[1]孔思璎,李东阳,狄 敏,等.DDST用于维族婴幼儿筛查效度的探索性研究[J].天津医科大学学报,2016,22(05):0.
KONG Si-yingDI MinQIAN Ming.Validity research on Denver Development Screening Test applied to Uygur children[J].Journal of Tianjin Medical University,2016,22(05):0.
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DDST用于维族婴幼儿筛查效度的探索性研究(PDF)
KONG Si-yingDI MinQIAN Ming.Validity research on Denver Development Screening Test applied to Uygur children[J].Journal of Tianjin Medical University,2016,22(05):0.
《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]
- 卷:
- 22卷
- 期数:
- 2016年05期
- 页码:
- 0
- 栏目:
- 出版日期:
- 2016-09-20
文章信息/Info
- Title:
- Validity research on Denver Development Screening Test applied to Uygur children
- 作者:
- 孔思璎; 李东阳2; 狄 敏1; 阿不来提· 阿不拉3; 王晓伟2; 司珊珊1; 王晟怡1; 李永梅1; 高 岩1; 梁立夫1; 陈祖培1; 钱 明1
- (1.天津医科大学,天津300070;2.阿克苏行署卫生局地方病防治办公室,新疆843000;3.阿克苏地区疾病预防与控制中心,新疆843000)
- Author(s):
- KONG Si-ying1DI Min1QIAN Ming1
- (1.Tianjin Medical UniversityTianjin 300070China2.Prevention and Control Office of Endemic DiseaseAksuXinjiang 843000China3.The Centers for Disease Control and PreventionAksuXinjiang 843000China)
- 分类号:
- R74
- DOI:
- -
- 文献标志码:
- A
- 摘要:
- 目的：研究丹佛发育筛查测验(DDST)用于维族婴幼儿的筛查效度。方法：80名未见躯体疾病的维族婴幼儿纳入研究。以格塞尔发育诊断量表（Gesell）为效标，进行Gesell和DDST的个别测试。效度评价采用灵敏度、特异度、假阳性率、假阴性率、符合率和工作特征曲线下面积(AUC)。结果：DDST迟缓筛查率为17.50%，语言能区迟缓率最高，占比达56.00%。以Gesell发育商DQ≤75分为切点时，DDST筛查的灵敏度、特异度、假阳性率、假阴性率和符合率分别为100.00%、85.71%、14.29%、0.00%和86.25%，AUC为0.93(P<0.01)。以Gesell发育商DQ<85分为切点时，DDST的灵敏度、特异度、假阳性率、假阴性率和符合率分别为69.23%、92.54%、7.46%、30.77%和88.75%，AUC为0.80(P<0.01)。结论：用于筛查Gesell异常诊断的维族婴幼儿时，DDST具有较高筛查价值；用于筛查Gesell可疑诊断的婴幼儿时，DDST筛查能力中等。语言可能影响了DDST的筛查效度，可考虑建立维族常模。
- Abstract:
- Objective: To research the screening validity of the Denver Development Screening Test（DDST）used in Uygur children. Methods: A total of 80 physically healthy Uygur children were enrolled. Gesell Developmental Scales was used as the validity criterion. Both DDST and Gesell were measured in all subjects. The sensitivity, specificity, coincidence rate and area under the ROC curve(AUC) were used as the validity indexes. Results: When used in Uygur children, it showed language retarded rate was higher than other factors. DDST has a high detecting rate for subjects diagnosed as abnormal development by Gesell, with the sensitivity of 100%, the specificity 85.7% the coincidence rate 86.3% and AUC 0.93(p<0.01). While the sensitivity was 69.2%, the specificity was 92.5%, the coincidence rate was 88.8% and AUC was 0.80(p<0.01) when used for screening suspicious abnormal children. Conclusion: DDST has a high screening value in detecting Uygur children who might be diagnosed with abnormal development by Gesell. When it comes to children diagnosed as suspicious abnormal, DDST screening ability would drop to moderate. Language might be an influential factor affecting the outcome. Furthermore, it is essential to consider the necessity of establishing a Uygur norm
参考文献/References:
[1]仇玉兰，施榕．现代流行病学[M]．上海：上海科技出版社，2005：39
[2]张伟忠，赵萍，周春梅，等．早期干预对高危儿认知发育影响[J]．中国儿童保健杂志，2005，13（4）：281
[3]严双琴．儿童智力低下的早期干预及早期筛查[J]．中国儿童保健杂志，2015，23（2）：153
[4] Frankenburg W K, Dodds J B. The Denver developmental screening test[J]. Prediatr, 1967, 71: 181
[5]李雪荣．现代儿童精神医学[M]．长沙：湖南科学技术出版社，1994：81
[6]李星，李永梅，钱明，等．新疆阿克苏地区重点人群碘营养和智力水平调查[J]．中国地方病学杂志，2009，28（3）：306
[7]陈佳英，魏梅，何琳，等．上海市DenverⅡ发育筛查量表适应性研究[J]．中国儿童保健杂志，2008，16（4）：393
[8]王建华．流行病学[M]．第7版．北京：人民卫生出版社，2008：97
[9]林传家，李寄平，张秀玲，等．婴幼儿发育检查手册[M]．北京：北京市儿童保健所，1986
[10]李晓松．医学统计学[M]．第2版．北京：高等教育出版社，2008：224
[11] 赵耐清. 临床医学研究设计和数据分析[M]. 上海复旦大学出版社,2005:241-252
[12]Grant J A, Gittelsohn A M. The Denver developmental screening test compared with the Stanford-Binet test[J]. Health Serv Rep, 1972, 87(5): 473[13]宋娟，黄秀娟，朱锦渊，等．婴儿早期养育方式和环境与婴幼儿生长发育关系研究[J]．中外医学研究，2014（2）：46, 47
[14]马玉杰，乔阳，杨建平，等．正常婴幼儿484名认知发育的因素分析[J]．中国儿童保健杂志，2013，21（3）：302
[15]李洁，姜艳蕊，王超霞，等．婴幼儿认知发育的相关影响因素[J]．中国儿童保健杂志，2014，22（3）：239
[16]李书夏．8079例0～3岁儿童DDST测试结果分析[J]．中国优生与遗传杂志，2014，140（10）：140
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