测量头颈部淋巴水肿：“阿罗哈”试验。
Measuring head and neck lymphedema: The "ALOHA" trial.
作者信息
Purcell Amanda, Nixon Jodie, Fleming Jennifer, McCann Andrew, Porceddu Sandro
机构信息
Department of Occupational Therapy, Princess Alexandra Hospital, Queensland, Australia.
The University of Queensland, School of Health and Rehabilitation Science and Occupational Therapy, Princess Alexandra Hospital, Queensland, Australia.
出版信息
Head Neck. 2016 Jan;38(1):79-84. doi: 10.1002/hed.23853. Epub 2015 Jun 25.
BACKGROUND
There is no clinical assessment available to measure head and neck lymphedema. This study proposes the use of a tape measurement system and the MoistureMeterD (MMD) to evaluate head and neck lymphedema.
METHODS
The reliability and validity of these assessments was examined in 20 patients with head and neck lymphedema and 20 matched healthy controls.
RESULTS
Interrater reliability for the MMD and 3 of the 4 tape measurements was excellent (intraclass correlation coefficients [ICCs] >0.90). Intrarater reliability of the MMD was 0.97. The MMD discriminated between patients with head and neck lymphedema and healthy controls, t(19) = 8.97, p < .001, whereas the tape measurements did not. Correlation between MMD score and head and neck lymphedema level ratings was significant (rho = 0.59) indicating convergent validity. Three of the tape measurements were significantly correlated with MMD scores (rho = 0.37-0.38) but not with ratings of head and neck lymphedema.
CONCLUSION
The tape measurement system and MMD show potential as objective measurements of head and neck lymphedema with the exception of 1 tape measurement point.
背景
目前尚无用于测量头颈部淋巴水肿的临床评估方法。本研究提出使用卷尺测量系统和水分测定仪D（MMD）来评估头颈部淋巴水肿。
方法
在20名头颈部淋巴水肿患者和20名匹配的健康对照中检验了这些评估方法的可靠性和有效性。
结果
MMD以及4个卷尺测量点中的3个的评分者间信度极佳（组内相关系数[ICC]＞0.90）。MMD的评分者内信度为0.97。MMD能够区分头颈部淋巴水肿患者和健康对照，t(19)=8.97，p＜0.001，而卷尺测量则不能。MMD评分与头颈部淋巴水肿程度分级之间存在显著相关性（rho=0.59），表明具有收敛效度。3个卷尺测量点与MMD评分显著相关（rho=0.37 - 0.38），但与头颈部淋巴水肿分级无关。
结论
卷尺测量系统和MMD显示出作为头颈部淋巴水肿客观测量方法的潜力，但有1个卷尺测量点除外。
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