广州市青少年脊柱侧凸患病率调查  

A survey on adolescent scoliosis in Guangzhou

作　　者：黄南祺[1] 郭垣杉[1] 刘进[1] 黄广鑫[2] 杨夏慧[2] 陈静[2] 苏培强[2] 

机构地区：[1]中山大学中山医学院,广州510080 [2]中山大学中山医学院附属第一医院脊柱外科,广州510080

出　　处：《中华流行病学杂志》2011年第2期138-141,共4页Chinese Journal of Epidemiology

基　　金：国家自然科学基金（30700456）

摘　　要：目的 了解广州市青少年脊柱侧凸的患病率.方法 2007年11月至2009年7月对广州市30 142名在校学生进行脊柱侧凸普查.首先由普查体检医生在学校对学生进行初步体格检查,阳性或可疑阳性者再由骨科医生复查;对骨科医生检查阳性或可疑阳性者行X线摄片检查.结果 共检出脊柱侧凸患者211例（Cobb角≥10°）,患病率为0.70%.其中特发性脊柱侧凸192例（91.00%）,先天性脊柱侧凸19例（9.00%）.女生180例,男生31例,女生患病率显著高于男生（x2=112.332,P＜0.001）.结论 广州市中小学生脊柱侧凸的患病率为0.70%,女生患病率明显高于男性.对青少年进行脊柱侧凸普查可以早期发现、及时矫治,对防治脊柱侧凸具有积极意义.Objective To investigate the prevalence of adolescent scoliosis in Guangzhou for development of effective prevention and treatment program to the disease. Methods From November2007 to July 2009, 30 142 students between 7 to 20 years old in primary and junior middle schools received physical check-up for detection of scoliosis through physical and radiographic examination.Results 211 cases were diagnosed as scoliosis （Cobb angle≥10°） , with the prevalence rate as 0.70%. 192 patients with idiopathic scoliosis （IS） were detected, accounting for 91.00%. There were 19 cases of congenital scoliosis, accounting for 9.00%. Sex ratio of scoliosis was 180/31. The prevalence of scoliosis was significantly lower in boys than that in girls （x2= 112.332, P〈0.001 ）.Conclusion The crude prevalence of adolescent scoliosis was 0.70% in Guangzhou with majority of idiopathic scoliosis. Investigation on scoliosis among school-age population seemed to be important for the purposes of early diagnosis, selection of effective prevention and treatment.

关 键 词：脊柱侧凸 患病率 

分 类 号：R195[医药卫生—卫生统计学]