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神经根型颈椎病疗效评定指标体系的效度分析

Validity Analysis of Outcome Assessment System in the Treatment of Cervical Spondylotic Radiculopathy

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【作者】 朱立国张清于杰高景华李俊杰秦杰孙武权冯敏山金哲峰

【Author】 ZHU Liguo1 ZHANG Qing1 YU Jie1 GAO Jinghua1 LI Junjie2QIN Jie3 SUN Wuquan4 FENG Minshan1 JIN Zhefeng11 Wangjing Hospital of China Academy of Traditional Chinese Medicine, Beijing 100102, China2Beijing Electric Power Hospital3Guangdong Hospital of Traditional Chinese Medicine 4Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine

【机构】 中国中医科学院望京医院北京电力医院岳阳医院广东省中医院上海中医药大学附属中西医结合

【摘要】 目的:对神经根型颈椎病疗效评定指标体系进行效度分析。方法:采用十五攻关课题的临床研究结果对神经根型颈椎病疗效评定指标体系进行效度检验。结果:因子分析所提取的3个公因子中的条目存在着疗效评定指标体系本身内在逻辑关系,其累计方差贡献率为61.026%。其中,颈臂疼痛、上肢感觉障碍、上肢肌力、颈部活动度及颈部压痛的负荷均较高。Spearman相关分析显示颈臂疼痛及颈椎活动度的相关系数较高。结论:神经根型颈椎病疗效评定指标体系具有较好的效度,适用于神经根型颈椎病的疗效评价。

【Abstract】 Objective:To analyze the validity of outcome assessment system of cervical spondylotic radiculopathy. Methods:Based on the results of clinical study Tenth Five-Year national scientific and technological issues, the validity of outcome assessment system on cervical spondylotic radiculopathy is tested and evaluated. Results: Items in the three common factors extracted from factor analysis present internal logic relations of the system, and their cumulative contribution rate of variance is 61.026%. Among them, the neck-arm pain, upper extremity sensory disturbance, upper limb muscle strength, neck activity and neck tenderness’s load are all high. Spearman correlation analysis shows that neck pain and cervical arm activity have higher correlation coefficient. Conclusion: The assessment system has good validity, which applies to evaluate the clinical efficacy of cervical spondylotic radiculopathy.

【基金】 “十五”国家科技攻关课题,课题编号:2004BA721A061
  • 【文献出处】 中国中医骨伤科杂志 ,Chinese Journal of Traditional Medical Traumatology & Orthopedics , 编辑部邮箱 ,2009年02期
  • 【分类号】R681.55
  • 【被引频次】35
  • 【下载频次】780
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