目的 通过meta分析方法得到2018-2023年我国中小学生脊柱侧弯的患病率情况,为中小学生脊柱侧弯的预防和治疗提供参考依据.方法 对中国知网、万方、维普、中国生物医学文献服务系统、Web of Science、PubMed等国内外数据库中有关我国中小学生脊柱侧弯患病率横断面调查内容进行检索,检索期限从2018年3月—2023年3月.筛选文献,制定纳入与排除标准,利用R软件中的随机效应模型测算中小学生脊柱侧弯患病率,通过地区、性别、城乡和学段的亚组分析,探讨异质性的来源.利用敏感性分析对结果的稳健性进行了检验,并利用漏斗图、Begg秩相关检验和Egger回归方法对发表偏倚进行检验.结果 本研究最终纳入文献22篇,样本量1 244 271例,脊柱侧弯阳性59 593例.Meta分析表明,中小学生脊柱侧弯在我国的患病率在4.41％,95％CI为2.59％～7.41％.亚组分析显示,不同区域、性别、城乡、学段之间中小学生脊柱侧弯率差异均无统计学意义(均P＞0.05).结论 当前中小学生脊柱侧弯率高于往年平均水平.相关各方应积极采取行动防治中小学生发生脊柱侧弯,做到预防为主,早发现、早诊断、早治疗.
Meta-analysis of the prevalence of scoliosis among primary and secondary school students in China from 2018-2023
Objective To obtain the prevalence of scoliosis among primary and secondary school students in China from 2018-2023 by meta-analysis,and to provide reference for the prevention and treatment of scoliosis in primary and secondary school students.Methods A cross-sectional surveys on the prevalence of scoliosis in primary and secondary school students in China was conducted on databases such as China National Knowledge Infrastructure(CNKI),Wanfang,VIP,China Biology Medicine disc(CBM),Web of Science,PubMed and other domestic and foreign databases.The search period was from March 2018 to March 2023.The literature was screened,inclusion and exclusion criteria were developed,the prevalence of scoliosis among primary and secondary school students was measured using a random effects model in R software,and the sources of heterogeneity were explored through subgroup analysis of region,gender,urban-rural and school section.The robustness of the results was tested using sensitivity analysis,and publication bias was examined using funnel plots,Begg's rank correlation test and Egger regression methods.Results The study ultimately included 22 literature articles with a sample size of 1 244 271 cases and 59 593 positive cases of scoliosis.Meta-analysis showed that the prevalence of scoliosis in primary and secondary school students in China was 4.41％,with 95％CI ranging from 2.59％to 7.41％.Subgroup analysis showed that there was no statistically significant difference in the prevalence rate of scoliosis among primary and secondary school students in different regions,genders,urban and rural areas and school stages(all P＞0.05).Conclusion The current rate of scoliosis in primary and secondary school students is higher than the average level in previous years,and the meta-analysis results are relatively reliable.All relevant parties should take active actions to prevent the occurrence of scoliosis in primary and secondary school students,to achieve prevention-oriented,early detection,early diagnosis and early treatment.
ScoliosisPrevalencePrimary and secondary school studentsTeenagersMeta-analysis
NETL
NSTL
万方数据
