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[1]陈立潍,杨筱轩,郑强,等.中国西南地区3~14岁儿童足部发育状态的横断面研究[J].临床小儿外科杂志,2025,(01):45-52.[doi:10.3760/cma.j.cn101785-202406005-009]
　Chen Liwei,Yang Xiaoxuan,Zheng Qiang,et al.Cross-sectional study on foot development in children in Southwest China[J].Journal of Clinical Pediatric Surgery,2025,(01):45-52.[doi:10.3760/cma.j.cn101785-202406005-009]

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中国西南地区3~14岁儿童足部发育状态的横断面研究

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 期数: 2025年01 页码: 45-52 栏目: 论著出版日期: 2025-01-01

Title:: Cross-sectional study on foot development in children in Southwest China

作者:: 陈立潍¹; 杨筱轩²; 郑强¹; 曹波¹; 张雲鹏¹; 李爽¹; 尤建¹; 谢超兰¹; 白定群²; 赵辰³; 陈静²; 唐力²; 李明⁴; 1. 重庆市潼南区人民医院骨科, 重庆 402660;
2. 重庆医科大学附属第一医院康复科, 重庆 400015;
3. 重庆医科大学附属第一医院骨科, 重庆 400015;
4. 重庆医科大学附属儿童医院骨科国家儿童健康与疾病临床医学研究中心儿童发育疾病研究教育部重点实验室儿科学重庆市重点实验室, 重庆 400015

Author(s):: Chen Liwei¹; Yang Xiaoxuan²; Zheng Qiang¹; Cao Bo¹; Zhang Yunpeng¹; Li Shuang¹; You Jian¹; Xie Chaolan¹; Bai Dingqun²; Zhao Chen³; Chen Jing; 1. Department of Orthopedics, People’s Hospital of Tongnan District, Chongqing 402660, China;
2. Department of Rehabilitation, First Affiliated Hospital of Chongqing Medical University, Chongqing 400015, China;
3. Department of Orthopedics, First Affiliated Hospital of Chongqing Medical University, Chongqing 400015, China;
4. Department of Orthopedics, Children’s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing 400015, China

关键词:: 足; 参考值; 外科手术; 儿童

Keywords:: Foot; Reference Values; Surgical Procedures; Operative; Child

DOI:: 10.3760/cma.j.cn101785-202406005-009

摘要:: 目的建立中国西南地区3~14儿童足部形态的医学参考值范围,为评估儿童足部发育状态提供参考依据。方法本研究为回顾性研究,选择中国西南地区3~14岁儿童共3 476人作为研究对象,其中男1 918人、女1 558人,均使用 "Foot Secret" 三维全足扫描仪扫描足部三维轮廓以获得足部参数,包括负重和非负重状态下的足弓体积、足弓指数及负重状态下的足长,根据不同状态下的足弓体积计算出足弓柔韧度,从多维度评估足部发育状态。采用百分位数(P_2.5~P_97.5)分别建立足弓体积、足弓指数、足弓柔韧度、足长的95%医学参考值范围。结果 3~14岁儿童足长与足弓体积随年龄增长而增加,足弓指数和足弓柔韧度随年龄增长而降低(P＜0.001)。其中,男性、女性足长参考范围分别从3岁时的146.7~182.0 mm、143.2~177.4 mm增长至14岁时的227.9~279.7 mm、209.1~250.2 mm。非负重状态下男性、女性足弓指数参考范围分别从3岁时的0.21~0.37、0.20~0.37降低至14岁时的0.15~0.33、0.13~0.33。负重状态下男性、女性足弓指数参考范围分别从3岁时的0.28~0.37、0.27~0.37降低至14岁时的0.21~0.35、0.20~0.35。非负重状态下男性、女性足弓体积参考范围分别从3岁时的3 155.4~15 046.3 mm³、2 948.9~1 1547.0 mm³增长至14岁时的13 998.8~40 494.1 mm³、11 372.3~36 624.0 mm³。负重状态下男性、女性足弓体积参考范围分别从3岁时的1 686.4~8 163.3 mm³、1 801.1~7 481.7 mm³增长至14岁时的7 043.7~31 661.1 mm³、7 775.9~24 505.2 mm³。男女性足弓柔韧度参考范围分别从3岁时的0.13~0.71、0.13~0.74降低至14岁时的0.05~0.53、0.06~0.55。结论本研究建立了中国西南地区3~14岁儿童足部多维度参数的参考值范围,可为评估儿童足部发育状态提供参考依据。

Abstract:: Objective To establish reference ranges for foot morphology parameters in children aged 3-14 years in Southwest China and provide a basis for assessing the developmental status of children’s feet. Methods A total of 3476 children aged 3-14 years (1918 boys and 1558 girls) from Southwest China were enrolled.Foot morphology was evaluated using the "Foot Secret" 3D full-foot scanner,which measured foot parameters,including arch volume,arch index,and foot length in both weight-bearing and non-weight-bearing states.Arch flexibility was calculated from arch volume under different conditions.Percentile ranges (P_2.5-P_97.5) were used to establish 95% reference intervals for arch volume,arch index,arch flexibility,and foot length to assess foot development. Results Foot length and arch volume increased with age,while arch index and arch flexibility decreased (P<0.001).Reference ranges for foot length in boys and girls increased from 146.7-182.0 mm and 143.2-177.4 mm at age 3 to 227.9-279.7 mm and 209.1-250.2 mm at age 14,respectively.In the non-weight-bearing state,reference ranges for arch index decreased from 0.21-0.37 (boys) and 0.20-0.37 (girls) at age 3 to 0.15-0.33 (boys) and 0.13-0.33 (girls) at age 14.Under weight-bearing conditions,arch index decreased from 0.28-0.37 (boys) and 0.27-0.37 (girls) at age 3 to 0.21-0.35 (boys) and 0.20-0.35 (girls) at age 14.Arch volume in the non-weight-bearing state increased from 3 155.4-15 046.3 mm³ (boys) and 2 948.9-11 547.0 mm³ (girls) at age 3 to 13 998.8-40 494.1 mm³ (boys) and 11 372.3-36 624.0 mm³ (girls) at age 14.Under weight-bearing conditions,arch volume increased from 1 686.4-8 163.3 mm³ (boys) and 1 801.1-7 481.7 mm³ (girls) at age 3 to 7 043.7-31 661.1 mm³ (boys) and 7 775.9-24 505.2 mm³ (girls) at age 14.Arch flexibility in boys and girls decreased from 0.13-0.71 and 0.13-0.74 at age 3 to 0.05-0.53 and 0.06-0.55 at age 14,respectively. Conclusions This study established reference ranges for multi-dimensional foot parameters in children aged 3-14 years in Southwest China,providing a valuable reference for assessing pediatric foot development.

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备注/Memo

收稿日期:2024-6-3。
基金项目:潼南区科研项目技术创新与应用发展专项(TK-2022-13)
通讯作者:李明,Email:LM3180@163.com

更新日期/Last Update: 1900-01-01