髋关节外展操干预对GrafⅡa型髋关节发育不良患儿的作用及安全性分析  

Effect and Safety Analysis of Hip Abduction Intervention on Children with Graf Ⅱ Type of Developmental Dysplasia of the Hip

作　　者：曾秋茹[1] 叶银婷 李书琴 熊竹[1] ZENG Qiu-ru;YE Yin-ting;LI Shu-qin;XIONG Zhu(Department of Orthopedics, Shenzhen Children's Hospital, Shenzhen 518038)

机构地区：[1]深圳市儿童医院骨科

出　　处：《临床护理杂志》2019年第4期21-23,共3页Journal of Clinical Nursing

基　　金：2016年度深圳市卫生计生系统科研项目(201607049)

摘　　要：目的 研究髋关节外展操干预对GrafⅡa型髋关节发育不良(DDH)患儿的作用及安全性。方法 选择2018年1月~9月我院接受治疗的GrafⅡa型DDH患儿134例作为观察对象,按照随机数字表法将患儿分为观察组和对照组,各67例。对照组予以常规健康指导。观察组给予髋关节外展操干预。比较两组髋关节角度、患儿家长对干预效果的满意度及干预安全性。结果 两组干预后髋关节α角较干预前明显增大,β角较干预前明显减小(P<0.05)。观察组干预后髋关节α角较对照组明显增大,β角较对照组明显减小(P<0.05)。观察组患儿家长对干预效果的满意度高于对照组(P< 0.05 )。两组干预安全性比较差异无统计学意义(P>0.05)。结论 应用髋关节外展操干预对GrafⅡa型DDH患儿的作用较好,且安全性较佳。Objective To study the effect and safety analysis of hip abduction intervention on children with Graf Ⅱ type of developmental dysplasia of the hip (DDH). Methods 134 cases of Graf Ⅱ type DDH who were treated in our hospital from January 2018 to September 2018 were selected as observation objects. According to the random number method, the children were divided into the observation group (67 cases) and control group (67 cases). The children in the control group were given routine health guidance, which mainly included instructing parents to change the wide diaper for the children, and did the straddle holding mode when holding the children. The children in the observation group were treated with hip abduction exercise. The hip angle, the satisfaction of parents and the safety of the intervention were compared between the two groups. Results After intervention, the α angle of children in the two groups obviously increased, but the β angle obviously decreased (P < 0.05). After intervention, the α angle of the children in the observation group was significantly larger than the control group, while the β angle was significantly decreased compared with the control group (P<0.05). The satisfaction of parents in the observation group was significantly higher than the control group (P<0.05). There was no significant difference in the safety of intervention between the two groups (P>0.05). Conclusion The effect of hip abduction intervention on children with Graf Ⅱ type DDH is better, and the safety is better. It is worthy of popularizing in clinic.

关 键 词：髋关节发育不良 髋关节外展操 

分 类 号：R726.8[医药卫生—儿科] R493[医药卫生—临床医学]