早期干预对促进婴儿GrafⅡa型髋关节良性转归的效果分析  

Efficacy of Early Intervention on Promoting the Benign Outcome of Graf TypeⅡa Hip Joint in Infants

作　　者：郑晓明[1] 王康振[1] 张会良[1] ZHENG Xiaoming;WANG Kangzhen;ZHANG Huiliang(Zhongshan Hospital of Traditional Chinese Medicine,Guangdong Zhongshan 528400)

机构地区：[1]中山市中医院,广东中山528400

出　　处：《深圳中西医结合杂志》2024年第20期19-22,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨早期干预对促进婴儿GrafⅡa型髋关节良性转归的效果分析。方法:选取2021年1月至2024年5月期间于中山市中医院门诊经髋关节超声检查诊断为GrafⅡa型髋关节的81例婴儿,根据不同干预方式分为对照组41例,观察组40例。对照组采取传统处理方式(密切跟踪随访,定期复查,如观察期间发现存在持续的发育不良,或进展为GrafⅡc型及更差的情况下则给予进一步治疗);观察组采取“夜间佩戴Pavlik吊带+髋关节外展操+蛙式抱”方式进行早期干预,定期复查。两组患儿复查时均进行髋关节超声检查。比较两组患儿干预前后的骨顶角(α角)、婴儿运动能力测试(TIMP)结果、良性转归率、良性转归时间。结果:观察组患儿髋关节转归率为100.00%,高于对照组的90.24%。观察组转归时间为(8.76±1.29)周,短于对照组的(11.43±1.16)周,差异均具有统计学意义(P<0.05)。经早期干预后,两组患儿的α角均较干预前增大,观察组患儿α角为(66.74±2.64)°,大于对照组的(63.48±1.86)°,差异具有统计学意义(P<0.05);两组患儿TIMP评分均较干预前升高,且观察组为(127.46±4.35)分,高于对照组的(122.51±5.67)分,差异具有统计学意义(P<0.05)。结论:采取“夜间佩戴Pavlik吊带+髋关节外展操+蛙式抱”综合方式进行早期干预,能有效促进婴儿GrafⅡa型髋关节良性转归,提高患儿运动功能,并能缩短转归时间。Objective To investigate the efficacy of early intervention on promoting the benign outcome of infants with Graf typeⅡa hip joint.Methods A total of 81 infants who were diagnosed as Graf typeⅡa hip joint by hip ultrasound in outpatient department of Zhongshan Hospital of Traditional Chinese Medicine were selected from January 2021 to May 2024,and were divided into 41 cases in a control group and 40 cases in an observation group according to different intervention methods.The control group was given traditional treatment method(close follow-up and regular review,further treatment was given if continuous dysplasia was found during observation period,or disease was progressed to Graf typeⅡc type and worse),whereas the observation group adopted early intervention method of“wearing Pavlik sling at night+hip abduction exercise+frog-style holding”and received regular review.Regular hip ultrasound examination was performed in both groups.The bone apex angle(αangle),test of infant motor performance(TIMP),rate of benign outcome and time of benign outcome were compared between two groups before and after intervention.Results After early intervention,the outcome rate of hip joint in the observation group with 100.00%was higher than 90.24%in the control group(P<0.05).The outcome time with(8.76±1.29)weeks in the observation group was shorter than(11.43±1.16)weeks in the control group(P<0.05).After early intervention,theαangle was enlarged in both groups compared to before intervention,and theαangle in the observation group with(66.74±2.64)°was greater than(63.48±1.86)°in the control group(P<0.05).The TIMP score after intervention in both groups was increased compared with that before intervention,and the TIMP score in the observation group with(127.46±4.35)points was higher than(122.51±5.67)points in the control group(P<0.05).Conclusion The early intervention of“wearing Pavlik sling at night,hip abduction exercise and frog-style holding”can effectively promote the benign outcome of Graf type I1a hip jo

关 键 词：GrafⅡa型髋关节 早期干预 婴儿 

分 类 号：R681.1[医药卫生—骨科学] R323.45[医药卫生—外科学]