CAJ | 학술논문

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Cronbachα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Cronbachα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。
목적：분석간역면신경공능평개량표(SFGS)적신도화효도。방법대80례특발성면신경마비(IFP)환자재입선시급매치료2주시，분별운용SFGS화House-Brackmann분급량표(H-B분급량표)진행평고，직지면신경공능회복정상，혹수방지발병후12주。재입선급치료후2주，유량위의사동시응용SFGS화H-B분급평분。계산Cronbachα계수，분석량충방법적상관성급조내상관계수(ICC)。결과 SFGS화H-B분급량표적Cronbachα분별위0.93화0.74；SFGS평개자간ICC≥0.84，H-B분급량표ICC≥0.77；SFGS여H-B분급중도상관(rs=0.73)，Kappa계수분별위Ⅱ급0.81、Ⅲ급0.74、Ⅳ급0.49、Ⅴ급0.66、Ⅵ급0.92；SFGS、H-B평분균여전유시간정정상관。결론 SFGS효도가고，내부신도량호，결과가중복성강，능구비교준학지예측예후，가용우특발성면신경마비환자급성기적병정평고화예후판단。
Objective To investigate the reliability and validity of Simple Facial Grading System (SFGS) in patients with idiopathic fa-cial palsy. Methods 80 patients with idiopathic facial palsy were evaluated with the House-Brackmann (H-B) scale and SFGS before and ev-ery 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'sαcoefficient was 0.93 of SFGS, and 0.74 of H-B scale. The intraclass correlation coeffi-cient (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 be-tween 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.