摘要
目的分别评价痤疮综合分级系统(GAGS)在同一评价者间和不同评价者间的一致性,同时观察皮损计数法的一致性。方法3名评价者经培训后以随机的顺序分别用GAGS和计数法对60例寻常痤疮患者进行独立评价,5d后进行第2次评价。结果GAGS在不同评价者间和同一评价者间的κ值分别为0.675和0.847;皮损总数的κ值为0.413和0.426;脓疱数的κ值分别为0.446和0.407;炎症性皮损总数在不同评价者间的κ值为0.429,而在同一评价者间及其余皮损分类计数的κ值均小于0.4。结论GAGS的一致性好;皮损总数及脓疱的一致性一般,其余分类计数的一致性较差。
Objective To evaluate the consistency of global acne grading system (GAGS) and acne lesion counting. Methods After training 3 dermatologists evaluated 60 acne patients by GAGS and skin lesion counting respectively in randomized order sequentially, and evaluated again 5 days later. Results The kappa-value of GAGS (consistency) was 0.675 among 3 different dermatologists, and 0.847 for the same desmatologist. The kappa-value among the 3 different dermatologists and the same dermatologist for the total lesion count was 0.426 and 0.413 respectively; for pustule count was 0.446 and 0.407 respectively. The kappa-value of total number of the inflammatory lesion counting was 0.429 for the 3 different dermatologists and the kappa-value was <0.4 for the other lesion countings. Conclusions The consistency of GAGS evaluated by 3 different dermatologists and the same dermatologist is satisfactory, and the consistency of total lesion counting and pustule counting is good. The consistency of other different types of lesion counting is not so good. After defining the criteria of erythema lesions, the consistency for total inflammatory count increases and decreases for total lesion counting.
出处
《中华皮肤科杂志》
CAS
CSCD
北大核心
2004年第7期403-405,共3页
Chinese Journal of Dermatology
