CAJ | 학술논문

目的：探讨成人斜视生存质量量表在成人斜视患者术前生存质量状况评估中的最佳临界值。方法对306例成人斜视患者，于入院第1天采用成人斜视生存质量量表及国家眼科研究视功能量表进行调查，以国家眼科研究视功能量表作为诊断“金标准”，绘制受试者工作特征曲线，确定成人斜视生存质量量表的最佳临界值。结果成人斜视生存质量量表得分与国家眼科研究视功能量表得分呈正相关（r=0.481，P<0.01）；当成人斜视生存质量量表临界值为74.5时，受试者工作特征曲线在左上方离标准参照线最远，此时灵敏度、特异度、假阴性率及假阳性率分别为0.784、0.875、0.216、0.125。受试者工作特征曲线下面积为0.893，面积的标准误为0.038。由于量表采用 Likert 5级评分，临界值取为整数74分。结论成人斜视生存质量量表在斜视患者术前生存质量状况评估中的最佳临界值为74分，是成人斜视患者术前生存质量状况评估的有效工具。
목적：탐토성인사시생존질량량표재성인사시환자술전생존질량상황평고중적최가림계치。방법대306례성인사시환자，우입원제1천채용성인사시생존질량량표급국가안과연구시공능량표진행조사，이국가안과연구시공능량표작위진단“금표준”，회제수시자공작특정곡선，학정성인사시생존질량량표적최가림계치。결과성인사시생존질량량표득분여국가안과연구시공능량표득분정정상관（r=0.481，P<0.01）；당성인사시생존질량량표림계치위74.5시，수시자공작특정곡선재좌상방리표준삼조선최원，차시령민도、특이도、가음성솔급가양성솔분별위0.784、0.875、0.216、0.125。수시자공작특정곡선하면적위0.893，면적적표준오위0.038。유우량표채용 Likert 5급평분，림계치취위정수74분。결론성인사시생존질량량표재사시환자술전생존질량상황평고중적최가림계치위74분，시성인사시환자술전생존질량상황평고적유효공구。
Objective To determine the critical value of adult strabismus questionnaire in preoperative quality of life assessment for strabismus patients. Methods A prospective cohort of 306 adult strabismus patients completed the Chinese version of AS-20 and the National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) at the first day of their hospitalization. and the NEI-VFQ-25 was regarded as the gold standard for assessment of AS-20. Results The total score of AS-20 had significant correlations with the total score of NEI-VFQ-25 (r=0.481, P<0.01). The optimal critical value for AS-20 was 74.5, the sensitivity, specificity false negative rate and false positive rates were 0.784,0.875,0.216 and 0.125 respectively. The areas under the curve was 0.893 and finally the critical value was 74 since Likert5 Scale was applied in the study. Conclusion The optimal critical value of AS-20 for the adult strabismus patients is 74, and it is a reliable instrument in preoperative quality of life assessment for adult strabismus patients.