廊坊地区中、小学生脊柱侧弯患病率调查

An Epidemiological Survey of Scoliosis among Primary and Junior Middle School Students in Langfang Area

目的:了解廊坊地区青少年脊柱侧弯的患病率和患病特点,提高保健和防治水平。方法:于1997～1999年对廊坊地区16658名7～17岁中小学生脊柱侧弯情况进行了调查,采用“三检筛选”法,即一检体检、二检云纹照相、三检X线摄片。结果:脊柱侧弯的患病率为1.51％,年龄分布呈逐年上升趋势,9～13岁间上升较快;11岁后的患病率明显高于11岁前的患病率;女性与男性患病率之比为1.34:1;特发性脊柱侧弯占89.64％;Cobb角10°～19°者占89.24％;主要的曲线模式依次为:单纯主要胸腰段曲线(32.89％)、单纯主要胸椎曲线(24.44％)、单纯主要腰椎曲线(21.78％)、胸椎和腰椎联合曲线(19.56％)。结论:在中小学校进行脊柱侧弯的普查是早期发现、及时防治、提高全民保健意识的一种简单、可行、有效的方法。

Objective:To investigate the scoliosis epidemic among school - age population in Langfang area. Methods: From 1997 to 1999,16658 students from 7 to 17 years old in primary and junior middle schools were checked for scoliosis with three steps of physical examination, moire topography and radiography. Results:The prevalence rate of scoliosis was 1.51% . The prevalence rate was higher in female and in older students. Among all the positive findings, idiopathic scoliosis accounted for 89.64% and scoliosis with Cobb' angle from 10 to 19 degree did 89.24% . Conclusion: The investigation of scoliosis among school- age population is very important for early diagnosis and effective prevention and treatment of scoliosis, which should be advocated to improve the level of adolescent health in our country.