甘肃省广河县少数民族发育性髋脱位流行病学调查  

Epidemiological Investigation of Developmental Dislocation of the Hip in Minority Nationalities in Guanghe County of Gansu Province

作　　者：陈世海[1] 李卫平[1] 陈志龙[1] 王华明[1] 裴生太[1] 代长泉[1] CHEN Shihai LI Weiping CHEN Zhilong WANG Huaming PEI Shengtai DAI Changquan(Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, Chin)

机构地区：[1]甘肃省中医院,甘肃兰州730050

出　　处：《西部中医药》2017年第3期80-83,共4页Western Journal of Traditional Chinese Medicine

基　　金：甘肃省科技支撑项目(编号1304FKCA110)

摘　　要：目的:调查发育性髋关节脱位的发生与遗传因素、分娩方式、襁褓方法的相关性,为预防发育性髋关节脱位(DDH)提供依据。方法:按照整群抽样的方法,在甘肃临夏回族自治区依据经济条件和地域特色选取甘肃临夏回族广河县幼儿园的儿童进行普查。纳入对象10 412人,实际调查10 335人(试验组),随机抽取正常儿童100人作为对照(对照组)。调查入选幼儿的既往病史、家族病史、毒物接触史、生产方式、环境室温、婴儿期护理方式和襁褓方法。结果:先天因素中,剖腹产、头胎的髋脱位发病率较顺产、非头胎发病率高;后天性因素中,生后半年室温较低(家长包裹患儿较紧较厚)、护理方法(尿不湿或尿布)、襁褓方法 3种因素均与髋脱位的发生有关(P<0.05)。结论:剖宫产、头胎、室温较低、使用尿布、襁褓方法中绑腿的幼儿和DDH的发生率相关,可为临床筛查和患儿初诊提供诊疗参考。Objective：To provide the basis for the prevention of developmental dislocation of the hip （DDH） bYinvestigating the correlation between the occurrence of DDH and the genetic factors, mode of delivery and swad-dle method. Methods：In accordance with the method of cluster sampling, children in Guanghe county kindergartens of Linxia Hui nationality of Gansu Province were selected on the basis of economic conditions and regional charac-teristics from Linxia Hui Autonomous Region of Gansu for census. All 10412 subjects were included in this study, however, the actual survey was 10335 subjects （the trial group）. The 100 normal children were randomly chosen for controlling （the control group）. Factors such as children＆#39;s previous history, family history, and history of exposure to toxins, delivery methods, environmental temperature, infancy nursing method and swaddle method were selected for survey. Results：Among the congenital factors, the incidences of hip dislocation of cesarean section and the firstborn were higher than those with normal childbirth and non-firstborn. They were the same as other epidemiological find-ings;Moreover, among the acquired factors, these three factors as low room temperature during the six months after birth （the parents wrapped children tightly and thickly）, nursing method （baby diapers or diapers） and swaddle method were all related to the occurrence of the dislocation of the hip joint （P〈0.05）. Conclusion：The cesarean sec-tion, firstborn, low room temperature, using of diapers, leg wrappings of the children in swaddle method are related to the incidence of DDH. It can provide diagnosis reference for the clinical screening are related to new diagnosis of children.

关 键 词：发育性髋关节脱位 流行病学调查 整群抽样法 

分 类 号：R681.6[医药卫生—骨科学]