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上海市闵行区中小学生脊柱弯曲异常现状分析

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[目的]了解上海市闵行区中小学生脊柱弯曲异常现状并进行相关因素分析,为开展儿童青少年脊柱弯曲异常综合防治工作提供科学依据.[方法]2022年9-10月采用分层整群随机抽样方法抽取闵行区小学、初中、高中各2所学校中共5 715名学生为研究对象,开展体格检查及脊柱弯曲异常筛查.[结果]有219名学生存在脊柱弯曲异常,占总抽样人数的3.83%,其中脊柱前后弯曲异常4人,检出率0.07%,脊柱侧弯218例,检出率3.81%.女生脊柱弯曲异常检出率(6.27%)高于男生(1.51%),高中生脊柱弯曲异常检出率(10.74%)高于小学生(1.31%)与初中生(0.97%),轻度消瘦学生脊柱弯曲异常检出率(5.95%)与中重度消瘦学生检出率(7.46%)均高于体重正常(4.54%)、超重(2.83%)及肥胖学生(1.60%),视力不良学生的脊柱弯曲异常检出率(4.32%)高于视力正常学生(2.24%),差异均有统计学意义(均P<0.05).[结论]上海市闵行区中小学生群体中脊柱弯曲异常初筛阳性率接近4%,其中大部分是脊柱侧弯,女生、年龄增长、消瘦、视力不良均与较高的脊柱弯曲异常检出率有关.
Analysis of the current situation of defect of vertebral column among primary,middle,and high school students in Minhang District,Shanghai
[Objective]To investigate the general situation of defect of vertebral column among primary and middle school students in Minhang District of Shanghai and analyze the related factors,to provide a scientific basis for prevention and treatment.[Methods]From September to October 2022,a total of 5 715 students were selected from two primary schools,two middle schools,and two high schools in Minhang District for physical examinations and screening for defect of vertebral column.[Results]Totally 219 students had defect of vertebral column,accounting for 3.83%of the sampled population.Anteroposterior spinal abnormalities were found in 4 individuals,accounting for 0.07%,and 218 students had scoliosis,accounting for 3.81%.The detection rate of defect of vertebral column was higher in girls(6.27%)than that in boys(1.51%),and higher in high school students(10.74%)than in primary school students(1.31%)and middle school students(10.97%).Students who are mildly underweight(5.95%)and who are moderately to severely underweight(7.46%)had a higher detection rate of defect of vertebral column than those with normal weight(4.54%),overweight(2.83%),and obesity(1.60%).The detection rate among students with poor vision(4.32%)was significantly higher than those with normal vision(2.24%),with all differences statistically significant(all P<0.05).[Conclusion]The positive rate of defect of vertebral column in primary and middle school students in Minhang District,Shanghai is nearly 4%,with most cases being scoliosis.Factors such as being female,increasing age,being underweight,and poor vision are associated with a higher probability of detecting defect of vertebral column.

defect of vertebral columnprimary and middle school studentrelative factors analysis

韩雁、胡玉环、温晓飒、许慧琳、应芳佳、王昱杰、曹佳敏、郭琪、史慧静

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上海市闵行区疾病预防控制中心,上海 201100

中国疾病预防控制中心中国现场流行病学培训项目,北京 100050

复旦大学公共卫生学院,上海 200032

脊柱弯曲异常 中小学生 相关因素分析

上海市闵行区自然科学研究课题

2021MHZ013

2024

上海预防医学
上海市预防医学会

上海预防医学

CSTPCD
影响因子:0.615
ISSN:1004-9231
年,卷(期):2024.36(6)
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