辽宁省锦州地区中小学生脊柱侧凸患病率调查报告

Investigation of scoliosis among school children in Jinzhou of Liaoning

目的了解辽宁省锦州地区青少年脊柱侧凸的流行情况，为临床治疗和预防提供依据。方法于2006年5月至2009年8月对锦州地区30所中小学12257名7～16岁的学生进行脊柱侧凸患病率的普查。结果共查出脊柱侧凸患者41例（cobb角≥10°），患病率为0．35％。其中特发性脊柱侧凸38例，占92．69％，女32例，男6例，经X^2检验女性患病率显著高于男性（P〈0．001）。先天性脊柱侧凸2例，神经肌肉源性脊柱侧凸1例。结论在青少年时期开展脊柱侧凸的群体普查是早期发现、及时防治脊柱侧凸的一种有效方法。而脊柱测量仪和前屈试验在普查中易于应用。

Objective To explore the prevalence of scoliosis among adolescents in Jinzhou county, and provide a clinical basis for its treatment and prevention. Methods From May 2006 to August 2009,12 257 students between 7 to 16 years old in 30 primary and junior middle schools were checked for scoliosis. Results The cobb angles more than 10 degrees were found in 41 children. The prevalence of scoliosis was 0. 35%. 38 patients with idiopathic scoliosis were detected, ac- counting for 92.69%, and there were 2 cases of congenital scoliosis and 1 cases of ncurogenic scoliosis. The ratio of girls to boys with idiopathic scoliosis was 32： 6. The prevelance of idiopathic scoliosis was significantly lower in boys than that in girls （P 〈 0. 001 ）. Conclusion Investigation of scoliosis among school - age population is very important for early diagnosis and effective prevention and treatment of scoliosis. Scoliometer and Adam＇s forward bent have advantage in spinal deformity screen in school.