发育性髋关节脱位患儿术后会阴部肿胀的调查分析  

Investigation and analysis of postoperative perineal swelling in children with developmental dislocation of the hip

作　　者：王玲[1] 王宁[1] 贺美英 刘海伦 WANG Ling;WANG Ning;HE Meiying;LIU Hailun(Department of Pediatric Surgery,the First Medical Center of PLA General Hospital,Beijing100853,China)

机构地区：[1]解放军总医院第一医学中心小儿外科,北京100853

出　　处：《中国医药导报》2021年第8期58-61,共4页China Medical Herald

摘　　要：目的了解发育性髋关节脱位患儿术后会阴部肿胀的发生率,分析发生肿胀的原因,为积极预防和早期治疗提供一定的临床依据。方法选取2015年1月—2020年1月解放军总医院医院小儿外科456例发育性髋关节脱位术后患儿进行观察,根据不同年龄、不同性别分别记录相关数据。对于会阴部肿胀严重的患儿采用硫酸镁湿敷、碘伏湿敷及冰敷三种干预方法,并设立对照组,分别记录硫酸镁湿敷组(13例)、碘伏湿敷组(13例)、冰敷组(13例)和对照组(13例)相关数据进行分析总结。结果>4~7岁和>7~14岁患儿肿胀发生率低于1.5~4岁,差异有统计学意义(P<0.05)。硫酸镁湿敷组、碘伏湿敷组、冰敷组会阴部肿胀消退时间短于对照组,疼痛评分低于对照组,差异有统计学意义(P<0.05)。女性患儿发育性髋关节脱位患病率高于男性患儿,差异有统计学意义(P<0.05)。术后女性患儿会阴部肿胀发生率高于男性患儿,差异有统计学意义(P<0.05)。结论不同性别和不同年龄发育性髋关节脱位患儿术后肿胀发生率各不相同,三种干预方法均能减轻术后患儿会阴部肿胀程度,减少了患儿的痛苦,为临床护理工作提供科学依据。Objective To understand the incidence of postoperative perineal swelling in children with developmental dislocation of the hip,to analyze the causes of the swelling,and to provide a certain clinical basis for active prevention and early treatment.Methods From January 2015 to January 2020,456 children with developmental dislocation of the hip in the department of pediatric surgery of the First Medical Center of PLA General Hospital were selected for observation,and relevant data were recorded according to different ages and different genders.Three intervention methods of magnesium sulfate wet compress,Iodophor wet compress and ice compress were adopted for children with severe perineal swelling,while a control group was established.The relevant data of the magnesium sulfate wet compress group(13 cases),the iodophor wet compress group(13 cases),the ice compress group(13 cases)and the control group(13 cases)were recorded for analysis and summary.Results The incidence of swelling in children>4-7 years old and>7-14 years old were lower than that in the children 1.5-4 years old,and the differences were statistically significant(P<0.05).The time of perineal swelling in the magnesium sulfate wet compress group,iodophor wet compress group,and ice compress group was shorter than that of the control group,while the pain score was lower than that of the control group,and the differences were statistically significant(P<0.05).The prevalence of developmental dislocation of the hip in female children was higher than that in male children,and the difference was statistically significant(P<0.05).The prevalence of developmental dislocation of the hip in female children was higher than that in male children,and the difference was statistically significant(P<0.05).Conclusion The incidence of postoperative swelling is different in children with developmental dislocation of the hip with different genders and different ages.All three intervention methods can reduce the degree of perineal swelling in children after surgery,and reduce th

关 键 词：发育性髋关节脱位 会阴部 肿胀 硫酸镁湿敷 碘伏湿敷 冰敷 

分 类 号：R726.8[医药卫生—儿科]