留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

《儿童青少年脊柱弯曲异常防控技术指南》解读

儿童青少年脊柱弯曲异常防控技术指南编写组

儿童青少年脊柱弯曲异常防控技术指南编写组. 《儿童青少年脊柱弯曲异常防控技术指南》解读[J]. 中国学校卫生, 2022, 43(2): 165-170, 175. doi: 10.16835/j.cnki.1000-9817.2022.02.002
引用本文: 儿童青少年脊柱弯曲异常防控技术指南编写组. 《儿童青少年脊柱弯曲异常防控技术指南》解读[J]. 中国学校卫生, 2022, 43(2): 165-170, 175. doi: 10.16835/j.cnki.1000-9817.2022.02.002
Expert Group of Editorial Committee of Technical Guide for Prevention and Control of Abnormal Spinal Curvature in Chinese Children and Adolescents. Interpretation of Technical Guide for Prevention and Control of Abnormal Spinal Curvature in Children and Adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(2): 165-170, 175. doi: 10.16835/j.cnki.1000-9817.2022.02.002
Citation: Expert Group of Editorial Committee of Technical Guide for Prevention and Control of Abnormal Spinal Curvature in Chinese Children and Adolescents. Interpretation of Technical Guide for Prevention and Control of Abnormal Spinal Curvature in Children and Adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(2): 165-170, 175. doi: 10.16835/j.cnki.1000-9817.2022.02.002

《儿童青少年脊柱弯曲异常防控技术指南》解读

doi: 10.16835/j.cnki.1000-9817.2022.02.002
详细信息
  • 利益冲突声明  所有作者声明无利益冲突。
  • 通信作者】  马军(1961-),男,宁夏盐池人,博士,教授,主要研究方向为儿童青少年生长发育与影响因素
  • 中图分类号: R179 R726.8 D601

Interpretation of Technical Guide for Prevention and Control of Abnormal Spinal Curvature in Children and Adolescents

  • 摘要: 中国儿童青少年脊柱弯曲异常检出率较高,且检出人数逐年增加,严重威胁儿童青少年身心健康。儿童青少年脊柱弯曲异常防控是一项系统工程,需要个体、家庭、学校、医疗机构、政府机构、社会等各方共同参与和努力。为加强儿童青少年脊柱弯曲异常防控工作,科学指导、规范落实综合防控措施,国家卫生健康委员会疾控局组织编写了《儿童青少年脊柱弯曲异常防控技术指南》(以下简称《指南》),对开展脊柱弯曲异常全国性、规范性流行病学调查、筛查及防控工作具有重要指导意义。通过从背景、意义和主要内容对《指南》加以解读,便于公共卫生专业工作者和关注儿童青少年脊柱弯曲异常防控工作的相关人员的进一步理解。
    1)  利益冲突声明  所有作者声明无利益冲突。
    2)  【通信作者】  马军(1961-),男,宁夏盐池人,博士,教授,主要研究方向为儿童青少年生长发育与影响因素
  • 图  1  脊柱弯曲异常筛查流程

    Figure  1.  Flow chart of screening for abnormal spine curvature

  • [1] 国务院第七次全国人口普查领导小组办公室. 2020年第七次全国人口普查主要数据[M]. 北京: 中国统计出版社, 2021: 22.

    Office of the Leading Group for the Seventh National Census of the State Council. Main data of the seventh national census in 2020[M]. Beijing: China Statistics Press, 2021: 22.
    [2] 邹艳, 林云, 章荣华, 等. 儿童青少年脊柱侧弯筛查和干预研究进展[J]. 预防医学, 2019, 31(10): 1017-1021. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201910011.htm

    ZOU Y, LIN Y, ZHANG R H, et al. Screening and intervention of scoliosis in children and adolescents[J]. Prev Med, 2019, 31(10): 1017-1021. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201910011.htm
    [3] THOMPSON J Y, WILLIAMSON E M, WILLIAMS M A, et al. Effectiveness of scoliosis-specific exercises for adolescent idiopathic scoliosis compared with other non-surgical interventions: a systematic review and Meta-analysis[J]. Physiotherapy, 2019, 105(2): 214-234. doi: 10.1016/j.physio.2018.10.004
    [4] 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. doi: 10.1097/BRS.0000000000000664
    [5] 国家卫生健康委员会宣传司. 2021年7月13日新闻发布会文字实录[EB/OL]. (2021-07-13)[2021-11-29]. http://www.nhc.gov.cn/xcs/s3574/202107/2fef24a3b77246fc9fb36dc8943af700.shtml.

