目的 探讨非斜视性双眼视异常学龄儿童生活质量量表(Quality-of-Life Scale for School-Age Children With Functional Abnormalities in Binocular Vision,QOL-CFA20)在非斜视性双眼视异常学龄儿童生活质量状况评估及早期诊断中的应用价值。方法 选取非斜视性双眼视异常学龄儿童134例和正常儿童120例,分别行QOL-CFA20量表及视功能指数量表(Vison Function-14,VF-14)调查。结果 QOL-CFA20量表与VF-14量表得分呈负相关(P<0.01),VF-14=5.149~0.299(QOL-CFA20量表得分)。QOL-CFA20量表最佳临界值为56分,灵敏度、特异度分别为0.948、0.918,曲线下面积为0.959,预测效度优于VF-14。结论 QOL-CFA20量表在非斜视性双眼视异常学龄儿童生活质量状况评估中的最佳临界值为56分,是非斜视性双眼视异常学龄儿童生活质量状况评测的有效工具。

Objective To explore the clinical application of Quality-of-Life Scale for School-Age Children With Functional Abnormalities in Binocular Vision(QOL-CFA20). Methods One hundred and thirty four school-age children with functional abnormalities in binocular vision and 120 with normal vision were surveyed by using the QOL-CFA20 and vison function-14(VF-14). Results The total score of QOL-CFA20 had significant correlations with the total score of VF-14(P<0.01),VF-14=5.149~0.299(the total score of QOL-CFA20).The optimal critical value of QOL-CFA20 in preoperative quality of life assessment for school-age children with functional abnormalities in binocular vision was 56,with the sensitivity and specificity being 0.948 and 0.918 respectively,and the area under the curve was 0.959.The predictive validity of QOL-CFA20 was better than VF-14. Conclusion For school-age children with functional abnormalities in binocular vision,the optimal critical value of QOL-CFA20 is 56,and QOL-CFA20 is an effective tool for school-age children with functional abnormalities.