厦门市海沧区青少年脊柱畸形的筛查及早期干预  

Screening and Early Intervention of Spinal Deformities in Adolescents in Haicang District,Xiamen City

作　　者：刘泉 朱赵 赵柏阳 黄建军 LIU Quan;ZHU Zhao;ZHAO Baiyang;HUANG Jianjun(Department of Orthopedics,Xiamen Haicang Hospital,Fujian Province,Xiamen Fujian 361026,China)

机构地区：[1]福建省厦门市海沧医院骨科,福建厦门361026

出　　处：《中国卫生标准管理》2024年第20期35-39,共5页China Health Standard Management

基　　金：厦门市海沧区工业和信息化局科技计划项目(350205Z 20202003)。

摘　　要：目的通过筛查了解厦门市海沧区10~18岁青少年脊柱的健康情况,为将来的青少年脊柱畸形筛查及防治工作提供相关的理论依据及简单有效的筛查方法。方法2020年9月—2023年7月按照《中国青少年脊柱侧凸筛查临床实践指南及路径指引》的原则和方法对厦门市海沧区部分中小学校的11735名10~18岁青少年进行脊柱健康筛查。分析初筛、复筛阳性对象基本信息,不同性别特发性脊柱侧凸Cobb角分布情况。结果学校初筛阳性225例;复筛阳性75例,其中男性19例,女性56例,均为特发性脊柱侧凸。Cobb角10°~20°51例,男性18例,女性33例;>20°~45°21例,男性1例,女性20例;>45°3例,男性0例,女性3例。结论厦门市海沧区青少年脊柱健康状况良好,其中10~18岁青少年特发性脊柱侧凸(adolescent idiopathic scoliosis,AIS)患病率为0.64%,处于国内中等水平;其中男女患病率之比为1∶3.00,危险年龄为10~14岁。Objective To understand the spinal health status of adolescents aged 10-18 in Haicang District,Xiamen City through screening,and to provide theoretical basis and simple and effective screening methods for future screening and prevention of scoliosis in adolescents.Methods From September 2020 to July 2023,according to the principles and methods of the"Clinical Practice Guidelines and Pathway Guidelines for Scoliosis Screening in Chinese Adolescents",11735 adolescents aged 10-18 from some primary and secondary schools in Haicang District,Xiamen City were screened for spinal health.The basic information of positive subjects in primary and secondary screening and the distribution of Cobb Angle in idiopathic scoliosis of different genders were analyzed.Results A total of 225 cases were positive in primary screening.Rescreening positive results were found in 75 cases,including 19 males and 56 females,all of which were idiopathic scoliosis.There were 51 cases ranging from 10°to 20°,18 males and 33 females.There were 21 cases>20°to 45°,1 male and 20 female.There were 3 cases>45°,0 males and 3 females.Conclusion The spinal health status of adolescents in Haicang District,Xiamen City is good,and the prevalence rate of adolescent idiopathic scoliosis(AIS)in 10-18 years old was 0.64%,which is at the moderate level in China.The male to female ratio is 1:3.00,and the risk age is 10-14 years old.

关 键 词：脊柱侧凸 青少年期 COBB角 筛查 早期干预 患病率 

分 类 号：R682[医药卫生—骨科学]