    Publicity Department of National Health Commission of the PRC. Transcript of press conference on July 13, 2021[EB/OL]. (2021-07-13)[2021-11-29]. http://www.nhc.gov.cn/xcs/s3574/202107/2fef24a3b77246fc9fb36dc8943af700.shtml.
    [6] 蒋志成, 徐慧琼, 万宇辉, 等. 儿童青少年脊柱弯曲异常筛查研究进展[J]. 中国学校卫生, 2021, 42(2): 312-315, 320. doi: 10.16835/j.cnki.1000-9817.2021.02.037

    JIANG Z C, XU H Q, WAN Y H, et al. Research progress of screening for vertebral column defects in children and adolescents[J]. Chin J Sch Health, 2021, 42(2): 312-315, 320. doi: 10.16835/j.cnki.1000-9817.2021.02.037
    [7] 教育部. 学校卫生工作条例[A/OL]. (1990-06-04)[2021-05-06]. http://www.moe.gov.cn/s78/A17/twys_left/moe_943/moe_793/tnull_9866.html.

    Ministry of Education of the PRC. The school health work regulations[A/OL]. (1990-06-04)[2021-05-06]. http://www.moe.gov.cn/s78/A17/twys_left/moe_943/moe_793/tnull_9866.html.
    [8] 教育部. 教育部关于印发《中小学健康教育指导纲要》的通知[A/OL]. (2008-12-01)[2021-05-06]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/200812/t20081201_80266.html.

    Ministry of Education of the PRC. The Ministry of Education of the primary and secondary school health education guidance outline of the notice[A/OL]. (2008-12-01)[2021-05-06]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/200812/t20081201_80266.html.
    [9] SENKOYLU A, RIISE R, ACAROGLU E, et al. Diverse approaches to scoliosis in young children[J]. Efort Open Rev, 2020, 5(10): 753-762. doi: 10.1302/2058-5241.5.190087
    [10] 陶芳标. 儿童少年卫生学[M]. 8版. 北京: 人民卫生出版社, 2017: 195.

    TAO F B. Child and adolescent hygiene[M]. 8th edition. Beijing: People's Medical Publishing House, 2017: 195.
    [11] SEDREZ J, DA ROSA M, NOLL M, et al. Risk factors associated with structural postural changes in the spinal column of children and adolescents[J]. Rev Paul Pediatr, 2015, 33(1): 72-81. doi: 10.1016/j.rpped.2014.11.012
    [12] 唐倩倩, 陈玉华. 大学新生脊柱侧弯患者的生活行为习惯调查[J]. 湖北理工学院学报, 2021, 37(3): 51-54. doi: 10.3969/j.issn.2095-4565.2021.03.011

    TANG Q Q, CHEN Y H. Investigation on life and behavioral habits of scoliosis patients among college freshmen[J]. J Hubei Polytechnic Univ, 2021, 37(3): 51-44. doi: 10.3969/j.issn.2095-4565.2021.03.011
    [13] 王富百慧, 李雅倩, 郭晓丹, 等. 久坐时间、身体活动与青少年身体姿态异常[J]. 中国青年研究, 2021(6): 5-12. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGQL202106002.htm

    WANG F B H, LI Y Q, GUO X D, et al. Sedentary time, physical activity and abnormal body posture in adolescents[J]. Chin Youth Stud, 2021(6): 5-12. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGQL202106002.htm
    [14] 亓德云, 李丽平, 江艳微, 等. 上海市虹口区儿童青少年脊柱弯曲异常现状及影响因素分析[J]. 中国学校卫生, 2021, 42(3): 444-447. doi: 10.16835/j.cnki.1000-9817.2021.03.030

