摘要
目的 通过筛查了解清远市在校青少年特发性脊柱侧弯(AIS)发病的情况.方法 选取2021年9月至2022年9月清远市665 333名在校青少年作为研究对象,采用"三检法""五步筛查法"从性别、年龄、脊柱侧弯角度(Cobb角)度数,及各年龄段分布等对进行AIS筛查,对调查结果进行统计分析.结果 通过"五步筛查法"检出在校AIS 3 122 例,检出率为 0.5%(3 122/665 333),其中男检出率为 54.6%(1 704/3 122),女检出率为 45.4%(1 418/3 122),男女检出率比较,差异无统计学意义(P>0.05);通过"三检法"检出在校AIS1 824例,发病率为0.3%(1 824/665333),其中男801例,发病率为0.2%;女1 023例,发病率为0.3%,男女发病率比较,差异无统计学意义(P>0.05).AIS集中在10~18岁,其中14~<16岁患病率最高,Cobb角在10°~<20°区间例数最多.结论 通过开展青少年脊柱侧弯筛查,可以有效地早发现早干预脊柱侧弯,提升青少年的身体健康水平.
Abstract
Objective To understand the incidence of adolescent idiopathic-scoliosis(AIS)among Qingyuan City through screening.Methods A total of 665 333 adolescents in Qingyuan city from September 2021 to September 2022 were selected as the research subjects.AIS screening was performed by"three-check method"and"five-step screening method"in terms of gender,age,cobb angle,age distribution,and the survey results were statistically analyzed.Results A total of 3 122 cases of AIS were detected by the"five-step screening method",the detection rate was 0.5%(3 122/665 333),and the detection rate was 54.6%(1 704/3 122)for males and 45.4%(1 418/3 122)for females.There was no significant difference in detec-tion rate between male and female(P>0.05).A total of 1 824 cases of AIS were detected by the"three detection method",with an incidence rate of 0.3%(1 824/665 333),including 801 males with an incidence rate of 0.2%,and 1 023 female with an incidence of 0.3%.There was no significant difference in incidence between male and female(P>0.05).AIS was con-centrated in 10 to 18 years old,and the prevalence rate was highest in 14 to 16 years old,and the number of Cobb angles in 10° to 20° was the most.Conclusion By conducting adolescent scoliosis screening,it can effectively detect scoliosis early and improve the physical health level of adolescents.