【摘要】 目的了解南昌地区中小学生脊柱侧凸的患病率,同时寻求一种简单、有效、廉价的脊柱侧凸普查手段。方法对南昌地区13所中小学校9～15岁学生10119例进行脊柱侧凸普查,其中男生5444例,女生4675例。首先由普查小组成员使用自制脊柱侧凸测量仪结合弯腰试验进行初查;对初查阳性者到医院行X线摄片复查。结果共检出脊柱侧凸患者64例(Cobb角≥10°),患病率为6.3‰。其中特发性脊柱侧凸62例,占96.9%,女生40例,男生22例,女生患病率显著高于男生(64.5%vs35.5%,χ2=8.420,P<0.05);先天性脊柱侧凸2例。结论南昌地区中小学生脊柱侧凸的患病率为6.3‰,女生患病率明显高于男生。使用自制的脊柱侧凸测量仪能够有效的进行脊柱侧凸的筛查,并且筛查费用较传统方法大大降低。更多还原

【Abstract】 Objective To investigate the prevalence of scoliosis among the school-age population in nanchang,and at the same time,to search for a simple,effective and low-cost screening method of scoliosis.Methods A total of 10 119 children(5 444 boys and 4 675 girls)among 13 schools in nanchang were screened for scoliosis.The members of investigation group carried out the screening initially by physical examination through self-made scoliometer.Children with a positive physical sign were referred to a second screening in hospital,where rontgenography was done.Results The Cobb angles more than 10 degrees were found in 64 children.Children contracted with scoliosis occupuied 6.3‰.Sixty-two children with idiopathic scoliosis(IS) were detected,accounting for 96.9%,and there were 2 cases of congenital scoliosis.The ratio of girls to boys with IS was 40/22.The prevelance of IS was significantly lower in boys than that in girls(64.5% vs 35.5%,χ2=8.420,P<0.05).Conclusion The prevalence of adolescent scoliosis is 6.3‰ in nanchang,compared with boys,it’s more prevalent in girls who contracted with scoliosis.Investigation on scoliosis among school-age population is very important for early diagnosis.The use of self-made scoliosis instrument is conducive to the investigation of scoliosis and the cost would be much less than that of the traditional method.更多还原