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浙江大学学报（医学版）
浙江大学学报（医学版）  2015, Vol. 44 Issue (2): 138-144    DOI: 10.3785/j.issn.1008-9292.2015.03.004
专题报道     
眩晕症状量表的汉化及信效度和反应度检验
邓真1,2, 元唯安1,2, 王辉昊1,2, 詹红生1,2
1. 上海中医药大学附属曙光医院石氏伤科医学中心, 上海 201203;
2. 上海中医药研究院骨伤科研究所, 上海 201203
Development of Chinese version vertigo symptom scale(VSS):reliability and validity
DENG Zhen1,2, YUAN Wei-an1,2, WANG Hui-hao1,2, ZHAN Hong-sheng1,2
1. Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China;
2. Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China
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摘要：

目的:汉化眩晕症状量表(Vertigo Syndrome Scale中文版,VSS-C量表),并通过评估以眩晕为主要症状的椎动脉型颈椎病患者对VSS-C量表进行信效度、反应度检验。方法:征得原量表作者同意后,按照相关指南及要求,将原量表汉化为VSS-C量表。将VSS-C量表应用于健康对照组(21名)和椎动脉型颈椎病患者(52例),对照组在2周内独立完成VSS-C量表评定2次;患者组在3周内独立完成VSS-C评定3次(在第3次评定前接受为期1周的手法康复治疗),同时与SF-36健康调查量表评定结果对照。通过两次VSS-C量表的评定结果相关性分析来测试其重测信度,以科隆巴赫α系数来评定VSS-C量表的内部一致性。将VSS-C量表的结果与SF-36健康调查量表的各个维度进行相关性分析来评定VSS-C量表的效度。比较患者组第2次和第3次的VSS-C量表结果评定其对于手法康复治疗的反应度。结果:VSS-C量表两次测验组内相关系数均大于0.9(P<0.05),两个子量表的科隆巴赫α系数均在0.7以上,总体VSS-C 量表的科隆巴赫α系数大于0.85。VSS-C 量表各个项目与所属子量表之间相关系数值均大于0.5; VSS-C量表与SF-36健康调查量表中相应的亚项目之间相关系数值均大于0.5;VSS-C量表经限定抽取公共因素法行因子分析,所抽取的2个公因子在各条目中所占比重与原版VSS量表中所属子量表大致相符。患者组和对照组VSS-C量表评分分别为22.9±9.2和10.6±10.2,两者之间差异有统计学意义(P<0.01);患者组手法治疗前后VSS-C量表评分分别为24.4±10.0和23.0±9.3,差异也有统计学意义(P<0.01)。结论:VSS-C量表在评价椎动脉型颈椎病患者眩晕程度上具有较好的信度、效度及可重复性。
关键词： 眩晕;  椎底动脉供血不足;  评价研究    
Abstract:

Objective: To develop a Chinese version of Vertigo Symptom Scale (VSS-C) and to examine its reliability and validity. Methods: The VSS was translated into Chinese and developed a Chinese version VSS (VSS-C) with the consent of the author. The VSS-C scale was tested in 52 subjects with cervical spondylosis of vertebral artery type(CSA group)and 21 healthy subjects (control group). In CSA group VSS-C scale and SF-36 scale investigation was performed for 2 times with 1 week interval, after receiving 1-week orthopedic rehabilitation the patients were evaluated with the VSS-C and SF-36 scale; while subjects in control group received the investigation twice in two weeks. The reliability of the scale was evaluated with Cronbach's alpha method and the correlation between SF-36 scale and the VSS-C were also evaluated for the validity. Results: The internal consistency of VSS-C was good with Cronbach's alpha of 0.886. Test-retest reliability was also very good with an intraclass correlation coefficient (ICC) between two time points, being 0.970 for VSS-C,0.965 for VSS-AA and 0.992 for the VSS-VER. Regarding concurrent validity,significant low correlation was found between the VSS-AA and VSS-VER (r=0.379,P<0.05). Significant expected correlation was detected between the VSS-C and SF-36 (r>0.5,P<0.05). The independent-samples t test results (t=6.261,P<0.01) of the CSA group and the control group showed that the VSS-C was able to distinguish healthy people from CSA patients. The paired-samples t test results (t=5.513,P<0.01) showed that VSS-C reflected the improvement of patients after treatment of Chinese massage manipulation. Conclusion: The Chinese version of VSS has a high comprehensibility, internal consistency and validity, and it can be a useful instrument for evaluation of patients with cervical spondylosis of vertebral artery type in China.
Key words: Vertigo    Vertebrobasilar insufficiency    Evaluation studies
收稿日期: 2014-11-09 出版日期: 2015-03-25
:  R681.5+5  
基金资助:

“中医骨伤科学”国家重点学科(100508); 国家自然科学基金(81473702,81001528); 上海领军人才项目(041); 上海市科委重点项目(14401970402,09dZ1973800); 上海高校“中医脊柱病损研究”创新团队建设项目(2009-26)
通讯作者: 詹红生(1964-),男,博士,主任医师,教授,博士生导师,主要从事骨和关节退行性疾病的防治研究;E-mail:zhanhongsheng2010@163.com     E-mail: zhanhongsheng2010@163.com
作者简介: 邓真(1988-),男,博士研究生,主要从事中医药防治慢性筋骨病损研究;E-mail:dengzhen0923@163.com
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引用本文:

邓真, 元唯安, 王辉昊, 詹红生. 眩晕症状量表的汉化及信效度和反应度检验[J]. 浙江大学学报（医学版）, 2015, 44(2): 138-144.

DENG Zhen, YUAN Wei-an, WANG Hui-hao, ZHAN Hong-sheng. Development of Chinese version vertigo symptom scale(VSS):reliability and validity. Journal of ZheJiang University(Medical Science), 2015, 44(2): 138-144.

链接本文:

http://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.2015.03.004    或    http://www.zjujournals.com/med/CN/Y2015/V44/I2/138

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