青少年脊柱侧凸的流行病学研究  

Epidemiologic Study on Adolescent Idiopathic Scoliosis

作　　者：周惠清[1] 张建新[2] 林思舜[1] 

机构地区：[1]福建省惠安县疾病预防控制中心,福建惠安362100 [2]福建省厦门市中医院

出　　处：《中国中医骨伤科杂志》2009年第2期36-38,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：福建省泉州市第四批技术研究与开发项目(2007Z64);福建省惠安县第四批科技项目(2007-15)

摘　　要：目的:研究青少年脊柱侧凸(AIS)的流行情况,为治疗和预防提供临床依据。方法::将本地区普查的对象分成小学、初中、高中三组进行患病率的比较,并从脊柱侧凸的角度方面、侧凸的节段方面分析讨论。结果:①小学组的患病率为0.20%,初中组为0.88%,高中组为0.89%,初中组的患病率增加最显著;②cobb角10°～19°的患者占大多数,为79.49%,20°以上的患者全部在初中以后出现;③所有AIS中胸腰段最为常见,占52.14%,其次为胸段、腰段、双弯。结论:对AIS监测中初中生最有意义,对青少年进行脊柱侧凸流行病学研究能够帮助人们进一步认知AIS疾病的发病机制及发展规律,对提高防治脊柱侧凸水平具有积极意义。Objective：TO investigate prevalence of adolescent idiopathic scoliosis （AIS） so as to provide clinical basis for its prevention and treatment. Methods：All subjects were assigned to 3 groups： primary school, junior high school and senior high school. The aspects of angle and segment of AIS were evaluated. Results： （1） The morbidity rates were 0.20%, 0. 88% and 0.89% respectively in the 3 groups. The morbidity rate in junior high school increased remarkably; （2） Cases with Cobb angles between 10% and 19% accounted for 79.49%. Cobb angles of 20% or above 20% all occurred in junior high school; （3） Seoliosis were most frequently seen in thoracic waist （52. 14%）, and the following were thoracic segments, lumbar segments and double curves. Conclusion：Monitoring AIS in iunior high school presents the most significance. Epidemiologic study in adolescents promotes recognition of its pathogenesis and developmental pattern, which is meaningful for its prevention and control.

关 键 词：脊柱侧凸 流行病学研究 建议 

分 类 号：R682.3[医药卫生—骨科学]