兒童過敏性結膜炎患兒癥狀及生活質量的評估

宋峰偉 孫元強 楊衛華

[關鍵詞] 過敏性結膜炎;視覺模擬評分法;鼻結膜炎相關生活質量量表;生活質量

[中圖分類號] R758.2? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）25-0085-04

Assessment of symptoms and QOL in children with allergic conjunctivitis

SONG Fengwei1? ?SUN Yuanqiang1? ?YANG Weihua2

1.Department of Ophthalmology， the First Affiliated Hospital of Huzhou University， Huzhou? ?313000， China; 2.Department of Cataract， the Affiliated Eye Hospital of Nanjing Medical University， Nanjing? ?210029， China

[Abstract] Objective To assess the clinical symptoms and quality of life（QOL） of children with allergic conjunctivitis （AC）， and to analyze the correlation between the severity of symptoms and the QOL of children with AC. Methods A total of 125 children who were treated for AC in the Department of Ophthalmology in The First Affiliated Hospital of Huzhou University from June 2017 to June 2020 were selected for a retrospective case-series study. The severity of the children′s symptoms was assessed by using the Visual Analogue Scale/Score （VAS）， and the QOL of children with AC was assessed by using the Rhinoconjunctivitis Quality of Life Questionnaire （RQLQ）. Data were analyzed by using Pearson correlation analysis， and differences were considered statistically significant at P<0.05. Results ①The mean scores of ocular and nasal symptoms of children with AC on the VAS scale were （3.11±1.62）points，（3.34±1.57）points， respectively， with a strong positive correlation between them（r=0.821， P<0.01）. ②The mean scores of ocular and nasal symptoms of children with AC on the RQLQ scale were （2.85±0.64）points， （3.02±1.11） points， respectively， which were positively and strongly correlated with the sleep status score （2.11±0.78）points of the children（r=0.581， P<0.01; r=0.632， P<0.01）. ③The mean scores of ocular and nasal symptoms （3.11±1.62）points， （3.34±1.57） points， respectively of the children with AC on the VAS scale were strongly and positively correlated with the mean score （2.37±0.63）points of the children with AC on the RQLQ scale （r=0.714， P<0.01; r=0.621， P<0.01）.The ocular and nasal symptom scores of the children with AC on the VAS scale were positively correlated with the scores of all indices on the RQLQ scale（P<0.01）. Conclusion The severity of ocular and nasal symptoms in children with AC was significantly correlated with their QOL and directly correlated with sleep status， which further affects the non-nasal and non-ocular symptoms and adverse emotional reactions of children with AC.