中国青少年脊柱侧凸发生率的meta分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (23): 3294-3298.

中国青少年脊柱侧凸发生率的meta分析

邵转兰^1,2, 杨巧巧¹, 党晨珀¹, 张文芳², 张红霞², 张晓敏²

1.解放军联勤保障部队第940医院运动医学科,甘肃兰州 730000;
2.甘肃中医药大学护理学院,甘肃兰州 730000

收稿日期:2023-04-15 修回日期:2023-06-13 出版日期:2023-12-01 发布日期:2026-03-26
通信作者: 杨巧巧,副主任护师,E-mail：258995846@qq.com
作者简介:邵转兰,女,在读硕士研究生,研究方向为外科护理。
基金资助:
甘肃省青年科技基金计划项目（20JR10RA008）

Incidence of scoliosis in adolescents in China：A meta-analysis

SHAO Zhuanlan^1,2, YANG Qiaoqiao¹, DANG Chenpo¹, ZHANG Wenfang², ZHANG Hongxia², ZHANG Xiaomin²

1. Department of Sports Medicine,The 940th Hospital,Joint Logistical Support Force of CPLA,Lanzhou Gansu 730000,China;
2. School of Nursing,Gansu University of Chinese Medicine,Lanzhou Gansu 730000,China

Received:2023-04-15 Revised:2023-06-13 Online:2023-12-01 Published:2026-03-26
Contact: YANG Qiaoqiao,Deputy chief nurse,E-mail：258995846@qq.com

摘要/Abstract

摘要： 目的系统评价我国青少年脊柱侧凸发生率。方法在CNKI、万方、VIP、CBM、PubMed、Cochrane、Web of Science、EMbase数据库中系统检索2022年8月23日前关于中国青少年脊柱侧凸发生率的文章,并进行meta分析。结果共纳入12篇文献,总样本量为249 513人,发生脊柱侧凸总人数为2 217人。我国青少年脊柱侧凸总发生率是1.1%（95%CI：0.81%~1.40%）。亚组分析结果显示,男性脊柱侧凸发生率是0.65%（95%CI：0.47%~0.83%）,女性脊柱侧凸发生率是1.16%（95%CI：0.85%~1.48%）;特发性脊柱侧凸发生率是1.03%（95%CI：0.68%~1.38%）;10°~19°的侧凸角度发生率是0.89%（95%CI：0.55~1.23%）;胸段脊柱侧凸发生率是0.47%（95%CI：0.27%~0.68%）;10~<13岁年龄段脊柱侧凸发生率是0.28%（95%CI：0.08%~0.47%）,13~<15岁年龄段脊柱侧凸发生率是0.90%（95%CI：0.57%~0.12%）,16~<18岁年龄段脊柱侧凸发生率是1.08%（95%CI：0.48%~1.68%）。结论我国青少年脊柱侧凸发病以女性多见,年龄以16~<18岁多见,特发性脊柱侧凸是主要发病类型,角度以10°~19°多见,部位以胸部多见。

关键词: 中国, 青少年, 脊柱侧凸, 发生率, Meta分析

Abstract: Objective To systematically evaluate the incidence of scoliosis in adolescents in China. Methods The articles on the incidence of scoliosis in adolescents in China before August 23,2022 were systematically retrieved in CNKI,WanFang,VIP,CBM,PubMed,Cochrane,Web of Science,and EMbase databases,and meta-analyzed. Results A total of 12 literatures were included,with a total sample size of 249 513 and a total of 2 217 scoliosis. The total incidence of scoliosis in adolescents in China was 1.1%（95%CI：0.81%-1.40%）. The results of subgroup analysis showed that the incidence of scoliosis in men was 0.65%（95%CI：0.47%-0.83%）,and the incidence of scoliosis in women was 1.16%（95%CI：0.85%-1.48%）. The incidence of idiopathic scoliosis was 1.03%（95%CI：0.68-1.38%）. The incidence of lateral convex angle of 10°-19° was 0.89%（95%CI：0.55-1.23%）. The incidence of scoliosis in the thoracic segment was 0.47%（95%CI：0.27%-0.68%）. The incidence of scoliosis in the 10-<13 age group was 0.28%（95%CI：0.08%-0.47%）,the incidence of scoliosis in the 13-<15 age group was 0.90%（95%CI：0.57%-0.12%）,and the incidence of scoliosis in the 16-<18 age group was 1.08%（95%CI：0.48%-1.68%）. Conclusion The incidence of scoliosis in adolescents in China is more common in women and 16-<19 years old,and idiopathic scoliosis is the main type of disease,with an angle of 10°-19° and chest.

