[1]黄亮,陈非凡,潘英森,等.青少年特发性脊柱侧凸治未病三级预防体系的构建与实践路径——《青少年特发性脊柱侧凸治未病干预指南》解读[J].中医正骨,2026,38(06):71-75.
 HUANG Liang,CHEN Feifan,PAN Yingsen,et al.Construction and practical implementation of a three-tiered prevention system of treating disease before its onset for adolescent idiopathic scoliosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2026,38(06):71-75.
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青少年特发性脊柱侧凸治未病三级预防体系的构建与实践路径——《青少年特发性脊柱侧凸治未病干预指南》解读()

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第38卷
期数:
2026年06期
页码:
71-75
栏目:
指南解读
出版日期:
2026-06-20

文章信息/Info

Title:
Construction and practical implementation of a three-tiered prevention system of treating disease before its onset for adolescent idiopathic scoliosis
作者:
黄亮1陈非凡1潘英森2徐佳音3范一啸1杨炉水1缪克雷1占桂平1
1.丽水市中医院,浙江 丽水 323020; 2.浙江中医药大学附属第一医院/浙江省中医院,浙江 杭州 310006; 3.中国中医科学院望京医院,北京 100102
Author(s):
HUANG LiangCHEN FeifanPAN YingsenXU JiayinFAN YixiaoYANG LushuiMIAO KeleiZHAN Guiping
关键词:
脊柱侧凸 青少年 治未病 预防体系 指南解读
摘要:
青少年特发性脊柱侧凸(adolescent idiopathic scoliosis,AIS)患病率高、防控形势严峻,且临床上长期存在重治轻防的倾向。2023年发布的《青少年特发性脊柱侧凸治未病干预指南》(以下简称《指南》)首次将中医“治未病”思想与AIS现代防治体系深度融合,构建了未病先防、既病防变、瘥后防复的治未病三级预防体系。本文对《指南》进行了深入解读,系统梳理了AIS治未病三级预防体系,加深了临床医生对《指南》的理解,为其开展规范化AIS防治工作提供了参考。

参考文献/References:

