乐山市中小学生平足症的现状调查与防治对策研究  

A Study of the Current Situation and Prevention of Flatfoot among Students of Middle and Primary Schools in Leshan

作　　者：钟浪[1] 刘雨 王泽容 周婷婷[1] 陈雨佳 张建 姚望 王永才[1] ZHONG Lang;LIU Yu;WANG Zerong;ZHOU Tingting;CHEN Yujia;ZHANG Jian;YAO Wang;WANG Yongcai(The People’s Hospital of Leshan,Leshan 614099,China)

机构地区：[1]乐山市人民医院,四川乐山614000

出　　处：《乐山师范学院学报》2024年第8期135-140,共6页Journal of Leshan Normal University

基　　金：乐山市重点研究项目“乐山市中小学平足畸形的预防筛查和情况分析”(22SZD059)。

摘　　要：目前国内关于平足症的预防筛查以及远期预后相关研究尚不全面,仍缺少标准化防治体系、专家共识及指南等相关指导,该研究以乐山市8所中小学10038名学龄儿童为研究对象,通过足骨形态测量、提踵实验、足印分析以及疼痛评分等方法筛查阳性平足症学龄儿童,进一步统计分析其年龄、体重指数(BMI)与平足分级相关性。结果表明:乐山市6~14岁学龄儿童平足症患病率为10.31%,轻度平足症850名(82.13%)、中度平足症144名(13.91%)、重度平足症41名(3.96%),乐山市学龄儿童平足症患病率与国际持平,患病率随着年龄的增长呈下降趋势。年龄较小、肥胖是平足症的危险因素(P<0.05)。基于该研究结果提出了相应防治措施,促进大众对平足症认知与重视,科学防治平足发生。Currently,domestic research on the prevention,screening,and long-term prognosis of flatfoot is not comprehensive.There is still a lack of standardized prevention and treatment systems,expert consensus,and guidelines.In this study,10,038 school-aged children from eight primary and secondary schools in Leshan have been selected for screening positive cases of flatfoot by means of foot bone morphology measurement,heel lift test,footprint analysis,and pain scoring.Further statistical analysis has been conducted on their age,body mass index(BMI),and the correlation with flatfoot classification.According to the results,the prevalence of flatfoot among school-aged children in Leshan aged 6 to 14 years old is 10.31%,with 850 cases of mild flatfoot(82.13%),144 cases of moderate flatfoot(13.91%),and 41 cases of severe flatfoot(3.96%).The prevalence of flatfoot among school-aged children in Leshan is the same as that in the world,and the prevalence rate tends to decrease with age.Younger age and obesity are risk factors for flatfoot(P<0.05).Based on these findings,corresponding prevention measures have been proposed to raise public awareness and attach its attention to flatfoot for a science-based prevention and treatment.

关 键 词：平足 危险因素 现状调查 防治对策 

分 类 号：R179[医药卫生—妇幼卫生保健]