年龄、斜视类型和斜视度对间歇性外斜视患儿生活质量的影响  

Influences of age,strabisumic type and angle on the quality of life of children with intermittent exotropia

作　　者：王卉 钱晶[1] 卞兰峥[1] WANG Hui;QIAN Jing;BIAN Lanzheng(Department of Ophthalmology,Children′s Hospital of Nanjing Medical University,Nanjing 210023,China)

机构地区：[1]南京医科大学附属儿童医院眼科,江苏南京210023

出　　处：《皖南医学院学报》2021年第2期183-185,共3页Journal of Wannan Medical College

基　　金：江苏省青年医学人才项目(QNRC2016080)。

摘　　要：目的:探讨年龄、斜视类型和斜视度对间歇性外斜视患儿生活质量的影响。方法:选取5~16岁间歇性外斜视患者,以及同等数量的正常对照组儿童。使用间歇性外斜视儿童生活质量量表(IXTQ)评价患儿的生活质量。采用独立样本t检验和单变量线性回归分析比较间歇性外斜视儿童量表得分与年龄、斜视类型和斜视度之间的关系。结果:本研究纳入50名间歇性外斜视儿童和50名年龄匹配的正常对照儿童,所有儿童均完成了IXTQ,5~<8岁间歇性外斜视组量表平均得分低于8~16岁组(59.12±12.75 vs.85.42±8.21,P<0.001),5~16岁间歇性外斜视儿童生活质量与年龄呈正相关(r^(2)=0.437,P<0.001),而正常儿童生活质量与年龄相关性无统计学意义(r^(2)=0.016,P>0.05)。基本型、集合不足型和分开过强型间歇性外斜视儿童生存量表得分差异无统计学意义(P>0.05)。斜视度较大组儿童IXTQ得分(40.76±25.33)低于斜视度较小组(44.29±23.82),但差异无统计学意义(P>0.05)。结论:IXTQ能较好地区分间歇性外斜视儿童和正常儿童的生活质量。年幼儿童(5~<8岁)IXTQ得分低于年长儿童(8~16岁),5~16岁间歇性外斜视儿童生活质量随着年龄的提高而提升。斜视类型和斜视度对患儿生活质量无影响。Objective:To investigate the effects of age,types and angle of strabisumus on the quality of life of children with intermittent exotropia(IXT).Methods:Children with IXT,aged 5-16 years old,were included,and equal number of age-matched controls with normal eye condition were recruited.Children in both groups underwent intermittent exotropia questionnaire(IXTQ).Independent t-test and univariate linear regression analysis were performed to evaluate the association of age,strabisumic type and strabisumic angle with the quality of life in children with IXT.Results:Totally,50 children with IXT and 50 age-matched controls were included,and completed the child IXTQ.The average scoring on IXTQ was lower in children aged 5-<8 than in those aged 8-<16(59.12±12.75 vs.85.42±8.21,P<0.001).The quality of life in IXT children aged 5-16 years was positively related to ages(r^(2)=0.437,P<0.001),yet there was no relationship in control group(r^(2)=0.016,P>0.05).The difference was insignificant in IXTQ scoring with regard to strabisumus types,including basic and convergence insufficiency types as well as pseudo-divergence excess(P>0.05).The IXTQ scoring was lower in children with larger exodeviation than in those with smaller exodeviation,yet the difference was insignificant(P>0.05).Conclusion:The IXTQ is better at differentiating between children with intermittent exotropia and those with normal eye condition.Generally,children of IXT aged 5-<8 scored lower on IXTQ than those aged 8-<16 years old,and the quality of life was improved with age in in IXT children aged 5-16 years,yet is not associated with the types and angle of strabisumus.

关 键 词：间歇性外斜视 儿童 生活质量 

分 类 号：R729[医药卫生—儿科] R779.7[医药卫生—临床医学]