[1] 李丽,于少泓,周霞,等.中医康复临床实践指南·儿童青少年特发性脊柱侧弯[J].康复学报,2023,33(4):295-302.
[2] 石茂彪,马亚萍,季文军,等.青少年特发性脊柱侧弯非手术治疗的现状[J].中国矫形外科杂志,2023,31(13):1189-1193.
[3] 张超峰,李宇卫.青少年特发性脊柱侧弯的病因学和治疗研究进展[J].交通医学,2024,38(3):240-244.
[4] 胡清源,邓丽愿,杨新月.青少年特发性脊柱侧凸的针对性非手术治疗进展[J].中国疗养医学,2025,34(1):77-82.
[5] 于潼,李鑫,张振南,等.青少年特发性脊柱侧凸治未病干预指南(T/CACM 1555—2023)[J].中国骨与关节损伤杂志,2026,41(1):43-49.
[6] 朱震亨.丹溪心法[M].王英,竹剑平,江凌圳,整理.北京:人民卫生出版社,2005:4.
[7] NORMAND E,FRANCO A,MARCIL V.Nutrition and physical activity level of adolescents with idiopathic scoliosis:a narrative review[J].Spine J,2020,20(5):785-799.
[8] 张子和.儒门事亲[M].上海:上海科学技术出版社,1959:68-72.
[9] 李时珍.本草纲目:第1册[M].北京:人民卫生出版社,1975:125.
[10] FAN Y,REN Q,TO M K T,et al.Effectiveness of scoliosis-specific exercises for alleviating adolescent idiopathic scoliosis:a systematic review[J].BMC Musculoskelet Disord,2020,21(1):495.
[11] BULL F C,AL-ANSARI S S,BIDDLE S,et al.World health organization 2020 guidelines on physical activity and sedentary behaviour[J].Br J Sports Med,2020,54(24):1451-1462.
[12] TANCHEV P I,DZHEROV A D,PARUSHEV A D,et al.Scoliosis in rhythmic gymnasts[J].Spine(Phila Pa 1976),2000,25(11):1367-1372.
[13] WATANABE K,MICHIKAWA T,YONEZAWA I,et al.Physical activities and lifestyle factors related to adolescent idiopathic scoliosis[J].J Bone Joint Surg Am,2017,99(4):284-294.
[14] 李凯洋,郭建军,荣湘江,等.青少年特发性脊柱侧弯可控的危险因素分析[J].中国预防医学杂志,2023,24(1):73-76.
[15] CARRY P M,TERHUNE E A,TRAHAN G D,et al.Severity of idiopathic scoliosis is associated with differential me-thylation:an epigenome-wide association study of monozygotic twins with idiopathic scoliosis[J].Genes,2021,12(8):1191.
[16] TANG N L S,YEUNG H Y,HUNG V W Y,et al.Genetic epidemiology and heritability of AIS:a study of 415 Chinese female patients[J].J Orthop Res,2012,30(9):1464-1469.
[17] KHANSHOUR A M,KOU I,FAN Y,et al.Genome-wide meta-analysis and replication studies in multiple ethnicities identify novel adolescent idiopathic scoliosis susceptibility loci[J].Hum Mol Genet,2018,27(22):3986-3998.
[18] LEE T T,LAI K K,CHENG J C,et al.3D ultrasound imaging provides reliable angle measurement with validity comparable to X-ray in patients with adolescent idiopathic scoliosis[J].J Orthop Translat,2021,29:51-59.
[19] YANG J F,HUANG S Z,CHENG M Y,et al.Postural habits and lifestyle factors associated with adolescent idiopathic scoliosis(AIS)in China:results from a big case-control study[J].J Orthop Surg Res,2022,17(1):472.
[20] PARAMENTO M,PASSAROTTO E,MACCARONE M C,et al.Neurophysiological,balance and motion evidence in adolescent idiopathic scoliosis:a systematic review[J].PLoS One,2024,19(5):e0303086.
[21] 李帅林,应晓明,吕立江,等.范炳华教授以筋骨失衡论治青少年特发性脊柱侧弯经验[J].中医儿科杂志,2024,20(5):26-31.
[22] REN J,WANG S,LI M,et al.Comparative efficacy of conservative interventions for adolescent idiopathic scoliosis:a systematic review and network meta-analysis of randomized controlled trials[J].Syst Rev,2025,14(1):156.
[23] 何晓沛,田秋慧,任麦青,等.施罗斯疗法联合普拉提训练在青少年特发性脊柱侧弯康复治疗中的应用[J].海南医学,2024,35(23):3383-3387.
[24] RAFFERTY A,FLEMING N,KIELY P,et al.Does exercise therapy improve pulmonary function in patients with adolescent idiopathic scoliosis?[J].Physiother Theory Pract,2023,39(6):1095-1105.
[25] MA K Y,WANG C,HUANG Y J,et al.The effects of physiotherapeutic scoliosis-specific exercise on idiopathic scoliosis in children and adolescents:a systematic review and meta-analysis[J].Physiotherapy,2023,121:46-57.
[26] LI P,HE Y,ZHOU J,et al.Traditional Chinese medicine for adolescent idiopathic scoliosis:a systematic review and meta-analysis[J].Front Pediatr,2025,13:1502741.
[27] 王瑞,林自立,梁英业,等.中医外治法治疗青少年特发性脊柱侧弯的研究进展[J].按摩与康复医学,2023,14(3):41-44.
[28] 李捷,李新衡,凌海乾,等.青少年特发性脊柱侧凸骨骼成熟度评估的研究进展——Sanders骨骼成熟度系统的解读[J].中国脊柱脊髓杂志,2023,33(12):1119-1127.

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备注/Memo

备注/Memo:
基金项目:丽水市医学重点学科建设项目(丽卫〔2025〕133号); 浙江省中医优势专科建设项目(浙中医药〔2025〕12号)
通信作者:占桂平 E-mail:lishuizgp@163.com
(收稿日期:2026-02-09 本文编辑:郭毅曼)
更新日期/Last Update: 2026-06-20