深圳市初中生特发性脊柱侧弯患病率的调查分析

An Investigation about the Prevalence Rate of Idiopathic Scoliosis in Middle School Students in Shenzhen

目的:研究广东省深圳市初中生特发性脊柱侧弯患病率和患病特点,为临床治疗和预防提供依据。方法:于2015年3月至2017年6月采用"三检筛查"法对深圳市15247例11~16岁初中生进行了特发性脊柱侧弯调查。结果:检出特发性脊柱侧弯126例(患病率0.83%),其中男55例(患病率0.74%)、女71例(患病率0.91%),女性患病率显著高于男性(P<0.01)。年龄分布呈逐年上升趋势。Cobb角10~19°患病人数92例,Cobb角20~39°23例,40°以上11例。主要的曲线模式依次为:胸腰段侧弯最为多见(57例),其次为胸段(41例),腰段(17例),双弯较少见(11例)。结论:深圳市初中生特发性脊柱侧弯患病率为0.83%,应重点进行监测、防治,对其进行普查是早期发现、及时防治并改善青少年健康水平的一种简单、可行、有效的方法。

Objective To investigate the prevalence rate of idiopathic scoliosis （AIS） of middle school students in Shenzhen. Methods From 2015 to 2017, 15247 students （11 - 16 yrs old） in middle School were screened for idiopathic scoliosis （IS） with 3 steps. Results 126 cases （0.83 %） with idiopathic scoliosis were detected, including 55 males and 71 females. The prevalence rate in females was significantly higher than that in males （P 〈 0.01）. The distribution was increasing with age. There were 92 cases with Scoliosis in Cobb＇angle from 10 °to 19°, 23 cases in 20° to 39°, and 11 cases in more than 40°. Most of idiopathic scoliosis （57 cases） happened in thoracic and lumbar spine curve, 41 cases in thoracic spine curve and 17 cases in lumbar spine curve, whereas 11 cases with double curved spine. Conclusions The prevalence rate of idiopathic scoliosis in middle school students was 0.83 % in Shenzhen. It is very important to pay close attention to idiopathic scoliosis in middle school students. Regular screening, early prevention and treatment of idiopathic scoliosis should be advocated to guarantee adolescents＇health in our country.