摘要
目的探讨甘孜藏族自治州青少年脊椎侧弯现况及相关因素。方法以甘孜藏族自治州在校初中、高中学生为对象,采用多阶分层抽样法,用自制《基本情况调查表》收集人口学信息,采用三检筛选法进行脊椎侧弯检查,结果采用Logistic回归法分析影响脊柱侧弯的独立危险因素。结果调查涉及12所学校,5 126名学生,脊柱侧弯检出率为2.40%;其中特发性脊柱侧弯占比87.00%,非特发性占比13.00%;男性脊柱侧弯检出率为1.96%,女性2.90%,男∶女=1∶1.48;男性总体检出率低于女性(P<0.05);具有脊柱疾病家族史、农业人口及不良坐姿青少年脊柱侧弯发生率高于无脊柱疾病家族史、非农业人口及无不良坐姿青少年(P<0.05);多因素分析结果显示,脊柱疾病家族史是青少年脊柱侧侧弯的独立危险因素(P<0.05)。结论甘孜藏族自治州青少年脊椎侧弯检出率较高,可通过加强疾病宣教、纠正不良坐姿等方面进行预防。
Objective To investigate the current situation and related factors of scoliosis of adolescents in Ganzi Tibetan Autonomous Prefecture. Methods The junior high school and senior high school students in the Ganzi Tibetan Autonomous Prefecture were enrolled as the objects by using the multilevel sampling method. The demographic information was collected by a self-made Basic Situation Questionnaire. The scoliosis examination was performed by the three-inspection screening method from February to October in 2018. Results The positive rate of scoliosis was 2.40% in the5 126 students coming from 12 schools in the study. For all scoliosis students, the idiopathic scoliosis accounted for 87.00%, while the non-idiopathic scoliosis accounted for 13.00%. The incidence of scoliosis in male was 1.96%, and that in female was 2.90%, the ratio of male to female equaled to 1∶ 1.48. The overall prevalence in male was significantly lower than that in female(P<0.05). The incidence of scoliosis in adolescents with family history of spinal disease, agricultural population and poor sitting posture was significantly higher than that in adolescents without family history of spinal disease,with non-agricultural population and without adverse sitting posture(P<0.05). Multivariate analysis showed family history of spinal disease was an independent risk factor for adolescent scoliosis(P<0.05). Conclusion The prevalence of scoliosis is relatively higher of adolescents in Ganzi Tibetan Autonomous Prefecture,which could be prevented by strengthening disease education and correcting bad sitting posture.
作者
邓雪飞
邬玉林
邓明琼
DENG Xuefei;WU Yulin;DENG Mingqiong(People's Hospital of Ganzi Tibetan Autonomous Prefecture, Ganzi 626000, Sichuan Province, China)
出处
《预防医学情报杂志》
CAS
2019年第7期667-670,共4页
Journal of Preventive Medicine Information
基金
四川省卫生和计划生育委员会科技计划项目(项目编号:16PJ149)
关键词
甘孜藏族自治州
青少年
脊椎侧弯
现况调查
Ganzi Tibetan Autonomous Prefecture
addescent
scoliosis
prevalence survey
