摘要
目的了解甘肃省榆中县青少年脊柱侧凸现况,以冀为相关部门制定中小学生脊柱侧凸防治措施提供参考。方法以甘肃省榆中县全县192所中小学共计36728名6~18岁在校学生作为研究对象,应用三检法(体检、脊柱侧凸测量尺检查、X线检查)进行脊柱侧凸的筛查。结果研究对象中,经一检和二检后,判定为阳性者827人,阳性检出率为2.25%。而参加三检的人数为104人,三检阳性检出58人,检出率为55.77%。经计算,甘肃省榆中县中小学在校学生脊柱异常的患病率为1.26%。在三检的研究对象中,58人拍片显示脊柱异常:其中Cobb角大于等于10°的44人(Cobb角10°~20°的30人,Cobb角20°~40°的13人,Cobb角大于40°的1人)。确诊为脊柱异常的研究对象中,男生21人,女生37人。男女学生中脊柱异常类型最常见的为Cobb角大于等于10°(男生15人,女生29人),其次为休门氏病(男生3人,女生6人)。被确诊为脊柱异常的研究对象中,11~<12岁年龄段检出最多,检出9人,其次为10~<11岁年龄段,检出8人,第三为12~<13岁年龄段,检出7人。结论在中小学生中进行脊柱侧凸筛查有助于早发现、早治疗,对防治脊柱侧凸有重要意义。
Objective To understand the current situation of adolescent scoliosis in Yuzhong County,Gansu Province,in order to provide a reference for the relevant departments to develop prevention and treatment measures for scoliosis in primary and secondary school students.Methods A total of 36728 school students aged 6-18 years in 192 primary and secondary schools in Yuzhong County,Gansu Province,were used for scoliosis screening by the triple-examination method(physical examination,scoliosis measuring tape examination,and X-ray examination).Results Among the study subjects,827 were determined to be positive after the first and second examinations,with a positive detection rate of 2.25%.Meanwhile,the number of participants in the third test was 104,and 58 people were positively detected in the third test,with a detection rate of 55.77%.The prevalence of spinal abnormalities among primary and secondary school students in Yuzhong County,Gansu Province,was calculated to be 1.26%.Among the triple-examination study subjects,58 had radiographs showing spinal abnormalities:44 of them had Cobb angles greater than or equal to 10°(30 with Cobb angles of 10°to 20°,13 with Cobb angles of 20°to 40°,and 1 with Cobb angle greater than 40°).Of the study subjects diagnosed with spinal anomalies,21 were male and 37 were female.The most common type of spinal abnormality among male and female students was Cobb angle greater than or equal to 10°(15 males and 29 females),followed by Scheuermann's disease(3 males and 6 females).The study subjects diagnosed with spinal anomalies had the highest number of detections in the 11-<12 years age group with 9 detections,followed by the 10-<11 years age group with 8 detections,and the third was the 12-<13 years age group with 7 detections.Conclusion Screening for scoliosis among primary and secondary school students helps in early detection and treatment and is important for the prevention and treatment of scoliosis.
作者
温剑涛
崔小娟
张辰
汪娟
黄晋
王华明
代长泉
裴生太
Wen Jiantao;Cui Xiaojuan;Zhang Chen;Wang Juan;Huang Jin;Wang Huaming;Dai Changquan;Pei Shengtai(Department of Pediatric Orthopedics,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)
出处
《保健医学研究与实践》
2021年第5期35-38,共4页
Health Medicine Research and Practice
关键词
脊柱侧凸
患病率
筛查
青少年
Scoliosis
Prevalence
Screening
Adolescents
