不同时期广州市青少年儿童脊柱侧凸患病率调查  

Scoliosis prevalence survey of adolescents in Guangzhou City during different periods

作　　者：李卫平[1] 王志勇[1] 宋斌[1] 刘尚礼[1] 沈慧勇[1] 黄建荣[1] 

机构地区：[1]中山大学附属第二医院骨科,广东省广州市510120

出　　处：《中国组织工程研究与临床康复》2010年第46期8712-8716,共5页Journal of Clinical Rehabilitative Tissue Engineering Research

基　　金：广东省科委重点攻关项目(A0000990321)~~

摘　　要：背景:脊柱侧凸还没有病因性治疗方法,仅能针对已经发生畸形后的矫形和固定,所以对年龄段学生进行定期普查以便及时发现并在早期措施,有利于降低脊柱侧弯的发生率,但是国内还没有对于同一地区不同时段脊柱侧弯的流行病学调查研究。目的:观察1996/1997与2005年广州市青少年儿童脊柱侧凸患病率变化,比较不同时期的患病情况及原因分析。方法:分别于1996-01/1997-11及2005-02/12对广州市市区7～15岁在校青少年儿童进行了脊柱侧凸患病率的随机抽样调查。采用三检筛选法,计算不同时间脊柱侧凸患病率情况,χ2检验2次调查结果差异。结果与结论:1996/1997广州市青少年儿童脊柱侧凸的患病率为1.07%。其中男性患病率0.90%,女性患病率1.26%,两者的患病率之比为1:1.4。脊柱侧凸的患病类型:特发性侧凸350人,占96.95%,先天性侧凸6人,神经肌肉源性侧凸5人。2005年的患病率为1.21%;其中男性患病率0.96%,女性患病率1.49%,两者的患病率之比为1:1.5。脊柱侧凸的患病类型:特发性侧凸134人,占97.81%,神经肌肉源性侧凸3人,占2.19%,先天性侧凸0人。两次调查相比:患病率差异无显著性意义(χ2=3.775,P>0.05);男性患病率差异无显著性意义(χ2=0.442,P>0.05);女性的总体患病率有上升(χ2=4.013,P<0.05)。BACKGROUND：There is not an etiological method for the treatment of scoliosis.Orthopedic therapy and fixation are the only ways for deformed vertebral column.Therefore,it is helpful to reduce the occurrence of scoliosis through regular investigation.However,there is not a scoliosis prevalence survey in a region at different periods.OBJECTIVE：To observe the prevalence changes of adolescents of Guangzhou City from 1996/1997 to 2005,and to compare the cause between two different periods.METHODS：A random sample survey of scoliosis was performed on 7-15 years old students in Guangzhou City from January 1996 to November 1997 and February to December 2005,respectively.Three-check screening method was used to calculate the scoliosis prevalence,and χ2 test was performed to analyze the differences of two investigations.RESULTS AND CONCLUSION：The prevalence of scoliosis was 1.07% in the period of 1996 to 1997,including 0.90% in boys,and 1.26% in girls,with ratio of 1：1.4.The type of scoliosis including 250 idiopathic scoliosis（96.95%）,6 congenital scoliosis and 5 neuropathic scoliosis.The prevalence of scoliosis was 1.21% in 2005,including 0.96% in boys,and 1.49% in girls,with ratio of 1：1.5.The type of scoliosis including 134 idiopathic scoliosis（97.81%）,and 3 neuropathic scoliosis（2.19%）.There was no significant differences between two investigations in total prevalence（χ2=3.775,P 0.05） and male prevalence（χ2=0.442,P 0.05）,but the male prevalence was increased（χ2=4.013,P 0.05）.

关 键 词：柱侧凸 发病率 流行病学 青少年 COBB角 

分 类 号：R318[医药卫生—生物医学工程]