| 甘肃省青少年特发性脊柱侧弯患病因素研究 |
| 投稿时间：2025-01-06 修订日期：2025-02-17 点此下载全文 |
| 引用本文：张辰,赵军,温剑涛,徐世红,王兴盛,姜朝阳,王小强.甘肃省青少年特发性脊柱侧弯患病因素研究[J].医学研究杂志,2025,54(7):109-114 |
| DOI：
10.11969/j.issn.1673-548X.2025.07.020 |
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| 基金项目:甘肃省科技计划项目联合科研基金重大项目(23JRRA1529)；甘肃省科技计划项目(21JR7RA681;22YF7FA104;23YFFA0052;24YFFA065)；甘肃省陇原青年英才项目 |
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| 中文摘要:目的 以甘肃省12～18岁的中学生人群为研究对象,研究甘肃省青少年特发性脊柱侧弯(adolescent idiopathic scoliosis,AIS)患病现状及影响因素,探究AIS的致病因素,为精准预防青少年特发性脊柱侧弯提供科学依据。方法 通过病历报告表和现场筛查的方式,采用多阶段分层整群抽样法进行抽样,收集3118例中学生的测量资料,采用多因素Logistic回归分析甘肃省中学生AIS患病的影响因素。结果 单因素分析结果显示,民族、年级、海拔、城市、有否受过外伤、日均使用电子产品时间、写作业姿势、经常参与运动、饭菜荤素搭配情况、吃新鲜水果频率、肩膀高低是否一致、弯腰时背部是否对称、颈肩疼痛与脊柱侧弯的检出率有关(P＜0.05)。多因素Logistic回归分析结果显示,筛查地区高一和高二年级学生、兰州市、临夏回族自治州、日均使用电子产品时间＞2h、从不或少于每天1次新鲜水果食用频率、写作业姿势较差、颈肩疼痛、素食为主、经常不参与运动的人群表现为脊柱侧弯。结论 受海拔、年级、城市、家族史、饮食习惯、坐位姿势、每日户外活动时间等多种因素影响,甘肃省中学生AIS检出率较高。 |
| 中文关键词:青少年特发性脊柱侧弯 影响因素 甘肃省 |
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| Single Factor Analysis on Etiology and Risk Factors of Adolescent Idiopathic Scoliosis in Gansu Province. |
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| Abstract:Objective In this study, 12-18 years old middle school students in Gansu province as the research object, to study the prevalence and influencing factors of adolescent idiopathic scoliosis (AIS) in Gansu province, to explore the pathogenic factors of AIS, to provide a scientific basis for the precise prevention of adolescent idiopathic scoliosis. Methods The data of 3118middle school students were collected by multi-stage stratified cluster sampling method through medical record report form and on-site screening, Logistic regression was used to analyze the influencing factors of AIS among middle school students in Gansu province. Results The results of univariate analysis showed that ethnicity, grade level, altitude, city, history of trauma, daily use of electronic devices, homework posture, frequent participation in sports, combination of meat and vegetables in meals, frequency of eating fresh fruits, consistency of shoulder height, symmetry of the back when bending, neck and shoulder pain were related to the detection rate of scoliosis(P<0.05). The results of multiple correspondence analysis showed that in the screening areas of high school freshmen, sophomores, Lanzhou City, Linxia Hui Autonomous Prefecture, individuals who use electronic products for more than 2hours per day, consume fresh fruits at least once a day, have poor homework posture, neck and shoulder pain, are mainly vegetarians, and frequently do not participate in exercise, exhibit scoliosis. Conclusion The prevalence of AIS among middle school students in Gansu province is high, which is affected by altitude, grade, city, family history, eating habits, sitting posture, daily outdoor activity time and other factors. |
| keywords:Adolescent idiopathic scoliosis Influence factors Gansu province |
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