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[西班牙格拉纳达省8至12岁在校学生脊柱侧弯筛查]

[Screening of scoliosis in a school population of 8 to 12 years in the province of Granada (Spain)].

作者信息

Zurita Ortega F, Moreno Lorenzo C, Ruiz Rodríguez L, Martínez Martínez A, Zurita Ortega A, Castro Sánchez A M

机构信息

Departamento de Enfermería y Fisioterapia, Escuela Universitaria de Ciencias de la Salud, Universidad de Almería, España.

出版信息

An Pediatr (Barc). 2008 Oct;69(4):342-50. doi: 10.1157/13126559.

DOI:10.1157/13126559
PMID:18928702
Abstract

The scoliosis is a disease that affects the three-dimensional shape of the spine, which may occur at any stage of life but mainly arises from 10 years of age, and it is everyone's job (doctors, physiotherapists and teachers) responsible for managing the schoolchild to detect this spinal deformity. Therefore, we included a number of objectives in our study; first to detect the spinal disorder (scoliosis) in the school population from 8 to 12 years of Granada province; to establish the relationships between age groups and gender in people with scoliosis in the province of Granada; and finally to determine whether the occurrence of such changes have a greater impact on certain geographical areas in Granada province. Thus, this is a descriptive and cross-sectional study of a school population (n=2,956) in the province of Granada analyzed the positive clinical signs using the Adams Test on individuals with scoliosis. Of the 16 % (n=472) of schoolchildren who had scoliosis, 57.6 % (n=272) were male. The distribution of children from 8 to 12 years is fairly homogeneous with no differences seen (p=0.62) and highlight areas of higher incidence of scoliosis in zone 5 (Alpujarra-Valle of Lecrín). We conclude that there are no significant differences in scoliosis as regards age group (8 to 12 years), but there is an increasing trend towards the male gender. Differences can also be observed in the seven areas of study defined by work, environmental, genetic and consanguinity factors.

摘要

脊柱侧弯是一种影响脊柱三维形状的疾病,它可能发生在生命的任何阶段,但主要始于10岁,并且每位负责管理学童的人员(医生、物理治疗师和教师)都有责任检测这种脊柱畸形。因此,我们在研究中纳入了一些目标;首先是在格拉纳达省8至12岁的学童中检测脊柱疾病(脊柱侧弯);确定格拉纳达省脊柱侧弯患者的年龄组与性别之间的关系;最后确定这种变化的发生是否对格拉纳达省的某些地理区域有更大影响。因此,这是一项对格拉纳达省一所学校的人群(n = 2,956)进行的描述性横断面研究,使用亚当斯试验分析了脊柱侧弯个体的阳性临床体征。在患有脊柱侧弯的学童中,16%(n = 472)为男性。8至12岁儿童的分布相当均匀,未见差异(p = 0.62),并突出了第5区(阿尔普哈拉-莱克林山谷)脊柱侧弯发病率较高的区域。我们得出结论,在年龄组(8至12岁)方面,脊柱侧弯没有显著差异,但男性有增加的趋势。在由工作、环境、遗传和血缘因素定义的七个研究区域中也可以观察到差异。

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