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目的评估0~3岁婴幼儿儿心量表筛查法的应用效果。方法分层随机选取2015-2016年就诊于福建省妇幼保健院儿童心理保健科门诊0~3岁婴幼儿609例,以Gesell发育量表为金标准,对入选婴幼儿分别行Gesell发育量表诊断和儿-心量表筛查法测验。结果在609例婴幼儿中,儿-心量表筛查法评定阳性组为247例,Gesell量表智能评定阳性组为212例。总样本及各月龄组小儿进行儿-心量表筛查法评估结果的灵敏度分别为91.0%、87.5%、92.6%、95.7%、92.9%、88.0%、92.0%、92.9%、87.5%;假阴性率(FNR)分别为9.0%、12.5%、7.4%、4.3%、7.1%、12.0%、8.0%、7.1%、12.5%;Kappa值分别为0.75、0.68、0.72、0.77、0.76、0.74、0.68、0.86、0.75。ROC曲线下面积(AUC)=0.827(P<0.01),95%置信区间(0.723~0.931)。结论应用0~3岁儿心量表筛查法操作较为便捷、可靠,该法部分月龄段条目进一步优化后可在福建省推广使用。
Objective To evaluate the application effect of 0-9 year-old infants pediatric scale test. METHODS: A total of 609 infants and young children aged 0 ~ 3 years from outpatient department of pediatric mental health clinic of MCH hospital of Fujian province were randomly selected from 2015 to 2016. The Gesell scale was used as the gold standard to diagnose the selected infants and children respectively. And children - heart scale screening test. Results Among 609 infants and toddlers, the positive rate was 247 in the pediatric-cardiac scale test and 212 in the Gesell test. The sensitivity of the total sample and children of each age group in evaluating the results of children - heart scale screening were 91.0%, 87.5%, 92.6%, 95.7%, 92.9%, 88.0%, 92.0%, 92.9%, 87.5% respectively. The false negative rate (FNR) was 9.0%, 12.5%, 7.4%, 4.3%, 7.1%, 12.0%, 8.0%, 7.1% and 12.5% respectively. The Kappa values were 0.75,0.68,0.72,0.77,0.76,0.74 , 0.68,0.86,0.75. Area under the ROC curve (AUC) = 0.827 (P <0.01), 95% confidence interval (0.723-0.931). Conclusion The 0-3 year old children’s heart scale screening method is more convenient and reliable, and some of the items in the age group can be further used in Fujian Province.