中国儿童青少年脊柱弯曲异常现状和防控进展  

Current status and progress in the prevention and control of spinal curvatures in Chinese children and adolescents

作　　者：宋欣俐 袁雯 蒋家诺 刘忠慧[2] 陈璐[2] 宋逸[1] 马军[1] 董彦会 SONG Xinli;YUAN Wen;JIANG Jianuo;LIU Zhonghui;CHEN Lu;SONG Yi;MA Jun;DONG Yanhui(School of Public Health/Institute of Child and Adolescent Health,Peking University,Beijing(100191),China;不详)

机构地区：[1]北京大学公共卫生学院/北京大学儿童青少年卫生研究所,北京100191 [2]天津市疾病预防控制中心环境与健康室

出　　处：《中国学校卫生》2024年第7期1059-1064,共6页Chinese Journal of School Health

基　　金：北京市教育科学“十四五”规划课题(AECA22126)。

摘　　要：脊柱异常弯曲已经成为影响中国儿童青少年身心健康的第三大慢性疾病,且地区间差异较大。其发病原因复杂多样,早期可防易治,晚期治疗难度大、经济负担高。当前,学生脊柱弯曲异常的防控已被提升至国家健康战略,一系列政策文件陆续颁布,极大推动了全国范围学生脊柱弯曲异常定期筛查的制度化和常态化。然而,目前儿童青少年脊柱弯曲异常的防控体系尚不完备,亟需基于中国的制度优势建立以“初筛—确诊—诊疗—预防控制—随访评估”多位一体的闭环模式以强化儿童青少年脊柱健康的保障。Spinal curvatures has emerged as the third major chronic condition seriously threatening the physical and mental health of Chinese children and adolescents,with significant regional differences.Its etiology is complex and diverse,and early prevention and treatment are feasible,whereas treatment in later stages entails considerable difficulty and economic burden.Currently,the prevention and control of student spinal curvatures has been elevated to a national health strategy.A series of policy documents have been successively issued,and it has greatly facilitated the institutionalization and normalization of national routine screening for student spinal curvatures.However,it is still inadequate considering current prevention and control system for spinal curvatures in children and adolescents.There is an urgent need to establish a closed-loop model based on China's institutional advantages,comprising Initial Screening-Diagnosis-Treatment-Preventive Control-Follow-up Assessment,to strengthen the safeguarding of spinal health in children and adolescents.

关 键 词：脊柱弯曲 预防卫生服务 儿童 青少年 

分 类 号：R179[医药卫生—妇幼卫生保健] R726.8[医药卫生—公共卫生与预防医学] R682.3