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目的:评价onychomycosis severity index(OSI)评分系统在中国甲真菌病患者中的适用性。方法:由11名皮肤科医师应用OSI评分系统,以入选的患者照片资料为依据,对30例远端侧位甲下型患者进行评分。4周后将以上30例患者重新随机编号,由以上11名皮肤科医师对其进行再次评分。结果:两次评分结果的Kendall和谐系数结果分别为0.80、0.81;对11名评分者自身两次所得评分计算Spearman相关系数,结果区间为0.77~0.96。结论:OSI评分系统作为一种新的甲真菌病的评分方法,在中国人群中应用时有较好的客观性、可靠性,可以很好地反应甲真菌病的严重程度,该方法简单易用,并且不同医师使用时一致性良好,值得一试。
OBJECTIVE: To evaluate the applicability of the onychomycosis severity index (OSI) scoring system in patients with onychomycosis in China. METHODS: Thirteen patients with distal lateral hypothyroidism were scored on the basis of OSI scoring system by 11 dermatologists and on the basis of the selected patients’ photographs. After 4 weeks, the above 30 patients were re-randomized and scored again by the above 11 dermatologists. Results: The Kendall coefficient of concordance between the two scores was 0.80 and 0.81, respectively. Spearman’s correlation coefficient was calculated from the two scores obtained by 11 scorers. The result ranged from 0.77 to 0.96. Conclusion: As a new scoring method for onychomycosis, OSI scoring system has good objectivity and reliability when applied in Chinese population and can well reflect the severity of onychomycosis. The method is simple and easy to use , And different physicians use good consistency, it is worth a try.