Key words: China, Adolescents, Scoliosis, Incidence, Meta-analysis

中图分类号:

R682.3

邵转兰, 杨巧巧, 党晨珀, 张文芳, 张红霞, 张晓敏. 中国青少年脊柱侧凸发生率的meta分析. [J]职业与健康, 2023, 39(23): 3294-3298.

SHAO Zhuanlan, YANG Qiaoqiao, DANG Chenpo, ZHANG Wenfang, ZHANG Hongxia, ZHANG Xiaomin. Incidence of scoliosis in adolescents in China：A meta-analysis. [J]OCCUPATION AND HEALTH, 2023, 39(23): 3294-3298.

参考文献

[1] 中华医学会骨科学分会脊柱外科学组.中国青少年脊柱侧凸筛查临床实践指南及路径指引[J].中华骨科杂志,2020,40(23):1574-1582.
[2] El-HAWARY R,CHUKWUNYERENWA C.Update on evaluation and treatment of scoliosis[J].Pediatr Clin North Am,2014,61(6):1223-1241.
[3] SCATURRO D,CSTANTINO C,TERRANA P,et al.Risk Factors,Lifestyle and Prevention among adolescents with idiopathic juvenile scoliosis:A cross sectional study in eleven first-grade secondary schools of palermo province,italy[J].Int J Environ Res Public Health,2021, 18(23):12335.
[4] EKSI M Ş,ÖZCAN-EKSI E E,HUET S E,et al.Prevalence of thoracic scoliosis in adolescents in turkey:Analysis of 1 065 chest radiographs[J].World Neurosurg,2020,135:527-540.
[5] 康南,韩渤,杨宏浩,等.不忘公益初心,牢记医者使命——记大海脊柱拯救行动成立15周年[J].中国脊柱脊髓杂志,2021,31(10):865-867.
[6] LIN T,MENG D,YIN J,et al.Influence of Insurance Status on Curve Magnitude in Adolescent Idiopathic Scoliosis in Mainland China[J].Global Spine J,2020,10(6):754-759.
[7] KUZNIA A L,HERNANDEZ A K,LEE L U.Adolescent idiopathic scoliosis:Common questions and answers[J].Am Fam Physician.2020, 101(1):19-23.
[8] TOMARU Y,KAMADA H,TSUKAGOSHI Y,et al.Screening for musculoskeletal problems in children using a questionnaire[J].J Orthop Sci,2019,24(1):159-165.
[9] KUROKI H,NAGAI T,CHOSA E,et al.School scoliosis screening by moiré topography overview for 33 years in Miyazaki Japan[J].J Orthop Sci,2018,23(4):609-613.
[10] 《中国实用外科杂志》编辑部.有关“青年”和“青少年”年龄界定的说明[J].中国实用外科杂志,2019,39(8):814.
[11] 胡雁,郝玉芳.循证护理学[M].2版.北京:人民卫生出版社,2018:71-72.
[12] 邓雪飞,邬玉林,邓明琼.2018年甘孜藏族自治州青少年脊椎侧弯现况调查[J].预防医学情报杂志,2019,35(7):667-670.
[13] 王彦辉,陈学明,袁鑫,等.北京市通州区中学生脊柱侧凸流行病学调查[J].中国脊柱脊髓杂志,2018,28(7):667-669.
[14] 杜建业,蔡史健,江标,等.广东省汕头市12881名初中生脊柱侧凸调查分析[J].中国基层医药,2018,25(15):1976-1979.
[15] 何天票,张劲松.晋江市中小学生脊柱侧弯调查分析[J].基层医学论坛,2016,20(36):5081-5082.
[16] 王旭生,王素伟.13 560名青少年脊柱侧弯普查分析[J].新医学,1998(10):534-535.
[17] 马建国,刘强,陈政伟,等.三亚市青少年脊柱侧凸畸形患病率调查[J].海南医学,2015,26(13):2000-2002.
[18] 唐倩如,祝明利,商毅,等.上海市原静安区在校初中生青少年特发性脊柱侧弯患病率的调查[J].国际骨科学杂志,2017,38(3):205-206.
[19] 胡广询,刘诚,刘赫,等.深圳市南山区中学生特发性脊柱侧凸患病率调查报告及防治策略[J].中国社区医师,2017,33(35):110-111.
