CAJ | 학술논문

目的:对反映帕金森病患者运动功能障碍的评分量表--帕金森病运动功能评分量(motor dysfunction rating scale for Parkinson's diseaese,MDRSPD)的一致性和敏感性的评定,体现其优越性.方法:对5个评定者之间用MDRSPD评价20例帕金森病患者的运动功能的评分结果做Kappa检验;对另20例帕金森病患者治疗前后的评分结果进行t检验.结果:该量表15个项目的Kappa检验,最低K=0.66,最高K=0.97;20例帕金森病患者治疗前后得分分别为(19.68±7.94),(16.03±7.19)分,治疗前后评分结果差异有显著性意义(t=7.13,P＜0.001).结论:MDRSPD评定者之间一致性良好,且能敏感地反映出病情变化,可用于帕金森病患者的病情严重程度和治疗疗效的评定.
목적:대반영파금삼병환자운동공능장애적평분량표--파금삼병운동공능평분량(motor dysfunction rating scale for Parkinson's diseaese,MDRSPD)적일치성화민감성적평정,체현기우월성.방법:대5개평정자지간용MDRSPD평개20례파금삼병환자적운동공능적평분결과주Kappa검험;대령20례파금삼병환자치료전후적평분결과진행t검험.결과:해량표15개항목적Kappa검험,최저K=0.66,최고K=0.97;20례파금삼병환자치료전후득분분별위(19.68±7.94),(16.03±7.19)분,치료전후평분결과차이유현저성의의(t=7.13,P＜0.001).결론:MDRSPD평정자지간일치성량호,차능민감지반영출병정변화,가용우파금삼병환자적병정엄중정도화치료료효적평정.
AIM: To analysis of the agreement and sensibility of motor dysfunction rating scale for Parkinson' s disease(MDRSPD) as well as the advantages of this scale.METHODS: Kappa test was introduced in the evaluation of the results from 5 raters for assessing the movement functions of 20 Parkinson' s disease (PD)patients. Student' s t test was introduced in the evaluation of the results before and after the treatment of 20 PD patients.RESULTS: The 15 items of the employed scale were tested by Kappa test with the Kmin = 0. 66 and Kmax = 0.97, and the scores of the 20 patients before and after treatment were 19. 68 + 7.94 and 16.03 + 7.19 respectively,which had a significant difference( t = 7.13, P ＜ 0. 001 ).CONCLUSION: MDRSPD agreement among different assessors is good and can sensitively reflect the disease variation, which can be used for evaluating disease severity as well as the treatment effectiveness in PD patients.