2021年北京市东城区中小学生脊柱侧弯患病率现状调查

Prevalence of scoliosis among primary and secondary school students in Dongcheng district of Beijing,2021

目的了解中小学生脊柱侧弯患病的现状,为中小学生脊柱侧弯的防控提供科学依据。方法通过整群随机抽样的方法选取东城区7所学校,抽取2021年9—11月参与体检的各学校每年级以班级为单位至少80名学生为研究对象收集相关信息,采用二元logistic回归进行多因素统计学分析。结果共收集1539名学生信息,4.6%的学生患有不同部位的侧弯情况。其中腰段侧弯较多。初中及高中学生的胸段脊柱侧弯率分别为4.5%和3.4%,高于小学生的0.4%;初中及高中生腰段侧弯率分别为5.7%和3.8%,均高于小学生的0.7%;女生腰段的侧弯率为4.7%高于男生的2.2%。结论被调查中小学生的脊柱侧弯率处于较高水平,而消瘦的学生患脊柱侧弯的风险更高,因此家庭、学校及有关各部门应加以重视,应加强早期筛查及防控的开展。

Objective To understand the prevalence of scoliosis among primary and middle school students,and to provide scientific basis for the scoliosis prevention and control of scoliosis.Methods A cluster random sampling method was used to select seven schools in Dongcheng district of Beijing.The students who were attend medical examinations from September to November in 2021 were investigated and 80 students at least were enrolled from one class in each grade.Multivariate statistical analysis was performed with binary logistic regression.Results A total of 1539 students was selected.The prevalence of lateral bending in different parts was 4.6%,and waist segment side bend was higher.The scoliosis rates of thoracic spine were 4.5%and 3.4%in junior and senior high school students,whose were higher than in primary school students(0.4%).The lumbar scoliosis rates were 5.7%and 3.8%in junior and senior high school students,whose were higher than in primary school students(0.7%),respectively.The lateral bending rate of waist in girls(4.7%)was higher than that in boys(2.2%).Conclusions The rates of scoliosis in primary and secondary schools were high.A low BMI is associated with a higher risk of scoliosis.Families,schools and other departments should pay attention to scoliosis and earlier screening and prevention and control measurement should be strengthened.