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斜视手术对间歇性外斜视患儿生存质量的短期影响

发布时间:2018-01-06 04:22

  本文关键词:斜视手术对间歇性外斜视患儿生存质量的短期影响 出处:《国际眼科杂志》2016年06期  论文类型:期刊论文


  更多相关文章: 间歇性外斜视患儿 生存质量 间歇性外斜视生存质量量表 斜视手术


【摘要】:目的:应用间歇性外斜视患者生存质量量表(intermittent exotropia questionnaire,IXTQ)研究间歇性外斜视患儿的生存质量状态,评估斜视手术对其生存质量的改善情况。方法:本研究为前瞻性研究。选择5~17岁的42例间歇性外斜视患儿作为病例组,另外选择非间歇性外斜视患儿42例为对照组,采用中文版间歇性外斜视患者生存质量量表进行问卷调查,分别比较病例组和对照组儿童、间歇性外斜视患儿术前1d与术后3mo以及对照组与病例组患儿术后3mo的Child IXTQ评分,分析生存质量差异以及手术对其生存质量的改善情况。结果:对照组儿童Child IXTQ各维度评分及总评分都明显高于病例组患儿,差异有统计学意义(P0.01);除了条目"小伙伴们因为我的眼睛取笑我"和"我因为眼睛觉得交朋友很难"无显著性统计学差异外(P0.05),各条目比较差异有统计学意义(P0.05);病例组术后3mo各维度评分及总评分都明显高于术前1d,差异有统计学意义(P0.01);术后患儿Child IXTQ各维度评分及总评分仍低于对照组,差异有统计学意义(P0.05)。结论:间歇性外斜视从视觉功能和社会心理两个方面影响患儿的生存质量,其中视觉功能影响相对较大,最显著的问题是畏光及调整眼位,而他人嘲笑、交朋友方面影响较小。斜视手术有助于改善间歇性外斜视患儿的生存质量。
[Abstract]:Objective: application of QOL intermittent exotropia (intermittent exotropia questionnaire, IXTQ table) state of quality of life of intermittent exotropia, the improvement of the quality assessment of strabismus surgery on its survival. Methods: This study was a prospective study. 42 cases of intermittent exotropia aged 5~17 as case group, another choice non intermittent exotropia of 42 patients in the control group, the amount of Chinese version of quality of life in patients with intermittent exotropia were investigated, respectively between case group and control group of children with intermittent exotropia, preoperative 1D and postoperative 3Mo and control group and case group postoperative 3Mo Child IXTQ score, improvement analysis the differences of quality of life and quality of life of the operation. Results: the dimensions of control group of children with Child IXTQ scores and total scores were significantly higher than that in case group, the difference was statistically Statistically significant (P0.01); in addition to entry "buddies because my eyes make fun of me" and "my eyes felt it hard to make friends because" no significant significant difference (P0.05), the difference was statistically significant for each item (P0.05); postoperative 3Mo score and the total score of each dimension 1D are significantly higher than before, the difference was statistically significant (P0.01); dimensions in children with Child IXTQ score and total score after surgery is still lower than the control group, the difference was statistically significant (P0.05). Conclusion: intermittent exotropia from two aspects of visual function and social psychological impact on quality of life of children, which affect the relative visual function the larger, the most significant problem is photophobia and adjust the eye position, while others laugh, make friends less effect. The quality of life of strabismus surgery helps improve children with intermittent exotropia.

【作者单位】: 青岛大学附属医院眼科;
【分类号】:R779.6
【正文快照】: 引用:姜丽萍,杨先,孔庆兰,等.斜视手术对间歇性外斜视患儿生存质量的短期影响.国际眼科杂志2016;16(6):1128-11310引言间歇性外斜视是最常见的斜视类型,儿童发病率最高,该病往往导致患儿外观及双眼视功能的显著异常,从 表1 Child IXTQ病例组和对照组各条目评分结果比较(xs恕,

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