《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (02): 224-227.

• 临床研究 • 上一篇    下一篇

简易面神经功能评价量表在特发性面神经麻痹评估中的信度和效度

孔岩，徐耑，郝亚南，蔡秀英，段晓宇，董万利
  

  1. 苏州大学附属第一医院神经内科，江苏苏州市215006。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-02-25 发布日期:2015-02-25

Reliability and Validity of Simple Facial Nerve Function Evaluation System for Idiopathic Facial Palsy

KONG Yan, XU Zhuan, HAO Ya-nan, CAI Xiu-ying, DUAN Xiao-yu, DONG Wan-li   

  1. Department of Neurology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-02-25 Online:2015-02-25

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摘要： 目的分析简易面神经功能评价量表(SFGS)的信度和效度。方法对80 例特发性面神经麻痹(IFP)患者在入选时及每治疗2 周时，分别运用SFGS和House-Brackmann 分级量表(H-B分级量表)进行评估，直至面神经功能恢复正常，或随访至发病后12 周。在入选及治疗后2 周，由两位医师同时应用SFGS和H-B分级评分。计算Cronbach α系数，分析两种方法的相关性及组内相关系数(ICC)。结果SFGS和H-B分级量表的Cronbach α分别为0.93 和0.74；SFGS评价者间ICC≥0.84，H-B分级量表ICC≥0.77；SFGS与H-B分级中度相关(rs=0.73)，Kappa 系数分别为Ⅱ级0.81、Ⅲ级0.74、Ⅳ级0.49、Ⅴ级0.66、Ⅵ级0.92；SFGS、H-B评分均与痊愈时间呈正相关。结论SFGS效度可靠，内部信度良好，结果可重复性强，能够比较准确地预测预后，可用于特发性面神经麻痹患者急性期的病情评估和预后判断。

关键词: 特发性面神经麻痹, 简易面神经功能评价量表, House-Brackmann分级量表, 信度, 效度

Abstract: Objective To investigate the reliability and validity of Simple Facial Grading System (SFGS) in patients with idiopathic facial palsy. Methods 80 patients with idiopathic facial palsy were evaluated with the House-Brackmann (H-B) scale and SFGS before and every 2 weeks after treatment until 12 weeks or recovery. They were assessed by 2 testers before and 2 weeks after treatment. The results were analyzed and compared. Results The Cronbach's α coefficient was 0.93 of SFGS, and 0.74 of H-B scale. The intraclass correlation coefficient (ICC) between testers was 0.84 or higher of SFGS, and 0.77 or higher of H-B scale. The Spearman's rank correlation coefficient between SFGS and H-B scale was 0.73, Kappa coefficients was 0.81 for grade II, 0.74 for grade III, 0.49 for grade IV, 0.66 for grade V, and 0.92 for grade VI. The scores of SFGS and H-B scale positively correlated with the recovery time. Conclusion SFGS is a kind of evaluation for peripheral facial paralysis with satisified reliability and validity, which can be applied to evaluate the severity and outcome during acute stage.

Key words: idiopathic facial palsy, Simple Facial Grading System, House-Brackmann scale, reliability, validity