早期干预治疗在婴儿髋臼发育不良中的临床意义  

CLINICAL SIGNIFICANCE OF EARLY INTERVENTION IN DYSPLASIA OF ACETABULUM IN INFANTS

作　　者：刘红磊[1] 马顺茂[2] 杨京卫[1] 于阳阳[3] 卢海英[1] 何炜[1] 

机构地区：[1]河北医科大学附属华北石油管理局总医院物理诊断科,河北任丘062552 [2]河北医科大学附属华北石油管理局总医院普外二科,河北任丘062552 [3]河北医科大学附属华北石油管理局总医院口腔科,河北任丘062552

出　　处：《河北医科大学学报》2013年第11期1394-1396,共3页Journal of Hebei Medical University

基　　金：中国石油华北油田矿区医疗资助项目(2011-HBG28-3)

摘　　要：目的探讨早期干预治疗措施对髋臼发育不良(dysplasia the acetabulum,DA)恢复的有效性。方法 40例DA患儿随机分为对照组和治疗组各20例,治疗组早期(出生4周后)给予干预手段(采取屈髋外展操训练结合宽尿布片法治疗),对照组无干预措施,超声定期观察髋关节恢复情况。结果治疗组中2个月内DA患儿恢复17例(85.0%),高于对照组11例(55.0%),差异有统计学意义(P<0.05);随访至病程3个月,治疗组恢复20例(100.0%),对照组仅有14例(70.0%),差异有统计学意义(P<0.05);6个月时对照组仍有3例未恢复正常。治疗组恢复效果的散点回归方程斜率4.0大于对照组斜率2.9,表明治疗组的恢复速度快于对照组。结论早期干预措施能够促进DA患儿的尽早恢复。Objective To observe the effects of early intervention in dysplasia of acetabulum （DA） in infants. Methods Forty infants with DA were divided into control group and treatment group. Treatment group was given early intervention measure, and control group was no intervention measure. Regular follow-up and ultrasonic monitor were made to the end of 6th month after birth. Results There were 17 infants（85.0% ） with DA in treatment group and 11 infants（55.0% ） had returned to normal within 2 months after treatment, there was significant difference between two groups （ P 〈 0. 05 ）. Follow- up to 3 months, all infants in treatment group returned to normal, but in control group only 14 infants （ 70. 0% ） recovered, there was significant difference between two groups （ P 〈 0. 05 ）. Until to 3 months, there were also 3 infants in control group who were not to recovered. Spot regression equation slope of treatment group was greater than that of control group, it showed that treatment group had higher recovery rate than control group. Conclusion Early intervention in DA in infants will help them have normal hip.

关 键 词：髋臼 骨疾病 发育性 超声检查 治疗 

分 类 号：R726.847.5[医药卫生—儿科]