论：麻风病人皮损感觉检查和周围神经粗大触摸的一致性较差，今后麻风病防治工作中，年轻医师和基层麻风防治人员的临床检查经验和技巧有待进一步培训和提高。Objective： To assess the repeatability of the sensory test of skin lesion and the thickness of peripheral nerve trunk in the chnieal examination for leprosy. Methods： An inter- observer agreement study on sensory test of skin lesion with carton wool and palpation of thickness of nerve trunk was conducted by a leprologist and paramedical workers. Kappa statistics was used to express Inter- observer reliability. Results： Twenty- seven patients treated with MDT were examined and assessed. The kappa values were 0.20 - 0.533 for the sensation of skin lesion, 0.358 -0.524 and 0.017 -0.285 for the touching of ulnar and popliteal nerves, respectively. Conclusion： The Interobserver repeatability of sensory test of skin lesion and nerve touching was net satisfactory in leprosy. It is essential to train young and local medical workers for better clinical examination skills in the future leprosy control work.

关 键 词：麻风病 KAPPA 一致性 皮损触觉 神经触摸 

分 类 号：R755[医药卫生—皮肤病学与性病学]