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中国初级卫生保健:2025,39(12):65-68
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宁夏中小学生生活方式对脊柱侧弯的影响
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中文摘要: 摘 要:目的:了解宁夏中小学生生活方式对脊柱侧弯的影响,为脊柱侧弯防控工作提供数据支持。方法:2021年9月 —2022年6月采用多阶段整群随机抽样方法,抽取宁夏金凤区、沙坡头区、盐池县、平罗县的4595名中小学生,对其进行 问卷调查、身体测量和脊柱筛查,并对筛查阳性者进行脊柱侧弯临床诊断。采用复杂抽样设计的加权χ2 检验和多因素非条件 logistic回归模型分析生活方式对脊柱侧弯的影响。结果:4595名中小学生脊柱侧弯加权患病率为3.07%。logistic回归分析结 果显示,经常或总是单侧斜趴着坐(OR=2.54,95%CI为 1.10~5.86)、在课桌上趴着午睡(OR=3.54,95%CI为 1.89~ 6.61)的学生脊柱侧弯发生风险较高(P<0.05)。结论:宁夏中小学生脊柱侧弯加权患病率高于2019年全国中小学生脊柱侧 弯检出率(2.8%),需重点关注存在经常性单侧斜趴坐姿及课桌趴睡行为的学生,应通过科学宣教和防控干预降低脊柱侧弯 风险。
Abstract:Abstract:OBJECTIVEUnderstandtheimpactoflifestyleofprimaryandsecondaryschoolstudentsinNingxiaonscoliosis, andprovidedatasupportforscoliosispreventionandcontrolwork.METHODSFromSeptember2021toJune2022,amulti-stage clusterrandomsamplingmethodwasusedtoselect4595primaryandsecondaryschoolstudentsfromJinfengDistrict,Shapotou District,YanchiCounty,PingluoCountyofNingxia.Astheresearchobjects,questionnairesurveys,physicalmeasurementsand spinalscreeningwereconducted,andclinicaldiagnosesofscoliosiswereconductedforthosewhowerescreenedpositive.Theχ2 testwithaweightedcomplexsamplingdesignandmultivariateunconditionallogisticregressionwereusedtoanalyzetheimpactof lifestyleonscoliosis.RESULTSTheweightedprevalenceofscoliosisamongprimaryandsecondaryschoolstudentsinNingxiawas 3.07%.Multivariateanalysisshowedthatstudentswhooftenoralwayssatononesidereclining(OR=2.54,95%CI:1.10~5.86) andtookanapatthedesk(OR=3.54,95%CI:1.89~6.61) hadahigherriskofdevelopingscoliosis(P<0.05).CONCLUSION TheweightedprevalenceofscoliosisamongprimaryandsecondaryschoolstudentsinNingxiawashigherthanthenationaldetection rate(2.8%) in2019.Specialattentionshouldbepaidtostudentswhofrequentlyadoptunilateralrecliningsittingpostureor sleepingondesks.Scientificeducationandpreventiveinterventionsshouldbeimplementedtoreducetheriskofscoliosis.
文章编号:3202410017     中图分类号:R726.8    文献标志码:
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魏嵘,杨艺  
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