摘要
目的探讨武汉市中心城区中小学生颈椎病相关症状的流行病学现状,为制定青少年颈椎病预防干预措施提供科学依据。方法采用整群分层抽样法,随机抽取武汉市26所中小学校,每年级抽取1个班,共抽取学生5198名。通过发放宣传单、专业知识讲解和问卷调查等途径进行颈椎病相关症状调查。结果在4681名中小学生中,发现伴有颈椎病相关症状者2748例,占58.7%。其中经常头痛头胀、失眠多梦或记忆力下降、眼肌疲劳或复视或视力下降者达45.0%以上;颈椎健康检查异常者中,伴有颈椎病相关症状者占97.2%。小学、初中和高中学生颈椎病相关症状发生率差异有统计学意义(P<0.01),且随学生年龄的增长而增高,在毕业或临近毕业阶段达到阶段峰值。中学阶段女生相关症状发生率明显高于男生,颈椎颈项部异常是学生发生相关症状的主要原因。结论武汉中心城区中小学生颈椎生理健康状况令人担忧,应引起高度重视和广泛关注。
Objective To explore the epidemiological situation of cervical spondylosis-related symptoms among the primary and secondary schools in urban Wuhan, and to provide a scientific bases for the prevention and intervention. Methods By means of cluster stratified sampling, 26 primary and secondary schools were randomly selected, one class was chosen from each grade. The investigation of cervical spondylosis-related symp- toms was conducted among 5 198 students by issuing leaflets, explain professional knowledge and questionnaire survey. Results Among 4 681 prima- ry and secondary students, 2 748 cases with cervical spondylosis-related symptoms, accounted for 58.7%. Among them, often stretching headache, insomnia and more dreams, or memory decline, ocular fatigue, or double vision or decreased vision were more than up to 45.0%. Among the cervical abnormalities accompanied by cervical spondylosis-related symptoms accounted for 97.2%. The prevalence of cervical spondylosis-related symptoms between the two groups was significantly significant（ P 〈0.01 ）, and the growth with increased age of the pupils at the graduation stage or the stage reached in the peak near the graduation phase. In the secondary school, the relevant symptoms of the girls were significantly higher than which of boys. Cervical neck abnormalities was the main reason for students with associated symptoms. Conclusion Primary and junior cervical physical health in urban Wuhan should arouse a high degree of attention and widespread concern.
出处
《中国学校卫生》
CAS
北大核心
2010年第5期587-588,共2页
Chinese Journal of School Health
基金
武汉市卫生局
科技局科研经费资助项目(编号:2005241M19)
关键词
颈椎病
体征和症状
患病率
学生
城市
Cervical spondylosis
Signs and symptoms
Prevalence
Students
Cities
