[1]丁幸坡,滕军燕,柴爽,等.郑州市郑东新区初中生特发性脊柱侧弯的患病率调查[J].中医正骨,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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郑州市郑东新区初中生特发性脊柱侧弯的患病率调查()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期数:
2020年06期
页码:
31-34,37
栏目:
调查研究
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; 滕军燕; 柴爽; 李小玲; 苏晓川; 仝颂; 赵晓菲; 吴涛; 陈璐璐; 郭智萍
(河南省洛阳正骨医院河南省骨科医院,河南郑州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
关键词:
青少年;  脊柱侧凸;  患病率
Keywords:
Adolescent;  Scoliosis;  Prevalence
摘要:
目的:了解郑州市郑东新区初中生特发性脊柱侧弯的患病情况。方法:2019年9—11月,借助中学生体检机会,采用三步检查法(体格检查、脊背倾斜度测量、X线检查)对郑州市郑东新区25所中学的初中生进行脊柱侧弯筛查。参照《中医整脊常见病诊疗指南》中青少年特发性脊柱侧弯的标准进行诊断。结果:此次调查共涉及18 518名学生,男9317名、女9201名。年龄12～16岁,中位数14岁。第1步检查发现阳性体征者578例,阳性率3.12%。第2步检查发现阳性体征者303例,阳性率1.64%。303例脊背倾斜度≥5°的学生中,12岁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岁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岁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岁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岁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步检查发现阳性体征者234例,阳性率1.26%。234例Cobb角>10°的学生中,12岁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岁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岁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岁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岁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%)。去除先天性脊柱侧弯25例、小儿麻痹性脊柱侧弯2例,最终共207例被确诊为特发性脊柱侧弯,阳性率1.12%。207例特发性脊柱侧弯学生中,12岁12例,患病率0.35%; 13岁59例,患病率1.78%; 14岁64例,患病率1.50%; 15岁40例,患病率1.04%; 16岁32例,患病率0.87%。采用“直接法”对年龄进行标准化处理,各年龄段的实际筛查人数乘以实际患病率即为预期患者数。男性预期患者数110例,女性预期患者数312例,女性特发性脊柱侧弯患病率高于男性(χ2=97.806,P=0.000)。结论:郑州市郑东新区初中生特发性脊柱侧弯的患病率为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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备注/Memo

备注/Memo:
(收稿日期:2020-01-03本文编辑:郭毅曼)基金项目:河南省中医药科学研究专项课题(2015ZY01002)通讯作者:郭智萍E-mail:lyzgyy@163.com
更新日期/Last Update: 2020-10-10