福建省惠安县青少年脊柱侧凸流行病学调查

Epidemiological investigation of scoliosis among adolescents in Hui'an county,Fujian province

目的:了解福建省惠安县青少年脊柱侧凸的流行情况,为临床治疗和预防提供依据。方法:2007年3月～2008年5月对惠安县13所医疗卫生监控点学校32280名中小学生进行脊柱侧凸调查。结果:检出234例脊柱侧凸患者(Cobb角≥10°),患病率为0.72%。其中特发性侧凸229例,先天性侧凸4例,神经肌肉性侧凸1例;女性141例,男性93例,女性患病率显著高于男性(χ2=17.46,P<0.01);小学组的患病率为0.20%,初中组为0.88%,高中组为0.89%,初中组的患病率与小学组比较明显升高;Cobb角10°～19°的患者占79.49%,20°以上的患者全部在13岁以后出现。结论:惠安县青少年脊柱侧凸患病率为0.72%,女性患病率明显高于男性,初中组变化尤为明显,应重点进行监测。

Objective：To explore the prevalence of scoliosis among adolescents in Hui＇an county,Fujian province,and provide a clinical basis for its treatment and prevention.Method：The occurrence of scoliosis,among 32280 adolescents from 13 schools which were assigned to be medical and health monitoring points,was investigated in Hui＇an county,Fujian Province through March 2007 to May 2008.Result：234 cases were diag- nosed as scoliosis （Cobb angle≥10°）,among which,there were 229 cases of idiopathic scoliosis,4 eases of congenital scoliosis,1 case of neuromuscular scoliosis,with the prevalence rate being 0.72%.Categorized by gender, 141 cases were female and 93 cases male,with the female prevalence rate being significantly higher than the male one （X^2=17.46,P〈0.01）;classified by age group,the prevalence rate of the primary-school-group was 0.20% ,that of the junior-high-school group being 0.88% ,and senior-high-school group 0.89% ,with the most notable increase in prevalence rate among adolescents of junior-high-school group;79.49% patient＇s Cobb angles was between 10° and 19°.All the patients with Cobb angles〉≥20° were occurred at older than 13.Conclusion：The prevalence rate of seoliosis among adolescents in Hui＇an county was 0.72%,with the female prevalence rate being significantly higher than the male one,which is more apparent during the stage between primary school and junior high school.