常州市7~8岁儿童柔韧性扁平足筛查结果及相关因素分析

戴小宇; 冯科曙; 许晨阳; 张益舸; 丁凯; 赵镒汶; 王逸荣; 李雪菲; 丁文鸽

doi:10.16835/j.cnki.1000-9817.2024285

常州市7~8岁儿童柔韧性扁平足筛查结果及相关因素分析

doi: 10.16835/j.cnki.1000-9817.2024285

1.
苏州大学附属第三医院/常州市第一人民医院创伤骨科，江苏常州 213000
2.
常州市天宁区红梅街道社区卫生服务中心全科

基金项目:

国家自然科学基金项目 81272017

江苏省卫生健康委科研项目 M2021070

常州市科技局重点研发计划项目 CJ20200112

详细信息

作者简介:
戴小宇(1989-)，男，江苏常州人，硕士，副主任医师，主要研究方向为骨创伤、足踝外科等相关疾病

通讯作者:
丁文鸽，E-mail：flying_ding@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 R726.8 R193
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- 被引次数: 0
出版历程
- 收稿日期: 2024-05-11
- 修回日期: 2024-07-20
- 网络出版日期: 2024-11-02
- 刊出日期: 2024-10-25

Analysis of pediatric flexible flatfoot screening and associated factors among children aged 7-8 in Changzhou City

1.
Department of Traumatic Orthopedics, the Third Affiliated Hospital of Soochow University/the First People's Hospital of Changzhou, Changzhou (213000), Jiangsu Province, China

摘要

摘要: 目的分析常州市7~8岁儿童柔韧性扁平足(PFF)的检出率及相关因素，为防治PFF提供可行依据。方法 2023年12月至2024年2月，采用分层整群随机抽样方法抽取常州市10所小学共1 685名7~8岁儿童，使用足部光学评估记录装置进行PFF筛查，并记录性别、体质量指数(BMI)、饮食情况、运动情况、穿鞋习惯等资料。站立位时使用骨科测量尺在体表测量后足外翻角，同时对合并平足症的儿童进行疼痛视觉模拟评分(VAS)评估疼痛程度。采用多因素Logistic回归分析PFF的相关因素。结果调查对象中PFF整体检出率为27.4%，男、女生PFF检出率分别为30.3%和24.1%，差异有统计学意义(χ²=7.96，P < 0.01)。PFF以轻度平足(60.8%)和双侧发病(60.4%)为主，其中13.2%的PFF合并平足症，VAS平均为(2.86±0.73)分。56.1%的儿童合并PFF时具有正常的后足外翻角。性别(男生)、高BMI和偏好鞋楦前翘鞋型与PFF检出均呈正相关(OR值分别为1.74，1.54，1.13，P值均 < 0.05)。按性别分层比较后，男童经常运动、女童年龄与PFF检出均呈负相关(OR值分别为0.40，0.64，P值均 < 0.05)。结论 7~8岁儿童PFF检出率较高，PFF合并平足症或后足外翻的检出率相对较低、隐匿性较高，对PFF应做到早发现、早干预。
- 扁平足 /
- 发病率 /
- 回归分析 /
- 儿童
Abstract: Objective To analyze the prevalence and related factors of pediatric flexible flatfoot (PFF) among 7-8-year-old children in Changzhou, so as to provide a feasible basis for the prevention and treatment of PFF. Methods From December 2023 to February 2024, a total of 1 685 children aged 7-8 from 10 primary schools in Changzhou were selected by stratified cluster random sampling method, and screened for PFF by using a foot optical assessment recording device. Information including sex, body mass index (BMI), diet, exercise and shoe-wearing habits were collected. The valgus angle of the hindfoot was measured on the body surface by using an orthopedic measuring ruler in the standing position. Pain levels were evaluated by using visual analogue score (VAS) for children with flatfoot syndrome. Multivariate Logistic analysis was used to analyze related factors of PFF. Results The overall detection rate of PFF was 27.4%, and there was a significant difference in the detection rate of PFF between boys and girls, with 30.3% and 24.1% respectively (χ²=7.96, P < 0.01). Most cases of PFF were mild flatfoot (60.8%) and bilateral (60.4%). Approximately 13.2% of children with PFF had flatfoot syndrome, with a mean VAS of (2.86±0.73). About 56.1% of children with PFF had a normal valgus angle of the hindfoot. Sex, high BMI and preference for shoe last with front upturned shoe shape were positively correlated with the detection of PFF (OR=1.74, 1.54, 1.13, P < 0.05). After stratified by sex, regular exercise in boys and age in girls were negatively correlated with the detection of PFF (OR=0.40, 0.64, P < 0.05). Conclusions The detection rate of PFF in 7-8-year-old children is high. Additionally, PFF combined with flatfoot syndrome or valgus hindfoot is relatively rare and is likely to be underestimated, which emphasizes the importance of early detection and intervention for PFF.
- Flatfoot /
- Incidence /
- Regression analysis /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 7~8岁儿童PFF相差因素的多因素Logistic回归分析(n=1 685)

Table 1. Multivariate Logistic regression analysis of PFF related factors among children aged 7-8(n=1 685)

自变量	选项	β值	标准误	Wald χ²值	OR值(95%CI)	P值
性别		0.30	0.11	17.07	1.74(1.60~1.93)	0.01
年龄		-0.20	0.11	3.94	0.82(0.66~1.01)	0.06
BMI		0.04	0.02	4.64	1.54(1.50~1.57)	0.03
饮食情况	荤菜为主	-0.32	0.30	2.56	0.72(0.40~1.30)	0.28
	素菜为主	-0.23	0.34	2.86	0.79(0.41~1.54)	0.50
运动情况	经常运动	-0.25	0.29	2.76	0.78(0.44~1.37)	0.39
	偶尔运动	-0.23	0.12	3.14	0.88(0.70~1.11)	0.29
穿鞋类型	鞋楦前翘	0.11	0.07	6.35	1.13(1.00~1.43)	0.03
注：自变量中的分类变量分别以女童、荤素搭配、很少运动、鞋楦平缓为参照，因变量以未发生PFF为参照。

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表 2 7~8岁儿童按性别分层的PFF多因素Logistic回归分析

Table 2. Multivariate Logistic regression analysis of PFF among children aged 7-8 by gender

自变量	选项	男童(n=898)		女童(n=787)
自变量	选项	OR值(95%CI)	P值	OR值(95%CI)	P值
年龄		0.98(0.74~1.30)	0.89	0.64(0.46~0.89)	0.01
BMI		1.02(0.98~1.06)	0.34	1.57(1.51~1.62)	0.02
饮食情况	荤菜为主	0.62(0.28~1.37)	0.24	0.87(0.35~2.14)	0.76
	素菜为主	0.58(0.24~1.42)	0.24	1.22(0.44~3.34)	0.70
运动情况	经常运动	0.40(0.16~0.99)	0.05	1.34(0.63~2.83)	0.45
	偶尔运动	0.84(0.62~1.13)	0.25	0.95(0.66~1.35)	0.76
穿鞋类型	鞋楦前翘	1.33(1.17~1.60)	0.04	0.92(0.82~1.25)	0.10
注：自变量中的分类变量分别以荤素搭配、很少运动、鞋楦平缓为参照，因变量以未发生PFF为参照。

下载: 导出CSV

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