屏東地區國小學童脊柱側彎盛行率之調查研究

Screening School Children for Scoliosis in Pingtung

李心白(Hsin-Pai Lee) ； 黃奕清(Yi-Ching Huang)

《Journal of Medical Sciences》 21卷2期 (2001/04) Pp. 73-81

摘要

脊柱側彎篩檢是一個早期偵測脊柱變形的良好技術，本研究以屏東地區國小一至六年級學童為對象，共有919位學童參與篩檢，男女學童分別有469人及450人，漢人及排灣族學童分別有325人及594人，平均年齡為10.03±1.73歲。研究以脊柱側彎計測量身體軀幹扭曲的角度，並以超過5度的軀幹扭曲度為脊柱側彎的轉檢標準，所有參與篩檢的學童中，共有75位學童軀幹扭曲度超過5度，這些學童經轉介後，以x光進行胸腰椎的追蹤檢查，並以Cobb angle大於或等於10度定義為脊柱側彎。研究結果顯示脊柱側彎的轉檢率達8.16%，而所有學童脊柱側彎盛行率為1.4%男學童有0.64%，女學童有2.22%，男女學童脊柱側彎的盛行率比為1:3.4 7漢人學童有0.92%，排灣族學童有1.68%，漢人與排灣族學童脊柱側彎的盛行率比為1:1.83而陽性預測值為17.3%。根據本研究結果，學童脊柱側彎篩檢是早期發現脊柱側彎的有效方法，值得在國中、小學階段推展。

關鍵字

脊柱側彎 ； 篩檢 ； 學童

並列摘要

School screening programs for scoliosis are an acceptable technique for the early detection of spinal deformities. A prevalence study in Pingtung area, the south of Taiwan, was conducted among 919 primary school children (469 boys, 450 girls; 325 Han children, 594 Pai-Wan children) with a mean age of 10.03 ± 1.73. Scoliosis screening was examined using a scoliometer to specify the angle of trunk rotation (ATR). The referral rate (the criterion for referral was ATR＞ 5 degrees) in the screened population of children was 8.16%, which were subsequently referred to an X-ray evaluation of the thoracolumbar spine. The prevalence rate of scoliosis (defined as a Cobb angle of 10 degrees or more) was 1.4%; 0.64% among boys, and 2.22% among girls, with a male to female ratio of 1:3.47; 0.92% among Han children, and 1.68% among Pai-Wan children, with a Han to Pai-Wan children ratio of 1:1.83; and a positive predictive value of 17.3%. School screening is an effective method of early detection of scoliosis, and is worth doing so in the future.

並列關鍵字

scoliosis ； screening ； school children