间歇性外斜视儿童生存质量及其与斜视度关系的临床研究
发布时间：2018-05-29 20:26
本文选题：间歇性外斜视 + 生存质量 ； 参考：《青岛大学》2017年硕士论文
【摘要】：目的:运用间歇性外斜视生存质量量表(Intermittent Exotropia Questionnaire,IXTQ)评估并比较间歇性外斜视(intermittent exotropia,IXT)儿童与正常儿童生存质量(quality of life,QOL),并通过IXTQ评分研究IXT儿童及父母生存质量与斜视度的关系。方法:运用IXTQ量表对研究对象(间歇性外斜视及正常儿童各68例,及其父母)进行问卷调查。包括:评估患儿生存质量的患儿自评表(Child IXTQ)及父母代评表(Proxy IXTQ),以及评估父母生存质量的父母自评表(Parent IXTQ),其中患儿自评表和父母代评表各包括视觉功能和社会心理两个维度,父母自评表包括视觉功能、社会心理和手术三个维度。比较斜视组与正常对照组IXTQ评分的差异。斜视组儿童采用遮盖单眼1小时后三棱镜加交替遮盖法检查视远(5m)及视近(33cm)斜视度,并分为3组:20≤PD40、40≤PD60、PD≥60,研究IXTQ评分与不同斜视度的关系。结果:1.斜视组Child IXTQ、Proxy IXTQ及Parent IXTQ评分均低于正常对照组。Child IXTQ评分中与视觉功能相关的条目:如强光下闭一眼(62.50±32.46 vs85.61±24.04)、担心眼睛(51.84±27.08 vs 70.83±31.19)有显著性差异(P0.05),而与社会心理相关的条目:如嘲笑、交友困难、担心别人的看法差别无统计学意义;Parent IXTQ评分中视觉功能(49.21±23.13 vs 90.12±18.83)、社会心理(59.97±22.15vs 91.02±15.31)及手术维度(52.02±28.12 vs 86.74±15.48)均有显著性差异(P0.05)。2.不同视远斜视度组中,Proxy IXTQ及Parent IXTQ评分存在显著性差异(F3.416,P0.039;F4.197,P0.019),而Child IXTQ评分差异无统计学意义;不同视近斜视度组中,Proxy IXTQ及Parent IXTQ评分也存在显著差异(F6.086,P0.004;F3.295,P0.043),而Child IXTQ评分差异无统计学意义。3.Child IXTQ评分与视远、视近斜视度无明显相关性,Proxy IXTQ评分与视远、视近斜视度均存在负相关(r-0.274,P0.024;r-0.325,P0.007),Parent IXTQ评分与视远、视近斜视度也均存在负相关关系(r-0.324,P0.007;r-0.251,P0.039),其中社会心理维度评分与视远斜视度存在负相关(r-0.314,P0.009),手术维度评分与视远、视近斜视度均成负相关(r-0.435,P0.001;r-0.420,P0.001)。结论:1.间歇性外斜视儿童及父母生存质量均低于正常儿童及父母,其中影响儿童生存质量的主要是对视觉功能方面的担忧,而对社会心理方面担忧小,影响父母生存质量的主要是对孩子视觉功能、社会心理及手术方面的担忧。2.间歇性外斜视儿童生存质量与斜视度关系不大,但父母生存质量与斜视度成负相关,斜视度增大,父母生存质量下降,主要体现在对孩子手术方面的担忧。3.建议将IXTQ评估生存质量做为IXT儿童及父母的常规检测项目,以指导临床个体化治疗。
[Abstract]:Objective: to evaluate and compare the quality of life (QOL) between children with intermittent exotropia and normal children with intermittent Exotropia questionnaire IXTQs, and to study the relationship between the quality of life (QOL) and strabismus in children with IXT and their parents by means of IXTQ score. Methods: the subjects (68 cases of intermittent exotropia and 68 cases of normal children, and their parents) were investigated with IXTQ scale. These include Child IXTQA (Child IXTQ1), proxy IXTQ1 (parent substitute), and parent IXTQ1 (parent quality of Life), which include visual function and psychosocial dimensions respectively. The parents self-assessment scale includes visual function, psychosocial and surgical dimensions. The difference of IXTQ score between strabismus group and normal control group was compared. The children in strabismus group were divided into 3 groups: the squint degree was examined by the prism and alternating shading method 1 hour after covering one eye) and the squint degree was 33 cm). The children in the strabismus group were divided into 3 groups: 20 鈮，
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