CAJ | 학술논문

目的：本研究计划对东莞市32镇422所小学全体2012年在校学生及2013年新入学学生进行漏斗胸的普查，筛查出漏斗胸患者，并建立漏斗胸普查机制与队伍，为小儿漏斗胸诊疗指南的建立提供流行病学方面的支持。方法：本研究对东莞市32镇422所小学479402名2012年在校学生及2013年新入学学生进行漏斗胸的普查，并对422所小学约420名校医人员进行漏斗胸的系列培训，建立漏斗胸普查机制及网络。结果：本研究共普查广东东莞市内31镇406所小学中2012年全体在校学生及2013年新入学学生共计477627名儿童(普查率为99.62%)，年龄4~15岁，平均年龄为8.78岁，其中男性N1=244545人，平均年龄8.22岁，女性N2=233082，平均年龄8.89岁。共筛查出漏斗胸患者257人，现患率为PR =0.583‰，其中男性N3=176，平均年龄8.79岁，女性N4=81例，平均年龄8.77岁。以漏斗胸患者为阳性组，健康儿童为对照组，性别为因变量做卡方检验，P值为0.00， P<0.05，男女漏斗胸的发病率有统计学差异。比值为N3：N4=2.172：1。共培训了410名校医工作人员，建立了漏斗胸普查机制及网络。结论：本研究对东莞市2012年全体在校小学生及2013年新入学学生漏斗胸情况进行了普查研究，经过统计学检验，男女发病率有差异，并建立了长效稳定的漏斗胸普查机制，为漏斗胸早诊早治准备了人员基础与技术基础。
목적：본연구계화대동완시32진422소소학전체2012년재교학생급2013년신입학학생진행루두흉적보사，사사출루두흉환자，병건립루두흉보사궤제여대오，위소인루두흉진료지남적건립제공류행병학방면적지지。방법：본연구대동완시32진422소소학479402명2012년재교학생급2013년신입학학생진행루두흉적보사，병대422소소학약420명교의인원진행루두흉적계렬배훈，건립루두흉보사궤제급망락。결과：본연구공보사엄동동완시내31진406소소학중2012년전체재교학생급2013년신입학학생공계477627명인동(보사솔위99.62%)，년령4~15세，평균년령위8.78세，기중남성N1=244545인，평균년령8.22세，녀성N2=233082，평균년령8.89세。공사사출루두흉환자257인，현환솔위PR =0.583‰，기중남성N3=176，평균년령8.79세，녀성N4=81례，평균년령8.77세。이루두흉환자위양성조，건강인동위대조조，성별위인변량주잡방검험，P치위0.00， P<0.05，남녀루두흉적발병솔유통계학차이。비치위N3：N4=2.172：1。공배훈료410명교의공작인원，건립료루두흉보사궤제급망락。결론：본연구대동완시2012년전체재교소학생급2013년신입학학생루두흉정황진행료보사연구，경과통계학검험，남녀발병솔유차이，병건립료장효은정적루두흉보사궤제，위루두흉조진조치준비료인원기출여기술기출。
Objective:We planned to ifnish the census of 479,402 student in 422 primary school in Dongguang, Guangdong Province, in order to screen the pectus excavatum patient and treat with surgery. Then we could build up an effective stable pectus excavatum screening network to prepare for the Children Pectus Excavatum Diagnosis&Treatment Guildline. Methods:We ifnished the census 479,402 student in 422 primary school to screen the pectus excavatum patients, then applied the chi-square test to describe the difference in gender. Moreover, we trained 420 school medical practitioners to build up the PEX screening and following network in Dongguang, Guangdong Province. Results:We had screening 477,627 student (N=477,627) in 406 primary schools in Dongguan, Guangdong Province with 99.62%screening rate, age ranged from 4~15 years old, average age was 8.78 years old. Male student was 244,545 (N1=244,545, M1=8.78) with average age was 8.22 years old while female was 233082 (N2=233,082, M2=8.22) with 8.89 years old. A total of 257 children were enrolled the PEX group, the prevalence rate was 0.583‰with 176 male (N3=176, M3=8.79) while 81 female (N4=81, M4=8.77). hTe chi-square test result in P<0.00, indicated the prevalence rate in male and female was signiifcantly different. hTe stable effective PEX screening and following network was initially built up by 410 school medical practitioners were trained with three courses and passed the exam. Conclusion:hTe research screened the pectus excavatum patients in all the primary school students from 2012~2013 in Dongguan, Guangdong Province. hTrough the screening and training, a stable effective PEX screening and following network was initially built up, through which the PEX patient in Dongguan could be beneift from early diagnosis, early prevention and early treatment.