人位石膏固定术后可调节支架在发育性髋关节发育不良患儿治疗中的应用  

Clinical application of adjustable stents in children with developmental hip dislocation after hip cast immobilization

作　　者：周晓宇 胡晓云[1] ZHOU Xiao-yu;HU Xiao-yun(Department of Pediatric Orthopedics,Shengjing Hospital of China Medical University,Shenyang 110004,Liaoning,China)

机构地区：[1]中国医科大学附属盛京医院小儿骨科,辽宁沈阳110004

出　　处：《川北医学院学报》2022年第11期1414-1417,共4页Journal of North Sichuan Medical College

基　　金：辽宁省教育厅科研项目(ZF2019022)。

摘　　要：目的:探讨人位石膏固定术后可调节支架对发育性髋脱位(DDH)患儿的治疗效果。方法:选取45例DDH患儿为研究对象,依据治疗方式不同分为实验组(n=21)和对照组(n=24)。实验组患儿行人位石膏固定术后可调节支架治疗;对照组患儿行人位石膏固定术治疗。比较两组患儿术前牵引时间、住院时长、术后髋关节外展角度、再脱位及股骨头坏死情况;术前、术后1 d及术后两个月髋臼指数(AI);问卷调查患儿治疗后日常护理的影响及家属焦虑情况。结果:实验组患儿住院时长短于对照组(P<0.05);术后再脱位、股骨头坏死发生率低于对照组(P<0.05)。术后两个月,实验组患儿AI较对照组好转明显(P<0.05)。实验组一般情况与二便护理评分低于对照组(P<0.05);两组患儿家属焦虑程度均低于治疗前(P<0.05),且实验组低于对照组(P<0.05)。结论:人位石膏固定术后可调节支架可缩短DDH患儿住院时间,减少再脱位,便于术后护理。Objective:To investigate the therapeutic effect of adjustable stents on children with developmental hip dislocation(DDH) after human plaster immobilization.Methods:45 children with DDH were selected as the research objects.They were divided into experimental group(n=21) and control group(n=24) according to the different treatment methods.The experimental group was treated with adjustable stents after human position plaster immobilization, the control group was underwent human plaster immobilization during the same period.The preoperative traction time, length of hospital stay, postoperative hip abduction angle, redislocation and femoral head necrosis, acetabular index(AI) before operation, 1 day after operation and 2 months after operation, the influence of daily nursing care and anxiety of family members of children after treatment were compared between the two groups.Results:The length of hospital stay in the experimental group was shorter than that in the control group(P<0.05).The incidences of postoperative redislocation and femoral head necrosis in the experimental group were lower than those in the control group(P<0.05).At 2 months after the operation, the AI of the experimental group improved significantly compared with the control group(P<0.05).The general condition and nursing scores of the two stools in the experimental group were lower than those in the control group(P<0.05).The anxiety level of the family members of the two groups of children was lower than that before treatment, and the anxiety level of the experimental group was lower than that of the control group after treatment(P<0.05).Conclusion:Adjustable stents in the treatment of children with developmental hip dislocation after human plaster immobilization can reduce the length of hospital stay, reduce redislocation, and facilitate postoperative care.

关 键 词：发育性髋脱位 石膏 蛙式位 可调节支架 

分 类 号：R726.8[医药卫生—儿科]