泉州市区少年儿童脊柱侧弯患病普查

A Survey on the Incidence of Juvenile Scoliosis in Quanzhou Area

目的:调查泉州市区少年儿童脊柱侧弯的患病情况,以提高对脊柱侧弯的防治水平。方法:以2002年9月～2005年3月间对泉州市区11所中小学21112名学生为对象,对其脊柱侧弯患病三检法(体格检查、脊柱侧弯测量尺检查、X线检查)。结果:泉州市区少年儿童脊柱侧弯的患病率为0.748%,7～10岁、11～14岁、15～18岁各组患病率呈上升趋势;女性患者比男性稍多,男女患病率之比为0.841:1;侧弯20°以上者女性患病率明显高于男性,男女之比为0.276:1;特发性侧弯占96.84%,先天性侧弯占2.53%,神经肌肉源性侧弯占0.63%。结论:泉州市区少年儿童脊柱侧弯患病率随着年龄增长而上升;女性患病率较高,且侧弯角度大,应引起足够的重视;对少年儿童进行脊柱侧弯患病的普查能为防治少年儿童脊柱侧弯提供理论依据。

Objective：To investigate the incidence of juvenile scoliosis in Quanzhou area and to enhance prevention and cure for scoliosis. Methods：From Sept. 2002 to Mar. 2005, 21112 students from 11 primary and junior schools received mass screening for scoliosis with three-check method （physical examination, back angle measuring and X-ray）. Results：The incidence of juvenile scoliosis in Quanzhou area was 0. 748% and it went steadily higher from the age brackets of 7 to 10 years, 11 to 14 years until the age of 15 to 18 years. There was lower incidence in males than in females and the ratio was 0. 841; 1. In the Cobb,s angle of more than 20°, female patients were much more than male patients and the ratio was 1 ：0. 276. The main abnormality was idiopathic scoliosis （ 96. 84%）, congenital scoliosis （ 2. 53%） and the paralytic scoliosis （0.63% ）. Conclusion：The incidence of juvenile scoliosis in Quanzhou area increased with the age, and females accounted for a bigger proportion and bigger angles, to which enough attention should be paid. General investigation of scoliosis among school-age population could be an effective way for early diagnosis and effective prevention.