中华耳科学杂志Issue(3)：361-366,6.DOI:10.3969/j.issn.1672-2922.2014.03.004
面神经分级2.0对周围性面神经麻痹的评价研究
Agreement between House-Brackmann Grading System and Facial Nerve Grading System 2.0 in Patients with Facial Nerve Paralysis
摘要
Abstract
Objectives To analysis the correlation between House-brackmann Grading System (HBGS)and Facial Nerve Grading System2.0 (FNGS2.0) in evaluation of facial nerve paralysis. Methods Fifty video-recorded facial palsy pa-tients were graded by 3 residents and 3 experts using HBGS and FNGS2.0. Results Agreement percentage between residents for HBGS was 39.5%, and generalized kappa indicated only fair agreement(k=0.30);Agreement percentage between experts for HBGS was 56.5%, and generalized kappa indicated moderate agreement(k=0.43);The difference between the observer groups was statistically significant (P<0.05);.Agreement percentage between residents for FNGS2.0 was 62%, and average ICC indicated excellent agreement(ICC=0.763);Agreement percentage between experts for HBGS was 62.8%, and average ICC indicated excel-lent agreement(ICC=0.785);The difference between the observer groups was not statistically significant (P>0.05);The overall intra-class correlation coefficient (ICC) was 0.760,the Spearman correlation coefficient (SCC) was 0.746 and kappa coefficient was 0.42 (P<0.05);The exact agreements between regional assessment and FNGS 2.0 , were highest for the mouth (71%). Conclusions FNGS 2.0 shows moderate agreement with HBGS. For HBGS the interobserver agreement was influnced by the doctor’s experi-ence;For FNGS2.0, the intraobserver and interobserver agreement was high, with no relation to doctor’s experience.关键词
面神经麻痹/评价方法/House-brackmann分级/面神经分级2.0Key words
Facial paralysis/Facial grading scales/House-brackmann Grading System/Facial Nerve Grading System 2.0分类
医药卫生引用本文复制引用
李阳,冯国栋,田旭,薛玉斌,赵阳,吴海燕,高志强..面神经分级2.0对周围性面神经麻痹的评价研究[J].中华耳科学杂志,2014,(3):361-366,6.基金项目
国家十二五科技支撑计划 （）
