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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第25卷

期数:

2013年04期

页码:

25-27

栏目:

足踝损伤

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:

王谊; 吴蓓茸; 林野

温州医学院附属第二医院,浙江 温州 325027

Author(s):

WANG Yi^*; WU Bei-rong; LIN Ye.^*

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

关键词:

脊柱侧凸 患病率 青少年 学生 横断面研究

Keywords:

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

摘要:

目的:调查温州市中小学生脊柱侧弯患病情况。方法:2010年9月至2011年12月在温州市706所小学和474所中学中随机整群抽取8所小学和8所中学进行脊柱侧弯患病率调查。依次对16所中小学的所有学生进行体格检查、云纹照相及X线检查。结果:此次调查共涉及18 154名学生,男9 319名,女8 835名; 7～10岁者6 018名,11～14岁者5 983名,15～18岁者6 153名; 市区学生9 231名,县区学生8 923名。体格检查阳性者418名,云纹照相检查阳性者191名,X线检查阳性者112名,患病率为0.62%。112名患者中男49名,女63名,不同性别患病率比较,差异无统计学意义(χ²=2.594,P=0.107)。市区学生44名,县区学生68名,县区学生患病率高于市区学生(χ²=6.028,P=0.014)。7～10岁24名,11～14岁56名,15～18岁32名,3个年龄组脊柱侧弯的患病率比较,差异有统计学意义(χ²=15.545,P=0.000); 11～14岁年龄组脊柱侧弯患病率高于其余2个年龄组(χ²=13.075,P=0.000; χ²=7.289,P=0.007); 其余2个年龄组的患病率比较,差异无统计学意义(χ²=0.977,P=0.323)。11～14岁年龄组女性患病率高于男性(男21名,女35名,χ²=3.947,P=0.047),其余2个年龄组男女患病率比较,差异无统计学意义(男14名,女10名,χ²=0.203,P=0.652; 男14名,女18名,χ²=0.436,P=0.509)。结论:温州市中小学生的脊柱侧弯患病率为0.62%; 其中11～14岁学生的脊柱侧弯患病率较高,在这一年龄段女性的患病率高于男性; 市区学生患病率低于周边县区学生。

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.

备注/Memo

备注/Memo:

2012-11-13收稿 2013-01-29修回
基金项目:浙江省温州市科技局项目(Y20080108)

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更新日期/Last Update: 2013-04-30