基于模糊综合评价的Epworth嗜睡量表研究  

Research of the Epworth sleepiness scale based on ruzzy comprehensive evaluation

作　　者：李鹏[1] 吕云辉[2] 马磊[1] 杨世宏[1] 相艳[1] 雷强[1] 杜国栋[1] 黄代金 

机构地区：[1]昆明理工大学信息工程与自动化学院,昆明650500 [2]云南省第一人民医院呼吸科

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第5期356-360,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金(No:61163021)

摘　　要：目的:探讨Epworth嗜睡量表(ESS)的项目设置是否适用于中国OSAHS患者。方法:选取2006-01-2012-12期间因打鼾就诊的4 633例疑似OSAHS患者,在进行PSG检查前填写ESS量表。首先进行数据预处理,剔除漏填和误填的量表,然后利用模糊综合评价法获得ESS量表中各项目的评价值,最后对问卷进行信度分析,结合模糊评价结果删除评价值较低的项目,比较信度的变化。结果:模糊综合评价结果显示量表总的评价值为1.016,"坐下与人谈话"和"自己开车时堵车停车数分钟"两项的评价得分最低为0.131。信度检验结果显示删除该两项后,信度提升0.2%。结论:ESS量表部分项目设置不适用于中国OSAHS患者,需要删除或修改,以提高其筛查效率。Objective：This research explores the effect of Epworth sleepiness scale（ESS）items on domestic patients.Method：Four thousand six hundred and thirty-three suspected OSAHS patients with snoring were selected from respiratory sleep center in the first people＇s hospital,Yunnan province,between January 2006 and December 2012.These patients filled in the ESS before PSG test.Firstly,these questionnaires were preprocessed,and the null and incorrect ones were deleted.Then,the fuzzy comprehensive evaluation was applied for the value of each item in ESS.Finally,the reliability was compared between before and after the removal of the lowest values.Result：Fuzzy comprehensive evaluation results show that the total value is 1.016,the item value of ＂ Sitting and talking to someone＂ and ＂In a car,while stopped for a few minutes in traffic＂ is the lowest,which is 0.131.The result of reliability analysis shows that the value increases 0.2% after the two items being deleted.Conclusion：Some items of ESS are not suitable for Chinese patients,and they need to be deleted or modified to improve the screening efficiency.

关 键 词：模糊综合评价 EPWORTH嗜睡量表 信度效度分析 量表评价 

分 类 号：R765[医药卫生—耳鼻咽喉科]