早期分髋运动对发育性髋关节发育不良作用.docVIP

早期分髋运动对发育性髋关节发育不良作用 　　摘 要 目的：观察分髋运动对婴儿发育性髋关节发育不良的影响。方法：收集2013年1月-2014年12月门诊体检的1岁以内有发育性髋关节发育不良临床表现与体征的足月婴儿1 098例，分为早期试验组346例、中期试验组402例和对照组350例。早期和中期试验组患儿分别于出生1、4个月时开始进行分髋运动，对照组患儿因家长原因不进行分髋运动。观察6个月时的分髋阳性率和有效率。结果：早期、中期试验组和对照组6个月时的分髋阳性率分别为29.70%（103/346）、39.80%（160/402）和70.00%（245/350）；总的发育性髋关节发育不良发生率分别为1.73%（6/346）、2.48%（10/402）和4.57%（16/350），组间差异有统计学意义（P均0.01）；总有效率分别为98.26%、97.60%和97.10%。结论：早期分髋运动对婴儿的髋关节发育有明显的促进作用。 　　关键词 发育性髋关节发育不良 分髋运动 婴儿 　　中图分类号：R318/R681.6 文献标识码：A 文章编号：1006-1533（2015）16-0027-02 　　The effect of the early stage hip movement on the developmental hip dysplasia 　　DENG Xiaoling 　　（Waigang Community Health Service Center of Jiading District， Shanghai 201806， China） 　　ABSTRACT Objective： To observe the influence of the hip movement on the developmental hip dysplasia of the babies. Methods： From Jan. 2013 to Dec. 2014， 1 098 full-term infants with the developmental hip dysplasia within 1 year old who had the clinical manifestation and physical sign were collected in the outpatient clinic examination and divided into the early and middle experimental groups with 346 and 402 cases， and a control group with 350 cases. In the early and middle experimental groups， the hip movement started in the infants of 1-4 months old， but did not in the control group because the parents did not accept it. The positive rate of the hip and the efficiency were observed after 6 months. Results： The hip positive rates of the early and middle experimental groups， and the control group were 29.70% （103/346）， 39.80% （160/402）， and 70.00% （245/350） in the 6 months， respectively. The overall incidences of the developmental hip dysplasia were 1.73% （6/346）， 2.48% （10/402） and 4.57%（16/350）， and the difference among three groups had the statistical significance （P0.01）. The total effective rate was 98.26%， 97.60% and 97.10% ， respectively. Conclusion： The early stage hip movement has a promoting effect on the development of the infant’s hip joint. 　　KEY WORDS developmental hip