8-11岁小学生脊柱侧凸的患病率

I. Haryono, N. Prastowo
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引用次数: 2

摘要

青少年特发性脊柱侧凸(AIS)是一种常见于儿童和青少年的脊柱异常,患病率为0.5-5.2%。印尼关于脊柱侧凸的数据尚未获得。我们的研究旨在筛选和比较体态正常和疑似脊柱侧凸(SS)的学童。雅加达市三年级至六年级的1059名小学生(男生477名,女生582名)参与了本研究。根据标准方法测量体重和身高。脊柱轴向旋转用脊柱侧弯计测量。结果分为两组:轴向旋转角度<5°为正常,轴向旋转角度≥5°为疑似脊柱侧凸。采用独立t检验分析正常组与SS组的人体测量差异。p<0.05为差异有统计学意义。1059名学生中SS 74人(7%),其中男生24人(5%),女生50人(8.6%)(OR 1.98, P=0.004)。10岁学生脊柱侧凸发生率最高(27例,占10.1%)。患有SS的女孩明显更高,BMI值更低(138.6 cm vs 134.6 cm, p=0.014;16.95 kg/m2 vs 18.50 kg/m2, p=0.028)。雅加达小学生脊柱侧凸率约为7%,其中女生较高。
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PREVALENCE OF SCOLIOSIS IN ELEMENTARY SCHOOL STUDENTS AGED 8-11 YEARS
Adolescent idiopathic scoliosis (AIS) is a spinal abnormality commonly found in children and adolescents with a prevalence rate of 0.5-5.2%. Data on scoliosis in Indonesia is yet to be available. Our study was aimed at screening and comparing school children with normal posture and with suspected scoliosis (SS). 1059 elementary school students (477 boys, 582 girls) from grade 3 to grade 6 in Jakarta participated in this study. Body mass and height were measured according to the standard technique. Axial rotation of the spine was measured using a scoliometer. Results were classified into two groups: normal if the axial rotation angle was <5° and scoliosis was suspected if the angle was ≥5°. An independent t-test was used to analyze anthropometric differences between the normal and SS group. Statistical significance was set at p<0.05. 74 (7%) of the 1059 students were SS, consisting of 24 (5 %) boys and 50 (8.6 %) girls (OR 1.98, P=0.004). Students at the age of 10 had the highest incidence of scoliosis (27 or 10.1%). Girls with SS were significantly taller and with lower BMI values (138.6 cm vs 134.6 cm, p=0.014; 16.95 kg/m2 vs 18.50 kg/m2, p=0.028). The scoliosis rate in elementary students in Jakarta was about 7 % with higher prevalence in girls.
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