[20] 柯荣军,曹兴兵,黄永辉,等.镇江市青少年特发性脊柱侧凸的患病率调查[J].江苏医药,2015,41(18):2130-2132.
[21] HUANG F,LIU Y,WU J,et al.Incidence of scoliosis among junior high school students in Zhongshan city,Guangdong and the possible importance of decreased miR-30e expression[J].J Int Med Res,2020, 48(6):300060519889438.
[22] 缪国忠,徐超.江阴市青少年人群脊柱侧凸的流行病学调查[J].江苏预防医学,2017,28(2):195-196,213.
[23] 申慧圆. 天津市内六区八年级学生脊柱侧凸流行病学调查[D].天津:天津体育学院,2019.
[24] ZHANG H,GUO C,TANG M,et al.Prevalence of scoliosis among primary and middle school students in Mainland China:A systematic review and meta-analysis[J].Spine(Phila Pa 1976),2015,40(1):41-49.
[25] 刘杨,谢益,王德强,等.龙口市初中生青少年特发性脊柱侧凸调查[J].中国矫形外科杂志,2021,29(19):1749-1752.
[26] 中国肥胖问题工作组,季成叶.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):10-15.
[27] 孙锦鹏,刘军,白云峰,等.褪黑素对小鼠软骨细胞系ATDC5活性的影响[J].中国组织工程研究,2022,26(35):5665-5668.
[28] 吴涛,刘军,沈一燚,等.中枢高瘦素水平对低褪黑素双足直立鼠模型脊柱侧凸作用相关研究[J].南京医科大学学报(自然科学版),2013,33(6):784-787.
[29] 梁靖怡,莫蕙,张晓辉,等.女性青少年特发性脊柱侧弯与其中医体质类型的相关性分析[J].中国中医骨伤科杂志,2022,30(6):30-34.
[30] 傅涛,厉彦虎.功能性康复训练改善青少年特发性脊柱侧弯的研究[J].中国组织工程研究,2017,21(28):4462-4468.
[31] BELLI G,TOSELLI S,LATESSA P M,et al.Evaluation of self-perceived body image in adolescents with mild idiopathic scoliosis[J].Eur J Investig Health Psychol Educ,2022,12(3):319-333.
[32] 梁颖,许开英,冯珍.青少年特发性脊柱侧弯的研究进展[J].实用临床医学,2021,22(2):101-106.
[33] 姚芊羽,王宏坤,魏亚茹,等.青少年轻度特发性脊柱侧弯的预防与康复[J].黑龙江科学,2022,13(12):76-79.
[34] YUE P,SHENG-RU W,GUI-XING Q,et al.Research progress on the etiology and pathogenesis of adolescent idiopathic scoliosis[J].Chin Med J(Engl),2020,133(4):483-493.
[35] HU M,ZHANG Z,ZHOU X,et al.Prevalence and determinants of adolescent idiopathic scoliosis from school screening in Huangpu district,Shanghai,China[J].Am J Transl Res,2022,14(6):4132-4138.
[36] EGOROVA T S,SMIRNOVA T S,RMASHIN O V,et al.Deformations of the vertebral column in the visually impaired schoolchildren presenting with complicated high myopia and the possibilities for its correction[J].Vopr Kurortol Fizioter Lech Fiz Kult,2016,93(2):20-25.
[37] 谭焜月,刘春霞,黄晓凤,等.先天性脊柱侧凸与特发性脊柱侧凸伴发心脏异常对比:438例回顾性分析[J].中华骨与关节外科杂志,2022,15(5):367-372.
[38] 李少玥. 脊柱保健操对轻中度视力低下儿童颈部问题的干预性研究[D].北京:北京体育大学,2018.
[39] 计怀燕.颈椎保健操在颈椎病康复护理中的应用疗效观察[J].当代临床医刊,2021,34(6):69,99.
[40] 海波,沈蕙,刘萌萌,等.苏州市中小学生脊柱侧弯调查[J].预防医学,2021,33(9):940-943.
[41] 文献英,徐浩天,刘念,等.2019年绵阳市7~18岁中小学生脊柱弯曲异常调查结果分析[J].预防医学情报杂志,2021,37(6):828-832.
[42] 渠欣丫. 体育强国背景下广州市高中学生体质健康现状分析与对策研究[D].广州:广州体育学院,2021.