    QI D Y, LI L P, JIANG Y W, et al. Abnormal spinal curvature and influencing factors in children and adolescents in Hongkou District, Shanghai[J]. Chin J Sch Health, 2021, 42(3): 444-447. doi: 10.16835/j.cnki.1000-9817.2021.03.030
    [15] ALTAF F, DRINKWATER J, PHAN K, et al. Systematic review of school scoliosis screening[J]. Spine Deform, 2017, 5(5): 303-309. doi: 10.1016/j.jspd.2017.03.009
    [16] WEINSTEIN S L, DOLAN L A, WRIGHT J G, et al. Effects of bracing in adolescents with idiopathic scoliosis[J]. N Engl J Med, 2013, 369(16): 1512-1521. doi: 10.1056/NEJMoa1307337
    [17] MONTICONE M, AMBROSINI E, CAZZANIGA D, et al. Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomised controlled trial[J]. Eur Spine J, 2014, 23(6): 1204-1214. doi: 10.1007/s00586-014-3241-y
    [18] NEGRINI S, ZAINA F, ROMANO M, et al. Specific exercises reduce brace prescription in adolescent idiopathic scoliosis: a prospective controlled cohort study with worst-case analysis[J]. J Rehabil Med, 2008, 40(6): 451-455. doi: 10.2340/16501977-0195
    [19] LABELLE H, RICHARDS S B, DE KLEUVER M, et al. Screening for adolescent idiopathic scoliosis: an information statement by the scoliosis research society international task force[J]. Scoliosis, 2013, 8: 17. doi: 10.1186/1748-7161-8-17
    [20] DUNN J, HENRIKSON N B, MORRISON C C. Screening for adolescent idiopathic scoliosis: evidence report and systematic review for the US preventive services task force[J]. JAMA, 2018, 319(2): 173-187. doi: 10.1001/jama.2017.11669
    [21] KADHIM M, LUCAK T, SCHEXNAYDER S, et al. Current status of scoliosis school screening: targeted screening of underserved populations may be the solution[J]. Public Health, 2020, 178: 72-77. doi: 10.1016/j.puhe.2019.08.020
    [22] LUK K D, LEE C F, CHEUNG K M, et al. Clinical effectiveness of school screening for adolescent idiopathic scoliosis: a large population-based retrospective cohort study[J]. Spine (Phila Pa 1976), 2010, 35(17): 1607-1614. doi: 10.1097/BRS.0b013e3181c7cb8c
    [23] GROSSMAN D, CURRY S, OWENS D, et al. Screening for adolescent idiopathic scoliosis: US preventive services task force recommendation statement[J]. JAMA, 2018, 319(2): 165-172. doi: 10.1001/jama.2017.19342
    [24] 国务院办公厅. 国务院办公厅印发《中国防治慢性病中长期规划(2017-2025年)》[A/OL]. (2017-02-14)[2021-05-16]. http://www.gov.cn/xinwen/2017-02/14/content_5167942.htm.

    General Office of the State Council of the PRC. Chronic disease prevention and control of the State Council general office issued the China medium and long term planning (2017-2025)[A/OL]. (2017-02-14)[2021-05-16]. http://www.gov.cn/xinwen/2017-02/14/content_5167942.htm.
    [25] 国务院. 关于印发中国妇女发展纲要和中国儿童发展纲要的通知[EB/OL]. (2021-09-08)[2021-11-29]. http://www.gov.cn/gongbao/content/2021/content_5643262.htm.

    State Council of China. Notice on printing and distributing the outline for the development of Chinese women and the outline for the development of Chinese children[EB/OL]. (2021-09-08)[2021-11-29]. http://www.gov.cn/gongbao/content/2021/content_5643262.htm.
    [26] 教育部. 教育部关于印发《国家学生体质健康标准(2014年修订)》的通知[EB/OL]. (2021-09-08)[2021-11-29]. http://www.ycu.edu.cn/upload/20141010015937424.pdf.

    The Ministry of Education of the PRC. Notice of the Ministry of Education on printing and distributing the national student physical health standard[EB/OL]. (2021-09-08)[2021-11-29]. http://www.ycu.edu.cn/upload/20141010015937424.pdf.
    [27] HORNE J P, FLANNERY R, USMAN S. Adolescent idiopathic scoliosis: diagnosis and management[J]. Am Fam Physic, 2014, 89(3): 193-198.
    [28] HUANG H M, CHANG D S, WU P C. The association between near work activities and myopia in children a systematic review and Meta-analysis[J]. PLoS One, 2015, 10(10): e0140419. doi: 10.1371/journal.pone.0140419
    [29] 国家卫生健康委员会. 儿童青少年脊柱弯曲异常的筛查标准: GB/T 16133—2014[S]. 2015-01-01.

