临床小儿外科杂志2017，Vol.16Issue(2)：159-163,188,6.DOI:10.3969/j.issn.1671-6353.2017.02.013
大连地区婴幼儿发育性髋关节发育不良初步筛查及高危因素分析
Preliminary screening of infants with developmental dysplasia of the hip and analysis of risk factors in Dalian
摘要
Abstract
Objective To explore the risk factors of developmental dysplasia of the hip (DDH) and validate early screening method in Dalian.Methods From January 1,2013 to December 31,2014,a total of 14736 cases from municipal district women & children's organizations,women & children healthcare center and Dalian Children's Hospital were retrospectively analyzed.SPSS19.0 software was used for analyzing their clinical data with single and multivariable Logistic regression.And the risk factors of DDH recorded.Results Among them,there were 472 suspected cases (32.03 ‰,472/14736).Specialized examinations confirmed 56 cases (3.80 ‰,56/14736) (69 hips).There were 9 boys (11 hips) and 47 girls (58 hips) with a ratio of boy:girl at 1∶5.22.There were 45 left (65.22％) and 24 right (34.78％) hips with a ratio of left:right at 1.87 ∶ 1.Through unconditioned Logistic regression analysis of multiple factors,breech delivery,family history of DDH,associated malformation,infant bundling,deficient amniotic fluid and asymmetric hip grain were risk factors of disease (P ＜ 0.05).Conclusions The primary-secondary screening diagnosis model helps to diagnose DDH early and identify the risk factors of DDH in Dalian.And a complete system of screening is needed for promoting early screening of DDH.关键词
髋关节/生长和发育/普查/婴儿Key words
Hip Joint/GD/Mass Screening/Infant引用本文复制引用
蒋飞,乔飞,孙磊娇,姬广春,呼和..大连地区婴幼儿发育性髋关节发育不良初步筛查及高危因素分析[J].临床小儿外科杂志,2017,16(2):159-163,188,6.基金项目
大连市卫生与计划生育委员会一般项目(2013051) （2013051）
