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肇庆市中小学生脊柱弯曲异常状况调查与分析

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目的 了解肇庆市中小学生脊柱弯曲异常现状,为防控策略和措施的制订提供科学依据.方法 采取分层整群随机抽样方法,于2022年随机抽取肇庆市8个县(市、区)的46所学校,按学段及地区分层、整群抽取17 689名小学到高中各年级的学生进行脊柱弯曲筛查,采用EpiData 3.0软件构建数据库,用SPSS 20.0软件对数据进行统计分析,计数资料用频数或率(%)表示,采取卡方检验;不同学段的脊柱弯曲异常变化趋势用趋势卡方检验;检验水准α=0.05.结果 2022年肇庆市6~18岁中小学生脊柱弯曲异常检出率为7.72%,其中脊柱侧弯为7.67%,脊柱前后凸为0.05%.小学、初中、高中生脊柱弯曲异常检出率分别为4.60%、9.68%、12.67%,脊柱弯曲异常检出率随着学段的升高而升高(x2趋势=280.16,P<0.001).男生和女生异常检出率分别为2.20%、13.48%,差异有统计学意义(x2=789.11,P<0.001).城区和郊县异常检出率分别为8.12%、7.43%,差异无统计学意义(x2=2.85,P=0.091).结论 肇庆市中小学生脊柱弯曲异常率检出较高,且高中>初中>小学,女性高于男性,以侧弯检出为主,整体形势不容乐观.
Investigation and analysis of abnormal spinal curvature in primary and middle school students in Zhaoqing City
Objective To understand the status of abnormal spinal curvature in primary and middle school students in Zhaoqing City,and to provide scientific basis for prevention and control strategies and measures.Methods A stratified cluster random sampling method was used to randomly select 46 schools in 8 counties(cities,districts)of Zhaoqing City in 2022.Stratified by school section and region,17 689 students from primary school to high school were selected by cluster sam-pling for abnormal spinal curvature.EpiData3.0 software was used to construct a database,and SPSS 20.0 software was used for statistical analysis of the data.The counting data were expressed as frequency or rate(%),and chi-square test was used.Trend chi-square test was used to test the change trend of abnormal spinal curvature in different school segments.Test levelα=0.05.Results In 2022,the detection rate of abnormal spinal curvature in primary and middle school students aged 6-18 years in Zhaoqing City was 7.72%,of which scoliosis was 7.67%and scoliosis was 0.05%.The detection rates of abnormal spinal curvature in primary school,middle school and high school students were 4.60%,9.68%and 12.67%,respectively.The detection rate of abnormal spinal curvature increased with the increase of school segment(x2trend=280.16,P<0.001).The abnormal detection rates of boys and girls were 2.20%and 13.48%,respectively,and the difference was statistically signifi-cant(x2=789.11,P<0.001).The abnormal detection rates in urban and suburban counties were 8.12%and 7.43%,respec-tively,and the difference was not statistically significant(x2=2.85,P=0.091).Conclusions The detection rate of abnormal spinal curvature in primary and middle school students in Zhaoqing City is high,and high school>junior high school>primary school,women are higher than men,mainly with scoliosis detection,and the overall situation is not optimistic.

Abnormal spinal curvatureDetection ratePrimary and secondary school studentsCurrent situation survey

苏建宏、林彩霞、杨业洲、吴达成、黎健萍、廖雅芬

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肇庆市疾病预防控制中心,广东肇庆 526020

脊柱弯曲 检出率 学生 现状调查

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(5)