四川省理塘县青少年特发性脊柱侧弯的调查分析  

Investigation and Analysis of Adolescent Idiopathic Scoliosis in Litang County,Sichuan Province

作　　者：黄思思 朱兰 郭川 湛维峄 何培蓉 金山 王盛[5] HUANG Sisi;ZHU Lan;GUO Chuan;ZHAN Weiyi;HE Peirong;JIN Shan;WANG Sheng(Rehabilitation Medical Center of the First Affiliated Hospital of Nanjing Medical University/Jiangsu Provincial People's Hospital,Nanjing 210029,Jiangsu,China;Department of Rehabilitation Medicine,Geriatric Hospital Affiliated to Nanjing Medical University,Nanjing 210037,Jiangsu,China;Xinye Public Welfare Service Center of Qinhuai District,Nanjing 210023,Jiangsu,China;Jiangsu Disabled Persons'Federation,Nanjing 210023,Jiangsu,China;Department of Rehabilitation Medicine,Suzhou Science and Technology City Hospital Affiliated to Nanjing Medical University,Suzhou 215153,Jiangsu,China)

机构地区：[1]南京医科大学第一附属医院/江苏省人民医院康复医学中心,江苏南京210029 [2]南京医科大学附属老年医院康复医学科,江苏南京210037 [3]南京市秦淮区新叶公益服务中心,江苏南京210023 [4]江苏省残疾人联合会,江苏南京210023 [5]南京医科大学附属苏州科技城医院康复医学科,江苏苏州215153

出　　处：《医学信息》2025年第2期72-75,共4页Journal of Medical Information

基　　金：国家重点研发计划项目(编号:2018YFC2001600、2018YFC2001603)。

摘　　要：目的了解我国四川省甘孜藏族自治州理塘县青少年的脊柱健康状况,分析其特征。方法由南京新叶公益组织江苏省残联及医院的专业人员对四川省甘孜藏族自治州理塘县的6所中小学校学生进行脊柱健康筛查,采用标准的脊柱侧弯筛查流程,并进行X线检查,调查青少年脊柱健康状况。结果理塘县接受脊柱筛查的学生总共2997名,第一步阳性者576名,阳性率为19.22%;第二步X线确诊的患病人数为27名,患病率为0.90%。经全脊柱X线评估发现,理塘县青少年特发性脊柱侧弯Cobb角≥10°有27例,占比为0.90%;其中男11例,女16例,各年龄组别脊柱侧弯患病率以17岁年龄段最高,在胸段和腰段脊柱侧弯的发生率最高。结论理塘县青少年特发性脊柱侧弯的患病率较低,但学校、家庭以及社会仍需给予青少年身体姿势更多关注,尤其是在中西部偏远地区,应积极进行脊柱健康状况的筛查。Objective To understand the spine health status of adolescents in Litang County,Ganzi Tibetan Autonomous Prefecture,Sichuan Province,China,and to analyze its characteristics.Methods Spine health screening was conducted among students from 6 primary and secondary schools in Litang County,Ganzi Tibetan Autonomous Prefecture,Sichuan Province by professionals from Jiangsu Disabled Persons'Federation and Hospital of Nanjing Xinye Public Welfare Organization.The standard scoliosis screening process was adopted,and X-ray examination was conducted to investigate the spine health status of adolescents.Results A total of 2997 students received spinal screening in Litang County,of which 576 were positive in the first step,with a positive rate of 19.22%.The number of patients diagnosed by the second step X-ray was 27,and the prevalence rate was 0.90%.Through the whole spine X-ray evaluation,it was found that there were 27 cases of adolescent idiopathic scoliosis Cobb angle≥10°in Litang County,accounting for 0.90%;among them,there were 11 males and 16 females.The prevalence of scoliosis in all age groups was the highest in the 17-year-old group,and the incidence of scoliosis in the thoracic and lumbar segments was the highest.Conclusion The prevalence of adolescent idiopathic scoliosis in Litang County is low,but schools,families and society still need to pay more attention to the physical posture of adolescents,especially in the remote areas of the central and western regions,and the health status of the spine should be actively screened.

关 键 词：理塘县 青少年 特发性脊柱侧弯 胸廓畸形 

分 类 号：R681.5[医药卫生—骨科学]