《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (11): 1304-1307.

• 国际会议报道 • 上一篇    下一篇

勃起功能分项量表评定神经性勃起功能障碍的效度和信度

史文博，万里，廖利民，吴娟
  

  1. 作者单位：1.首都医科大学康复医学院，北京市 100068；2.中国康复研究中心北京博爱医院泌尿科，北京市 100068。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-11-25 发布日期:2015-11-25

Validity and Reliability of Item Erectile Function Scale for Neurogenic Erectile Dysfunction

SHI Wen-bo, WAN Li, LIAO Li-min, WU Juan
  

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Department of Urology, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-11-25 Online:2015-11-25

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摘要： 目的 探讨勃起功能分项量表(I-EF)对神经性勃起功能障碍评定的效度及重测信度和评定者间信度。方法 对 104例男性脊髓损伤患者采用I-EF进行评分，同时测定患者阴茎神经电生理及夜间阴茎勃起；34例患者治疗后再次测评。对21例中度勃起功能障碍(ED)患者，由两名评定者分别测试1次，2~4周后再测评1次。结果 球海绵体肌及阴茎背神经可记录到体感诱发电位者，Q1、Q2评分多≥7分；电活动缺失者，评分为 3分。夜间阴茎勃起监测有效勃起 1~3次者，Q3评分多≥7分；无有效勃起者，评分为 3 分。骶上完全组与骶完全组比较，反射性勃起、夜间勃起发生率均较高(P<0.001)。轻中度 ED，治疗后总分提高(P<0.05)；重度ED治疗前后无显著性差异(P>0.05)。重测及评定者间等级相关系数(ICC)分别为0.93及0.90。结论 I-EF评分可作为神经性勃起功能障碍评定的可靠指标。

关键词: 神经性勃起功能障碍, 量表, 脊髓损伤, 康复, 评定, 信度, 效度

Abstract: Objective To investigate the validity and reliability of Item Erectile Function Scale (I-EF) for neurogenic erectile dysfunction (ED). Methods 104 patients with spinal cord injury were assessed with I-EF. They were measured with pudendal somatosensory nervous evoked potential (SEP), bulbocavernosus reflex potential time (BCR) and nocturnal penile tumescence (NPT) detection. 34 patients accepted medicine for ED, and were assessed with I-EF after treatment. 21 patients with medium ED were assessed by 2 testers, and retested 2-4 weeks later. Results The patients who recorded their potential of SEP and BCR got the scores of Q1, Q2 above 7, and the absence with the scores of 3. Those found NPT 1-3 times got the score of Q3 above 7, and the absence with the scores of 3. The incidence of reflex erections and NPT were more in complete suprasacral ones than in complete sacral ones (P<0.05). There was significant improvement after medication in patients with mild to medium ED (P<0.05). The interclass correlation coefficient (ICC) was 0.93 between testers and 0.90 between test-retest. Conclusion I-EF can be used to assess neurogenic erectile dysfunction for rehabilitation.

Key words: neurogenic erectile dysfunction, scale, spinal cord injury, rehabilitation, assessment, reliability, validity