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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第25卷

期數(shù):

2013年04期

頁碼:

25-27

欄目:

足踝損傷

出版日期:

2013-04-30

文章信息/Info

Title:

A scoliosis-prevalence survey of students in primary and secondary schools in Wenzhou city

作者:

王誼; 吳蓓茸; 林野

溫州醫(yī)學院附屬第二醫(yī)院,浙江 溫州 325027

Author(s):

WANG Yi^*; WU Bei-rong; LIN Ye.^*

The Second Affiliated Hospital of Wenzhou Medical College,Wenzhou 325027,Zhejiang,China

關(guān)鍵詞:

脊柱側(cè)凸 患病率 青少年 學生 橫斷面研究

Keywords:

Scoliosis;  Prevalence;  Adolescent;  Students;  Cross-sectional studies

摘要:

目的:調(diào)查溫州市中小學生脊柱側(cè)彎患病情況。方法:2010年9月至2011年12月在溫州市706所小學和474所中學中隨機整群抽取8所小學和8所中學進行脊柱側(cè)彎患病率調(diào)查。依次對16所中小學的所有學生進行體格檢查、云紋照相及X線檢查。結(jié)果:此次調(diào)查共涉及18 154名學生,男9 319名,女8 835名; 7～10歲者6 018名,11～14歲者5 983名,15～18歲者6 153名; 市區(qū)學生9 231名,縣區(qū)學生8 923名。體格檢查陽性者418名,云紋照相檢查陽性者191名,X線檢查陽性者112名,患病率為0.62%。112名患者中男49名,女63名,不同性別患病率比較,差異無統(tǒng)計學意義(χ²=2.594,P=0.107)。市區(qū)學生44名,縣區(qū)學生68名,縣區(qū)學生患病率高于市區(qū)學生(χ²=6.028,P=0.014)。7～10歲24名,11～14歲56名,15～18歲32名,3個年齡組脊柱側(cè)彎的患病率比較,差異有統(tǒng)計學意義(χ²=15.545,P=0.000); 11～14歲年齡組脊柱側(cè)彎患病率高于其余2個年齡組(χ²=13.075,P=0.000; χ²=7.289,P=0.007); 其余2個年齡組的患病率比較,差異無統(tǒng)計學意義(χ²=0.977,P=0.323)。11～14歲年齡組女性患病率高于男性(男21名,女35名,χ²=3.947,P=0.047),其余2個年齡組男女患病率比較,差異無統(tǒng)計學意義(男14名,女10名,χ²=0.203,P=0.652; 男14名,女18名,χ²=0.436,P=0.509)。結(jié)論:溫州市中小學生的脊柱側(cè)彎患病率為0.62%; 其中11～14歲學生的脊柱側(cè)彎患病率較高,在這一年齡段女性的患病率高于男性; 市區(qū)學生患病率低于周邊縣區(qū)學生。

Abstract:

Objective:To investigate the scoliosis prevalence in primary and secondary school students in Wenzhou city.Methods:Eight primary schools and 8 secondary schools were randomly selected from 706 primary schools and 474 secondary schools in Wenzhou city from September 2010 to December 2011,using the cluster sampling method.Physical examination,moire photography and X-ray examination were performed in turn for scoliosis prevalence survey in all the students in the 16 schools.Results:Eighteen thousand one hundred and fifty-four students(9 319 males and 8 835 females)were involved in this investigation; age ranged from 7 to10 years in 6 018 students,ranged from 11 to 14 years in 5 983 cases and ranged from 15 to 18 years in 6 153 cases; 9 231 students from city,while 8 923 students from counties.Positive results of physical examination,moire photography and X-ray examination were found in 418,191 and 112 students,respectively.The scoliosis prevalence was 0.62%.There were 112 patients(49 males and 63 females),and there was no statistical difference in scoliosis prevalence between different genders(χ²=2.594,P=0.107).Forty-four patients were from city,while 68 cases were from counties,and the scoliosis prevalence was higher in students from counties compared with students from city(χ²=6.028,P=0.014).Twenty-four patients aged from 7 to 10 years,56 patients aged from 11 to 14 years,32 patients aged from 15 to 18 years,and there was statistical difference in scoliosis prevalence among the 3 age groups(χ²=15.545,P=0.000); the scoliosis prevalence was higher in the 11-14 years group compared with the rest 2 age groups respectively(χ²=13.075,P=0.000; χ²=7.289,P=0.007); and there was no statistical difference in scoliosis prevalence between the rest 2 age groups(χ²=0.977,P=0.323).The scoliosis prevalence in females was higher than that in males in the 11-14 years group(21 males versus 35 females,χ²=3.947,P=0.047),while there was no statistical difference in scoliosis prevalence between males and females in the rest 2 age groups respectively(14 males versus 10 femals,χ²=0.203,P=0.652; 14 males versus 18 femals,χ²=0.436,P=0.509).Conclusion:The scoliosis prevalence is 0.62% in the primary and secondary school students in Wenzhou city,The scoliosis prevalence is higher in the students between the age of 11 and 14 years,among which,females have the higher prevalence compared with males and the urban students have lower prevalence compared with those from surrounding counties.

備注/Memo

備注/Memo:

2012-11-13收稿 2013-01-29修回
基金項目:浙江省溫州市科技局項目(Y20080108)

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更新日期/Last Update: 2013-04-30