【摘要】 目的了解高中生脊柱侧弯的患病情况,探讨干预脊柱侧弯进展的措施和必要性。方法收集2013年广州市番禺区7254名学生高考体检的DR胸部照片,其中男生3865人;女生3389人,年龄17～19岁,平均18岁。采用Cobb法测量,Cobb角≥10°确诊为脊柱侧弯。结果 Cobb角≥10°的有96人,阳性率为1.32%,其中特发性脊柱侧弯93例,占96.88%;先天型脊柱侧弯3例,占3.13%。男生41例,女生55例,男女生比例为1∶1.34,女生患病率显著高于男生(χ2=4.26,P<0.01)。结论青少年是特发性脊柱侧弯的多发群体,应引起学校和家长的重视,在校期间应进行广泛的健康教育以及各项干预措施,是减少患病率和延缓侧弯进展的有效方法。更多还原

【Abstract】 Objective To understand the prevalence of scoliosis in high school students, to explore the progress of scoliosis intervention measures and necessity. Methods 7 254 DR chest photos of 2013 college entrance examination students in Panyu, Guangzhou, were collected, including 3 865 boys and 3 389 girls, aged 17 to 19 years, mean 18 years. Using the Cobb method, Cobb angle ≥10° was diagnosed as scoliosis. Results 96 students had Cobb angle ≥10°, with the positive rate of 1.32%, in which idiopathic scoliosis had 93 cases, accounting for 96.88%; congenital scoliosis 3 cases, accounting for 3.13%. Male 41 cases, female 55 cases, with the ratio of 1∶1.34, girls had significantly higher prevalence than boys (χ2 = 4.26, P<0.01). Conclusion Adolescents are prone to idiopathic scoliosis, extensive health education and various interventions are effective to reduce morbidity and delay the progression of scoliosis.更多还原