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[1]陳勁松,王建榜,嚴(yán)喜章,等.西安市中小學(xué)生脊柱側(cè)凸的流行病學(xué)調(diào)查[J].中醫(yī)正骨,2015,27(05):17-20.
　CHEN Jinsong,WANG Jianbang,YAN Xizhang,et al.Epidemiological investigation of scoliosis in primary and secondary school students in Xi'an[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(05):17-20.
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西安市中小學(xué)生脊柱側(cè)凸的流行病學(xué)調(diào)查()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年05期
頁碼:
17-20
欄目:
調(diào)查研究
出版日期:
2015-05-30

文章信息/Info

Title:
Epidemiological investigation of scoliosis in primary and secondary school students in Xi'an
作者:
陳勁松; 王建榜; 嚴(yán)喜章; 蒙樹勇; 馮合才; 王慧民; 郭宏斌; 張?jiān)蕱|; 周勝
西安醫(yī)學(xué)院第二附屬醫(yī)院,陜西 西安 710038
Author(s):
CHEN Jinsong;  WANG Jianbang;  YAN Xizhang;  MENG Shuyong;  FENG Hecai;  WANG Huimin;  GUO Hongbin;  ZHANG Yundong;  ZHOU Sheng
The Second Affiliated Hospital of Xi'an Medical University, Xi'an 710038, Shanxi, China
關(guān)鍵詞:
脊柱側(cè)凸;  兒童;  青少年;  橫斷面研究
Keywords:
scoliosis;  child;  adolescent;  cross-sectional studies
摘要:
目的:調(diào)查西安市中小學(xué)生脊柱側(cè)凸的患病情況,提高脊柱側(cè)凸防治水平。方法:2013年9月至2014年4月隨機(jī)在西安市選取31所中小學(xué),選擇其中7～18歲的學(xué)生進(jìn)行調(diào)查,依次對所有受檢者進(jìn)行體格檢查、脊柱側(cè)凸測量尺檢查及X線檢查,X線檢查脊柱側(cè)凸Cobb's角≥10°者診斷為脊柱側(cè)凸。結(jié)果:此次調(diào)查共涉及30 742名學(xué)生,男15 898名,女14 844名。體格檢查陽性者1121例,陽性率3.65%; 脊柱側(cè)凸測量尺檢查陽性者789例,陽性率2.57%; X線檢查陽性者393例,陽性率1.28%。最終診斷為脊柱側(cè)凸者393例,男160例,女233例,女生患病率高于男生(χ2=19.296,P=0.000)。Cobb's角10°～19°者329例,Cobb's角20°～39°者56例,Cobb's角≥40°者8例。胸腰段側(cè)凸157例,其中向左側(cè)凸101例、向右側(cè)凸56例; 胸段側(cè)凸123例,其中向左側(cè)凸43例、向右側(cè)凸80例; 腰段側(cè)凸80例,其中向左側(cè)凸56例、向右側(cè)凸24例; 胸腰雙彎33例。將調(diào)查對象按年齡分為3組(7～9歲組、10～15歲組和16～18歲組),3組患病率比較,差異有統(tǒng)計(jì)學(xué)意義(χ2=43.927,P=0.000); 兩兩比較(α'=0.017),7～9歲組患病率低于10～15歲組和16～18歲組(χ2=42.459,P=0.000; χ2=43.149,P=0.000); 10～15歲組和16～18歲組患病率比較,差異無統(tǒng)計(jì)學(xué)意義(χ2=0.278,P=0.000)。7～9歲組和16～18歲組男女患病率比較,差異均無統(tǒng)計(jì)學(xué)意義(χ2=0.036,P=0.849; χ2=0.025,P=0.847); 10～15歲組男生患病率低于女生(χ2=24.738,P=0.000)。結(jié)論:西安市中小學(xué)10歲以上學(xué)生的脊柱側(cè)凸患病率較高,10～15歲年齡段的女生患病率高于男生,應(yīng)引起足夠重視。
Abstract:
Objective:To investigate the prevalence of scoliosis in primary and secondary school students in Xi'an so as to improve the prevention and treatment level of scoliosis.Methods:From September 2013 to April 2014,31 primary and secondary schools in Xi'an were randomly selected,in which students of 7-18 years old were investigated by physical examination,scoliosis measuring scale measurement and X-ray examination successively.The subjects with scoliosis Cobb's angle of ≥10°in X-ray examination were diagnosed as scoliosis.Results:A total of 30 742 students(15 898 males and 14 844 females)were involved in this survey.The physical examination results were positive in 1121 cases(positive rate 3.65%),and scoliosis measuring scale measurement results were positive in 789 cases(positive rate 2.57%),and X-ray examination results were positive in 393 cases(positive rate 1.28%).Ultimately,393 cases(160 males and 233 females)were diagnosed as scoliosis and the prevalence rate was higher in females compared to males(χ2=19.296,P=0.000).Cobb's angle of 10-19 degrees was found in 329 cases,while Cobb's angle of 20-39 degrees was found in 56 cases and Cobb's angle of ≥40°was found in 8 cases.The thoracolumbar lateral curvature was found in 157 cases(bend to the left in 101 cases and to the right in 56 cases); 123 patients suffered from thoracic lateral curvature(bend to the left in 43 cases and to the right in 80 cases); 80 cases belonged to lumbar lateral curvature(bend to the left in 56 cases and to the right in 24 cases); and lateral curvature was found in thoracic and lumbar spine in 33 cases.Respondents were divided into 3 groups according to age(7-9-years-old group,10-15-years-old group and 16-18-years-old group).There was statistical difference in the prevalence rate of scoliosis between the three groups(χ2=43.927,P=0.000).Further pairwise comparison(α'=0.017)showed that the prevalence rate was lower in 7-9-years-old group compared to the other two groups(χ2=42.459,P=0.000; χ2=43.149,P=0.000).No statistical difference was found between 10-15-years-old group and 16-18-years-old group(χ2=0.278,P=0.000).There was no statistical difference in the prevalence rate between males and females in 7-9-years-old group and 16-18-years-old group(χ2=0.036,P=0.849; χ2=0.025,P=0.847),and the prevalence rate was lower in male students compare to female students in 10-15-years-old group(χ2=24.738,P=0.000).Conclusion:The prevalence rate of scoliosis is high in students more than 10 years old in primary and secondary schools in Xi'an and females have a relative higher prevalence rate compared to males in 10-15-years-old students,which should be paid enough attention.

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備注/Memo

備注/Memo:
2014-08-18收稿 2014-12-05修回
基金項(xiàng)目:陜西省教育廳資助項(xiàng)目(11JK0663)
更新日期/Last Update: 2015-05-30