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[1]丁幸坡,滕軍燕,柴爽,等.鄭州市鄭東新區(qū)初中生特發(fā)性脊柱側(cè)彎的患病率調(diào)查[J].中醫(yī)正骨,2020,32(06):31-34,37.
　DING Xingpo,TENG Junyan,CHAI Shuang,et al.A survey of prevalence rate of idiopathic scoliosis of middle school students in Zhengdong new district of Zhengzhou[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(06):31-34,37.
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鄭州市鄭東新區(qū)初中生特發(fā)性脊柱側(cè)彎的患病率調(diào)查()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數(shù):
2020年06期
頁碼:
31-34,37
欄目:
調(diào)查研究
出版日期:
2020-06-20

文章信息/Info

Title:
A survey of prevalence rate of idiopathic scoliosis of middle school students in Zhengdong new district of Zhengzhou
作者:
丁幸坡; 滕軍燕; 柴爽; 李小玲; 蘇曉川; 仝頌; 趙曉菲; 吳濤; 陳璐璐; 郭智萍
(河南省洛陽正骨醫(yī)院河南省骨科醫(yī)院,河南鄭州450016)
Author(s):
DING Xingpo; TENG Junyan; CHAI Shuang; LI Xiaoling; SU Xiaochuan; TONG Song; ZHAO Xiaofei; WU Tao; CHEN Lulu; GUO Zhiping
Luoyang Orthopedic-Traumatological Hospital,Zhengzhou 450016,Henan,China
關(guān)鍵詞:
青少年;  脊柱側(cè)凸;  患病率
Keywords:
Adolescent;  Scoliosis;  Prevalence
摘要:
目的:了解鄭州市鄭東新區(qū)初中生特發(fā)性脊柱側(cè)彎的患病情況。方法:2019年9—11月,借助中學(xué)生體檢機(jī)會(huì),采用三步檢查法(體格檢查、脊背傾斜度測(cè)量、X線檢查)對(duì)鄭州市鄭東新區(qū)25所中學(xué)的初中生進(jìn)行脊柱側(cè)彎篩查。參照《中醫(yī)整脊常見病診療指南》中青少年特發(fā)性脊柱側(cè)彎的標(biāo)準(zhǔn)進(jìn)行診斷。結(jié)果:此次調(diào)查共涉及18 518名學(xué)生,男9317名、女9201名。年齡12～16歲,中位數(shù)14歲。第1步檢查發(fā)現(xiàn)陽性體征者578例,陽性率3.12%。第2步檢查發(fā)現(xiàn)陽性體征者303例,陽性率1.64%。303例脊背傾斜度≥5°的學(xué)生中,12歲18例,其中5°～7°者15例(83.33%)、8°～10°者2例(11.11%)、≥11°者1例(5.56%); 13歲90例,其中5°～7°者71例(78.89%)、8°～10°者14例(15.56%)、≥11°者5例(5.56%); 14歲108例,其中5°～7°者83例(76.85%)、8°～10°者17例(15.74%)、≥11°者8例(7.41%); 15歲56例,其中5°～7°者42例(75.00%)、8°～10°者10例(17.86%)、≥11°者4例(7.14%); 16歲31例,其中5°～7°者21例(67.74%)、8°～10°者8例(25.81%)、≥11°者2例(6.45%)。第3步檢查發(fā)現(xiàn)陽性體征者234例,陽性率1.26%。234例Cobb角>10°的學(xué)生中,12歲14例,其中10°～20°者9例(64.29%)、21°～30°者2例(14.29%)、31°～40°者1例(7.14%)、≥41°者2例(14.29%); 13歲70例,其中10°～20°者56例(80.00%)、21°～30°者5例(7.14%)、31°～40°者4例(5.71%)、≥41°者5例(7.14%); 14歲79例,其中10°～20°者61例(77.22%)、21°～30°者7例(8.86%)、31°～40°者6例(7.59%)、≥41°者5例(6.33%); 15歲43例,其中10°～20°者34例(79.07%)、21°～30°者3例(6.98%)、31°～40°者2例(4.65%)、≥41°者4例(9.30%); 16歲28例,其中10°～20°者24例(85.71%)、21°～30°者2例(7.14%)、31°～40°者1例(3.57%)、≥41°者1例(3.57%)。去除先天性脊柱側(cè)彎25例、小兒麻痹性脊柱側(cè)彎2例,最終共207例被確診為特發(fā)性脊柱側(cè)彎,陽性率1.12%。207例特發(fā)性脊柱側(cè)彎學(xué)生中,12歲12例,患病率0.35%; 13歲59例,患病率1.78%; 14歲64例,患病率1.50%; 15歲40例,患病率1.04%; 16歲32例,患病率0.87%。采用“直接法”對(duì)年齡進(jìn)行標(biāo)準(zhǔn)化處理,各年齡段的實(shí)際篩查人數(shù)乘以實(shí)際患病率即為預(yù)期患者數(shù)。男性預(yù)期患者數(shù)110例,女性預(yù)期患者數(shù)312例,女性特發(fā)性脊柱側(cè)彎患病率高于男性(χ2=97.806,P=0.000)。結(jié)論:鄭州市鄭東新區(qū)初中生特發(fā)性脊柱側(cè)彎的患病率為1.12%,其中女性患病率高于男性。
Abstract:
