| 昆明市部分小学学龄期儿童扁平足患病筛查分析 |
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| 引用本文： | 张英杰,吴桐,刘璐赟,包伟君,黄家峥,熊鹰,肖甲宇. 昆明市部分小学学龄期儿童扁平足患病筛查分析[J]. 昆明医科大学学报, 2023, 44(1): 31-34. DOI: 10.12259/j.issn.2095-610X.S20230120 |
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| 作者姓名： | 张英杰 吴桐 刘璐赟 包伟君 黄家峥 熊鹰 肖甲宇 |
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| 作者单位： | 1.昆明医科大学附属延安医院骨科，云南 昆明 650051 |
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| 基金项目： | 云南省卫生高层次人才培养基金资助项目（H2019014）；昆明市卫生健康委员会卫生科研基金资助项目（2019-04-07-0010）；昆明市卫生科技人才培养基金资助项目[2019-sw（后备）-08）] |
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| 摘 要： | 目的 调查昆明市部分小学学龄期儿童（7～13岁）扁平足患病概率和流行病学特征，为预防扁平足提供依据。 方法 利用光学足部评估记录装置在昆明市滇池度假区二小学、经开区第五小学、果林小学、文笔小学内进行扁平足筛查，分析学龄期儿童扁平足发病率、年龄趋势、男女比例、轻重程度及单双足发病情况。 结果 调查昆明市4 444名学龄期儿童（7～13岁）扁平足的整体发生率为29.1%，不同年龄学龄期儿童扁平足的发生率，差异有统计学意义（χ2 = 159.887，P < 0.001），7岁患病率为36.91%，13岁患病率为29%。男生扁平足发生率为62.49%，女生扁平足发生率为37.51%，男女生之间扁平足发生率差异具有统计学意义（χ2 = 63.886，P < 0.001），各年龄段男生扁平足患病率高于女生。学龄期儿童扁平足总发病率按程度分为轻度21.79%、中度 52.43%、重度25.78%，扁平足发病双足型为89.1%，单足左右型差异无统计学意义（ P > 0.05）。 结论 7～13岁的学龄期儿童的扁平足患病率随着年龄增长降低，女生扁平足患病率低于男生，多数儿童扁平足发病为中度扁平足。对于学龄期儿童的扁平足应该做到早预防、早发现、早治疗。
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| 关 键 词： | 扁平足筛查 患病率 学龄期儿童 流行病学研究 |
| 收稿时间： | 2022-10-22 |
Screening Analysis of Flat Foot Disease in School-age Children in Kunming City |
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| Affiliation: | 1.Dept. of Orthopedics，Yan’an Hospital Affiliated to Kunming Medical University，Kunming Yunnan 6500512.The 1st Clinical College of Yunnan University of Traditional Chinese Medicine，Kunming Yunnan 650500，China |
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| Abstract: | Objective To investigate the incidence probability and epidemiological characteristics of flat foot in school-age children （7～13 years old） in Kunming, and to provide the evidence for the prevention of flat foot. Methods The incidence of flat foot, age trend, male to female ratio, severity and the incidence of single and double foot of school-age children were analyzed by using the optical foot assessment recording device in the second primary school of Dianchi Resort, the fifth Primary School of Jingkai District, Guolin Primary School and Wenbi Primary School in Kunming. Results The overall incidence of flat foot in 4444 school-age children （7-13 years old） in Kunming was 29.1%. The incidence of flat foot in school-age children of different ages was statistically significant （χ2 = 159.887, P < 0.001）. The prevalence was 36.91% at age 7 and 29% at age 13. The incidence of flat feet was 62.49% in boys and 37.51% in girls. There was a statistically significant difference in the incidence of flat feet between boys and girls （χ2 = 63.886, P < 0.001）. The prevalence of flat feet in boys of all ages was higher than that in girls.The total incidence of flat foot in school-age children was divided into mild 21.79%, moderate 52.43% and severe 25.78% according to degree. The incidence of flat foot was 89.1% in bipedal type, and there was no statistical significance in the left and right type of flat foot （P > 0.05）. Conclusion The incidence of flat foot in school-age children aged 7-13 years decreases gradually with the increase of age. The incidence of flat foot in girls is lower than that in boys, and the incidence of flat foot in most children is moderate flat foot. For school-age children, flat feet should be prevented, detected and treated as early as possible. |
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