中国西南地区青少年脊柱侧凸筛查的现状与分析  

Status and analysis of scoliosis screening among adolescents in Southwest China

作　　者：刘小梅[1,2] 周勇 刘敏[1,2] 王谦 LIU Xiaomei;ZHOU Yong;LIU Min;WANG Qian(Rehabilitation Medicine Center,West China Hospital,Sichuan University,Chengdu 610041,China;Sichuan Key Laboratory of Rehabilitation Medicine,Chengdu 610041,China)

机构地区：[1]四川大学华西医院康复医学中心 [2]康复医学四川省重点实验室,四川成都610041

出　　处：《西部医学》2023年第8期1203-1207,共5页Medical Journal of West China

基　　金：康复辅具适配中心项目(TJZCJJK001)。

摘　　要：目的 了解中国西南地区青少年脊柱侧凸的筛查现状、模式方法、存在问题,为后续西南地区特别是少数民族青少年脊柱侧凸的科学筛查提供参考。方法 检索PubMed、Web of Science、中国知网、万方和维普数据库从建库至2022年发表的相关文献,总结相关内容。结果 最终纳入文献10篇,筛查时间在2001年—2019年间涉及西南五省八个市级县共计95530人,年龄6~21岁,受检男女比为1∶0.94。筛查方法主要分为二检筛查法和三检筛查法。初筛阳性率女性高于男性,且各地不一。结论 目前西南地区的脊柱侧凸筛查工作还处于起步阶段,存在筛查体系不完善、筛查方案不统一、观察指标各异、初筛阳性率差异大、民众对于脊柱侧凸筛查的重要性及相关知识认识不足等问题。应尽快建立完备的筛查体系,完善筛查方案设计,加强脊柱侧凸相关的科普培训是后续筛查的重点。Objective To review the current status,mode and existing problems of screening for scoliosis in southwest China,and provide reference for the subsequent scientific screening of scoliosis in southwest China,especially among minority adolescents.Methods PubMed,Web of Science,CNKI,Wanfang and VIP database from database establishment to 2022 to summarize the relevant contents.Results A total of ten studies were finally included.The screening time was from 2001 to 2019,involving eight municipal counties in five provinces in southwest China,a total of 95530 people,aged 6-21 years,and the male to female ratio(1∶0.94).Screening methods were mainly divided into two screening method and three screening method.The positive rate of women was higher than men,and it varies everywhere.Conclusion At present,the screening of scoliosis in southwest China is still in the initial stage,and there are problems such as imperfect screening system,inconsistent screening program,different observation indicators,different positive rate of primary screening,and the lack of understanding of the importance of scoliosis screening and related knowledge.The focus of subsequent screening is to establish a complete screening system as soon as possible,improve the screening program design,and strengthen the popular science training of scoliosis.

关 键 词：西南地区 脊柱侧凸 青少年 筛查 

分 类 号：R179[医药卫生—妇幼卫生保健] R682.13[医药卫生—公共卫生与预防医学]