OSI评分系统在中国甲真菌病患者中的适用性研究  

Concordance of onychomycosis severity index(OSI) score in Chinese

作　　者：朱小美[1] 姚志远[2] 

机构地区：[1]北京大学中日友好临床医学院,北京100029 [2]北京中日友好医院皮肤科,北京100029

出　　处：《临床皮肤科杂志》2017年第6期388-390,共3页Journal of Clinical Dermatology

摘　　要：目的:评价onychomycosis severity index(OSI)评分系统在中国甲真菌病患者中的适用性。方法:由11名皮肤科医师应用OSI评分系统,以入选的患者照片资料为依据,对30例远端侧位甲下型患者进行评分。4周后将以上30例患者重新随机编号,由以上11名皮肤科医师对其进行再次评分。结果:两次评分结果的Kendall和谐系数结果分别为0.80、0.81;对11名评分者自身两次所得评分计算Spearman相关系数,结果区间为0.77~0.96。结论:OSI评分系统作为一种新的甲真菌病的评分方法,在中国人群中应用时有较好的客观性、可靠性,可以很好地反应甲真菌病的严重程度,该方法简单易用,并且不同医师使用时一致性良好,值得一试。Objective： To evaluate concordance of onychomycosis severity index（OSI） score system in Chinese onychomycosis patients. Methods： The photographs of 30 patients with distal subungual onychomycosis were evaluated twice at intervals of 4 weeks by 11 individual dermatologists, using the OSI score system. Results： The statistic analysis of test-retest reliability showed that Kendall＇s coefficients of concordance in the two ratings were 0.80 and 0.81, respectively. Spearman correlation coefficients calculated from the two sets of scores from 11 individual dermatologists ranged from 0.77 to 0.96. Conclusions： The new score system, OSI score system, is an objective and reliable method to assess the severity of onychomycosis in Chinese patients. This score system is easy to use, and shows high statistical concordance across different dermatologists. It is worthwhile to try it.

关 键 词：甲真菌病 ONYCHOMYCOSIS SEVERITY index(OSI)评分系统 中国人 

分 类 号：R756.4[医药卫生—皮肤病学与性病学]