清远市在校青少年特发性脊柱侧弯发病率的调查与分析  

Investigation and analysis of incidence of adolescent idiopathic-scoliosis,AIS in Qingyuan City

作　　者：梁喜章 杨小催 谢杰 LIANG Xizhang;YANG Xiaocui;XIE jie(Department of Orthopedics,Qingyuan Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine,Guangdong Province,Qingyuan511500,China)

机构地区：[1]广州中医药大学附属清远中医院骨科,广东清远511500

出　　处：《中国当代医药》2024年第14期102-105,共4页China Modern Medicine

基　　金：广东省医学科学技术研究基金项目(B2022181)。

摘　　要：目的通过筛查了解清远市在校青少年特发性脊柱侧弯(AIS)发病的情况。方法选取2021年9月至2022年9月清远市665333名在校青少年作为研究对象,采用“三检法”“五步筛查法”从性别、年龄、脊柱侧弯角度(Cobb角)度数,及各年龄段分布等对进行AIS筛查,对调查结果进行统计分析。结果通过“五步筛查法”检出在校AIS 3122例,检出率为0.5%(3122/665333),其中男检出率为54.6%(1704/3122),女检出率为45.4%(1418/3122),男女检出率比较,差异无统计学意义(P>0.05);通过“三检法”检出在校AIS1824例,发病率为0.3%(1824/665333),其中男801例,发病率为0.2%;女1023例,发病率为0.3%,男女发病率比较,差异无统计学意义(P>0.05)。AIS集中在10~18岁,其中14~<16岁患病率最高,Cobb角在10°~<20°区间例数最多。结论通过开展青少年脊柱侧弯筛查,可以有效地早发现早干预脊柱侧弯,提升青少年的身体健康水平。Objective To understand the incidence of adolescent idiopathic-scoliosis(AIS)among Qingyuan City through screening.Methods A total of 665333 adolescents in Qingyuan city from September 2021 to September 2022 were selected as the research subjects.AIS screening was performed by"three-check method"and"five-step screening method"in terms of gender,age,cobb angle,age distribution,and the survey results were statistically analyzed.Results A total of 3122 cases of AIS were detected by the"five-step screening method",the detection rate was 0.5%(3122/665333),and the detection rate was 54.6%(1704/3122)for males and 45.4%(1418/3122)for females.There was no significant difference in detection rate between male and female(P>0.05).A total of 1824 cases of AIS were detected by the"three detection method",with an incidence rate of 0.3%(1824/665333),including 801 males with an incidence rate of 0.2%,and 1023 female with an incidence of 0.3%.There was no significant difference in incidence between male and female(P>0.05).AIS was concentrated in 10 to 18 years old,and the prevalence rate was highest in 14 to 16 years old,and the number of Cobb angles in 10°to 20°was the most.Conclusion By conducting adolescent scoliosis screening,it can effectively detect scoliosis early and improve the physical health level of adolescents.

关 键 词：清远市 青少年特发性脊柱侧弯 筛查 发病率 

分 类 号：R681.5[医药卫生—骨科学]