Objective:To investigate the prevalence rate of idiopathic scoliosis of middle school students in Zhengdong new district of Zhengzhou.Methods:Scoliosis screening was performed among middle school students from 25 schools in Zhengdong new district of Zhengzhou using three-step examination method(physical examination,dorsal inclination measurement and X-ray examination)by the chance of health examination from September 2019 to November 2019.The diagnosis was performed according to the adolescents’ idiopathic scoliosis diagnosis standards which were extracted from Guidelines for Diagnosis and Treatment of Common Diseases of Spinal Orthopedics in Traditional Chinese Medicine.Results:Eighteen thousand five hundred and eighteen students were involved in the survey.They consisted of 9317 males and 9201 females and ranged in age from 12 to 16 years(Median=14 yrs).The positive signs were found in 578 students after the first-step examination and in 303 students after the second-step examination and the positive rate was 3.12% and 1.64% respectively.The ages were 12(18),13(90),14(108),15(56)and 16(31)years among the 303 students with dorsal inclination angle of ≥5 degrees.The dorsal inclination angles ranged from 5 to 7 degrees in 15(83.33%),71(78.89%),83(76.85%),42(75.00%)and 21(67.74%)students; 8 to 10 degrees in 2(11.11%),14(15.56%),17(15.74%),10(17.86%)and 8(25.81%)students and was of ≥11 degrees in 1(5.56%),5(5.56%),8(7.41%),4(7.14%)and 2(6.45%)students aged 12,13,14,15 and 16 years old respectively.The positive signs were found in 234 students after the third-step examination and the positive rate was 1.26%.The ages were 12(14),13(70),14(79),15(43)and 16(28)years old in the 234 students with Cobb angle of>10 degrees.The Cobb angle ranged from 10 to 20 degrees in 9(64.29%),56(80.00%),61(77.22%),34(79.07%)and 24(85.71%)students; 21 to 30 degrees in 2(14.29%),5(7.14%),7(8.86%),3(6.98%)and 2(7.14%)students; 31 to 40 degrees in 1(7.14%),4(5.71%),6(7.59%),2(4.65%)and 1(3.57%)students and was of≥41 degrees in 2(14.29%),5(7.14%),5(6.33%),4(9.30%)and 1(3.57%)students aged 12,13,14,15 and 16 years old respectively.Two hundred and seven students were finally diagnosed with idiopathic scoliosis except 25 students with congenital scoliosis and 2 students with poliomyelitis scoliosis,and the positive rate was 1.12%.The prevalence rates of idiopathic scoliosis were 0.35%,1.78%,1.50%,1.04% and 0.87% in the 207 students aged 12(12),13(59),14(64),15(40)and 16(32)years old respectively.The standardized processing was performed on age by using direct method,and the expected quantity of patients was calculated out through multiplying the actual quantity of screened students at all age-bracket by the actual prevalence rate.The expected quantity of patients was 110 in males and 312 in females,and the prevalence rate of idiopathic scoliosis was higher in females compared to males(χ2=97.806,P=0.000).Conclusion:The prevalence rate of idiopathic scoliosis of middle school students is 1.12% in Zhengdong new district of Zhengzhou,and it is higher in females compared to males.

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備注/Memo

備注/Memo:
(收稿日期:2020-01-03本文編輯:郭毅曼)基金項(xiàng)目:河南省中醫(yī)藥科學(xué)研究專項(xiàng)課題(2015ZY01002)通訊作者:郭智萍E-mail:[email protected]
更新日期/Last Update: 2020-10-10