神经根型颈椎病“病证结合”评价量表信度的初步研究  

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] 

机构地区：[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

出　　处：《中医正骨》2011年第5期10-12,18,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：四川省中医药管理局科研基金课题(2007XS07)

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’sα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’sα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。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.

关 键 词：颈椎病 神经根型 中医 辨证 量表 信度 

分 类 号：R681.55[医药卫生—骨科学]