云南某高中特发性脊柱侧弯疑似症状检出现状及影响因素分析  

Detection status and influencing factors of suspected symptoms of idiopathic scoliosis in students in a senior high school in Yunnan Province

作　　者：张丽芳[1] 邓淑珍[1] 刘春艳[1] 韦蝶心[1] 黄达峰[1] 常利涛[1] 代丽梅[1] ZHANG Li-fang;DENG Shu-zhen;LIU Chun-yan;WEI Die-xin;HUNAG Da-feng;CHANG Li-tao;DAI Li-mei(Yunnan Center for Disease Control and Prevention,Kunming 650022,Yunnan China)

机构地区：[1]云南省疾病预防控制中心学校卫生所,云南昆明650022

出　　处：《中国校医》2021年第9期654-656,670,共4页Chinese Journal of School Doctor

摘　　要：目的了解并分析高中学生特发性脊柱侧弯(AIS)疑似症状发生情况及其相关影响因素,为防制该病提出建议。方法收集2013—2019年云南省某一级一类高中高二学生体检数据,使用多因素logistic回归、卡方检验分析相关影响因素。结果AIS疑似症状检出859人,检出率12.18%,其中男生检出率8.65%,女生15.20%,差异有统计学意义(χ^(2)=70.188,P<0.01)。在低体质量组、正常低值组、正常高值组男女生AIS疑似症状检出率差异均有统计学意义(P<0.01)。男女生不同BMI组AIS疑似症状异常检出率差异有统计学意义(P<0.01),低体质量组检出率高于正常高值组、超重组、肥胖组(P<0.01)。文科生AIS疑似症状检出率13.87%,高于理科生的11.26%(χ^(2)=8.015,P<0.01);文科女生检出率16.76%,高于理科女生的13.98%(χ^(2)=4.120,P<0.05)。AIS疑似症状检出两分类多因素logistic回归分析显示:性别、身高、舒张压、体质量、裸眼视力均是AIS发生的影响因素(P<0.05)。结论AIS疑似症状检出率在文科女生、BMI相对低者中明显高于其他学生,应针对这些学生开展腰背部体育锻炼及健康教育。Objective To understand and analyze the occurrence and related influencing factors of suspected adolescent idiopathic scoliosis(AIS)among high school students,so as to put forward suggestions for prevention and control of AIS.Methods The annual physical examinations were conducted in a high school in Yunnan Province from 2013 to 2019,and the data were collected simultaneously.The multivariate logistic regression analysis(MLRA)and chi-square test were employed to analyze the relevant influencing factors for occurrence of AIS suspected symptoms.Results The overall detection rate of AIS suspected symptom was 12.18%(859/7051),among which the detection rate was 8.65%for boys and 15.20%for girls,with statistically significant differences(χ^(2)=70.188,P<0.001).There were significant differences of AIS detection rates among the low body weight group(G1),the normal group-with lower value(G2),and the normal group-with higher value(G3)(P<0.01).There were significant differences of detection rates in any BMI groups between boys and girls(P<0.01).The detection rate of G1 was higher than the rates of G3,the overweight group(G4)and the obese group(G5)(P<0.001).The detection rate(13.87%)of AIS in students with liberal art background was higher than that(11.26%)of students with science background(χ^(2)=8.015,P<0.05).The detection rate(16.76%)of liberal art girls was higher than that(13.98%)of science girls(χ^(2)=4.120,P<0.05).The results of MLRA showed gender,height,diastolic blood pressure,body weight and naked eye vision were all influencing factors for detection of suspected AIS(P<0.05).Conclusion The detection rate of AIS suspected symptoms is significantly higher among students with lower value of BMI and girls with liberal art background.Therefore,it is necessary to increase the health promotion and physical exercises targeting on the lower back among those students.

关 键 词：学生 脊柱侧凸 体格检查 因素分析 统计学 

分 类 号：R179[医药卫生—妇幼卫生保健]