[1]陈劲松,王建榜,严喜章,等.西安市中小学生脊柱侧凸的流行病学调查[J].中医正骨,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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西安市中小学生脊柱侧凸的流行病学调查()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年05期
页码:
17-20
栏目:
调查研究
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:
陈劲松; 王建榜; 严喜章; 蒙树勇; 冯合才; 王慧民; 郭宏斌; 张允东; 周胜
西安医学院第二附属医院,陕西 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
关键词:
脊柱侧凸;  儿童;  青少年;  横断面研究
Keywords:
scoliosis;  child;  adolescent;  cross-sectional studies
摘要:
目的:调查西安市中小学生脊柱侧凸的患病情况,提高脊柱侧凸防治水平。方法:2013年9月至2014年4月随机在西安市选取31所中小学,选择其中7～18岁的学生进行调查,依次对所有受检者进行体格检查、脊柱侧凸测量尺检查及X线检查,X线检查脊柱侧凸Cobb's角≥10°者诊断为脊柱侧凸。结果:此次调查共涉及30 742名学生,男15 898名,女14 844名。体格检查阳性者1121例,阳性率3.65%; 脊柱侧凸测量尺检查阳性者789例,阳性率2.57%; X线检查阳性者393例,阳性率1.28%。最终诊断为脊柱侧凸者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。胸腰段侧凸157例,其中向左侧凸101例、向右侧凸56例; 胸段侧凸123例,其中向左侧凸43例、向右侧凸80例; 腰段侧凸80例,其中向左侧凸56例、向右侧凸24例; 胸腰双弯33例。将调查对象按年龄分为3组(7～9岁组、10～15岁组和16～18岁组),3组患病率比较,差异有统计学意义(χ2=43.927,P=0.000); 两两比较(α'=0.017),7～9岁组患病率低于10～15岁组和16～18岁组(χ2=42.459,P=0.000; χ2=43.149,P=0.000); 10～15岁组和16～18岁组患病率比较,差异无统计学意义(χ2=0.278,P=0.000)。7～9岁组和16～18岁组男女患病率比较,差异均无统计学意义(χ2=0.036,P=0.849; χ2=0.025,P=0.847); 10～15岁组男生患病率低于女生(χ2=24.738,P=0.000)。结论:西安市中小学10岁以上学生的脊柱侧凸患病率较高,10～15岁年龄段的女生患病率高于男生,应引起足够重视。
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.

参考文献/References:

[1] 缪鸿石.康复医学理论与实践[M].上海:上海科学技术出版社,2000:1683-1686.
[2] Lonstein JE,Bjorklund S,Wanninger MH,et al.Voluntary school screening for scoliosis in Minnesota[J].J Bone Joint Surg Am,1982,64(4):481-488.
[3] 田慧中,项泽文.脊柱畸形外科学[M].乌鲁木齐:新疆科技卫生出版社,1994:67-70.
[4] Ramachandra P,Palazzi KL,Holmes NM.Children with spinal abnormalities have an increased health burden from upper tract urolithiasis[J].Urology,2014,83(6):1378-1382.
[5] 张光铂,李子荣,魏新荣,等.学校青少年脊柱侧凸普查与治疗:北京市区,近郊区20,418例普查报告[J].中华骨科杂志,1989,9(1):43-46.
[6] 王谊,吴蓓茸,林野.温州市中小学生脊柱侧弯患病率调查[J].中医正骨,2013,25(4):25-27.
[7] Stirling AJ,Howel D,Millner PA,et al.Late-onset idiopathic scoliosis in children six to fourteen years old.A cross-sectional prevalence study[J].J Bone Joint Surg Am,1996,78(9):1330-1336.
[8] Soucacos PN,Soucacos PK,Zacharis KC,et al.School-screening for scoliosis.A prospective epidemiological study in northwestern and central Greece[J].J Bone Joint Surg Am,1997,79(10):1498-1503.
[9] Wong HK,Hui JH,Rajan U,et al.Idiopathic scoliosis in Singapore schoolchildren:a prevalence study 15 years into the screening program[J].Spine(Phila Pa 1976),2005,30(10):1188-1196.
[10] 江汉,江毅,赵春风,等.天津市红桥区57所小学在校学生脊柱侧弯患病率的调查[J].中华骨科杂志,1994,14(6):362-364.
[11] 刘尚礼,李卫平,李远景,等.广东省青少年脊柱侧凸患病率调查报告[J].中国脊柱脊髓杂志,2002,12(1):41-43.
[12] 周惠清,张建新,林思舜.福建省惠安县青少年脊柱侧凸流行病学调查[J].中国脊柱脊髓杂志,2008,18(11):824-827.
[13] 于至悌,曲振海,王明胜,等.农村中小学生脊柱侧弯的普查及早期诊断与治疗[J].中华骨科杂志,1995,15(7):418-421.
[14] 马迅,赵斌,林庆宽,等.山西省对中小学生脊柱侧弯患病率调查[J].中华流行病学杂志,1995,16(2):109-110.
[15] 李卫平,刘尚礼,陈兆荣,等.广州市学生脊柱侧凸患病率调查报告[J].中华小儿外科杂志,2001,22(2):40-42.
[16] Karachalios T,Sofianos J,Roidis N,et al.Ten-year follow-up evaluation of a school screening program for scoliosis-Is the forward-bending test an accurate diagnostic criterion for the screening of scoliosis?[J].Spine(Phila Pa 1976),1999,24(22):2318-2324.
[17] de Souza FI,Di Ferreira RB,Labres D,et al.Epidemiology of adolescent idiopathic scoliosis in students of the public schools in Goiania-GO[J].Acta Ortop Bras,2013,21(4):223-225.
[18] Konieczny MR,Senyurt H,Krauspe R.Epidemiology of adolescent idiopathic scoliosis[J].J Child Orthop,2013,7(1):3-9.
[19] Minghelli B,Nunes C,Oliveira R.Prevalence of scoliosis in southern Portugal adolescents[J].Pediatr Endocrinol Rev,2014,11(4):374-382.
[20] Sahlstrand T.The clinical value of Moiré topography in the management of scoliosis[J].Spine(Phila Pa 1976),1986,11(5):409-417.
[21] Daruwalla JS,Balasubramaniam P.Moiré topography in scoliosis.Its accuracy in detecting the site and size of the curve[J].J Bone Joint Surg Br,1985,67(2):211-213.

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备注/Memo

备注/Memo:
2014-08-18收稿 2014-12-05修回
基金项目:陕西省教育厅资助项目(11JK0663)
更新日期/Last Update: 2015-05-30