    National Health Commission of the PRC. Screening standard for abnormal spinal curvature in children and adolescents: GB/T 16133-2014[S]. 2015-01-01.
    [30] 国家卫生计划和生育委员会. 国家基本公共卫生服务规范(第3版)[EB/OL]. (2017-02-28)[2021-11-29]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2017/04/20170417104506514.pdf.

    National Health and Family Planning Commission of the PRC. National basic public health service specification (3rd edition)[EB/OL]. (2017-02-28)[2021-11-29]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2017/04/20170417104506514.pdf.
    [31] 国家卫生健康委员会, 教育部. 关于印发中小学生健康体检管理办法(2021年版)的通知[EB/OL]. (2021-09-30)[2021-11-29]. http://www.gov.cn/zhengce/zhengceku/2021-10/21/content_5644100.htm.

    National Health Commission of the PRC, Ministry of Education of the PRC. Notice on printing and distributing the administrative measures for physical examination of primary and middle school students (2021 Edition)[EB/OL]. (2021-09-30)[2021-11-29]. http://www.gov.cn/zhengce/zhengceku/2021-10/21/content_5644100.htm.
    [32] 国家卫生健康委员会, 科技部, 工业和信息化部, 等. 关于公布第一批罕见病目录的通知[EB/OL]. (2018-05-11)[2021-11-29]. http://www.gov.cn/zhengce/zhengceku/2018-12/31/content_5435167.htm.

    National Health Commission of the PRC, Ministry of Science and Technology of the PRC, Ministry of Industry and Information Technology of the PRC, et al. Notice on publishing the first batch of rare diseases catalogue[EB/OL]. (2018-05-11)[2021-11-29]. http://www.gov.cn/zhengce/zhengceku/2018-12/31/content_5435167.htm.
    [33] KRATENOVÁ J, ZEJGLICOVÁ K, MALY M, et al. Prevalence and risk factors of poor posture in school children in the Czech Republic[J]. J Sch Health, 2007, 77(3): 131-137. doi: 10.1111/j.1746-1561.2007.00182.x
    [34] LATALSKI M, BYLINA J, FATYGA M, et al. Risk factors of postural defects in children at school age[J]. Ann Agr Environ Med, 2013, 20(3): 583-587. http://yadda.icm.edu.pl/yadda/element/bwmeta1.element.agro-6a8ef985-975d-4a9d-8b93-3932da0c6c81/c/fulltext802.pdf
    [35] BRZEK A, DWORRAK T, STRAUSS M, et al. The weight of pupils' schoolbags in early school age and its influence on body posture[J]. BMC Muscul Dis, 2017, 18(1): 117. doi: 10.1186/s12891-017-1462-z
    [36] CHOW D H, KWOK M L, CHENG J C, et al. The effect of backpack weight on the standing posture and balance of schoolgirls with adolescent idiopathic scoliosis and normal controls[J]. Gait Posture, 2006, 24(2): 173-181. doi: 10.1016/j.gaitpost.2005.08.007
    [37] 邓万霞, 张金枝, 杜锐, 等. 襄阳市区中小学生脊柱弯曲异常现状及影响因素分析[J]. 中国校医, 2016, 30(4): 285-287. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201604025.htm

    DENG W X, ZHANG J Z, DU R, et al. Abnormal spinal curvature situation and influencing factors in schoolchildren in Xiangyang City[J]. Chin J School Doctor, 2016, 30(4): 285-287. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201604025.htm
    [38] 李尚乐, 张强, 荣霞. 西藏地区中小学生脊柱弯曲异常状况分析[J]. 中国学校卫生, 2021, 42(9): 1384-1387. doi: 10.16835/j.cnki.1000-9817.2021.09.026

    LI S L, ZHANG Q, RONG X. Abnormal spinal curvature in primary and secondary school students in Tibet[J]. Chin J Sch Health, 2021, 42(9): 1384-1387. doi: 10.16835/j.cnki.1000-9817.2021.09.026
    [39] 张云婷, 马生霞, 陈畅, 等. 中国儿童青少年身体活动指南[J]. 中国循证儿科杂志, 2017, 12(6): 401-409. doi: 10.3969/j.issn.1673-5501.2017.06.001

    ZHANG Y T, MA S X, CHEN C, et al. Physical Activity Guideline for Chinese Children and Adolescents[J]. Chin J Evid-based Pediatr, 2017, 12(6): 401-409. doi: 10.3969/j.issn.1673-5501.2017.06.001
    [40] 国家卫生健康委员会疾控局. 儿童青少年新冠肺炎疫情期间近视预防指引(更新版)[A/OL]. (2020-04-25)[2020-06-01]. http://www.nhc.gov.cn/jkj/s5899tg/202004/8258621038d346659a64c69b06f46405.shtml.

    National Health Commission Disease Control Bureau of the PRC. During the outbreak of child and adolescent COVID-19 myopia prevention guidelines (updated version)[A/OL]. (2020-04-25)[2020-06-01]. http://www.nhc.gov.cn/jkj/s5899tg/202004/8258621038d346659a64c69b06f46405.shtml.
    [41] NACHEMSON A, MORRIS J M. In vivo measurements of intradiscal pressure. Discometry, a method for the determination of pressure in the lower lumbar discs[J]. J Bone Joint Surg Am, 1964, 46: 1077-1092. doi: 10.2106/00004623-196446050-00012
    [42] WILKE H J, NEEF P, CAIMI M, et al. New in vivo measurements of pressures in the intervertebral disc in daily life[J]. Spine (Phila Pa 1976), 1999, 24(8): 755-762. doi: 10.1097/00007632-199904150-00005
    [43] HANSRAJ K K. Assessment of stresses in the cervical spine caused by posture and position of the head[J]. Surg Technol Int, 2014, 25: 277-279. http://cdn.bancodasaude.com/attachment/spineee.pdf
    [44] CHENG C H, CHIEN A, HSU W L, et al. Investigation of the differential contributions of superficial and deep muscles on cervical spinal loads with Changing head postures[J]. PLoS One, 2016, 11(3): e0150608. doi: 10.1371/journal.pone.0150608
    [45] STONER L, ROWLANDS D, MORRISON A, et al. Efficacy of exercise intervention for weight loss in overweight and obese adolescents: Meta-analysis and implications[J]. Sports Med(Auckland, NZ), 2016, 46(11): 1737-1751. doi: 10.1007/s40279-016-0537-6
    [46] PETRIDOU A, SIOPI A, MOUGIOS V. Exercise in the management of obesity[J]. Metabolism, 2019, 92: 163-169. doi: 10.1016/j.metabol.2018.10.009
    [47] XIONG S, SANKARIDURG P, NADUVILATH T, et al. Time spent in outdoor activities in relation to myopia prevention and control: a Meta-analysis and systematic review[J]. Acta Ophthalmol, 2017, 95(6): 551-566. doi: 10.1111/aos.13403
    [48] 国家卫生健康委员会. 中小学生书包卫生要求: WS/T 585—2018[S]. 2018-11-01.

    National Health Commission of the PRC. Hygienic requirements of student's schoolbag in primary and middle school: WS/T 585-2018[S]. 2018-11-01.
    [49] 健康中国行动推进委员会. 健康中国行动(2019—2030年)[A/OL]. (2019-07-15)[2021-06-06]. http://www.gov.cn/xin-wen/2019-07/15/content_5409694.htm.

    Healthy China Action Promotion Committee. China Health Action(2019-2030)[A/OL]. (2019-07-15)[2021-06-06]. http://www.gov.cn/xin-wen/2019-07/15/content_5409694.htm.
    [50] 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. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202109021.htm

    HAI B, SHEN H, LIU M M, et al. Scoliosis survey of primary and secondary school students in Suzhou[J]. Prev Med, 2021, 33(9): 940-943. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202109021.htm
  • 加载中
计量
  • 文章访问数:  1168
  • HTML全文浏览量:  1119
  • PDF下载量:  252
  • 被引次数: 0
出版历程
  • 收稿日期:  2021-12-01
  • 修回日期:  2021-12-16
  • 网络出版日期:  2022-02-24
  • 刊出日期:  2022-02-25

目录

    /

    返回文章
    返回