[1]陈世海,李卫平,陈志龙,等.甘肃省广河县少数民族发育性髋脱位流行病学调查[J].西部中医药,2017,30(03):80-83.
　CHEN Shihai,LI Weiping,CHEN Zhilong,et al.Epidemiological Investigation of Developmental Dislocation of the Hip in Minority Nationalities in Guanghe County of Gansu Province[J].Western Journal of Traditional Chinese Medicine,2017,30(03):80-83.
点击复制

甘肃省广河县少数民族发育性髋脱位流行病学调查()
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年03期
页码:
80-83
栏目:
出版日期:
2017-03-15

文章信息/Info

Title:
Epidemiological Investigation of Developmental Dislocation of the Hip in Minority Nationalities in Guanghe County of Gansu Province
文章编号:
1004-6852(2017)03-0080-04
作者:
陈世海，李卫平，陈志龙，王华明，裴生太，代长泉
甘肃省中医院，甘肃 兰州 730050
Author(s):
CHEN Shihai, LI Weiping, CHEN Zhilong, WANG Huaming, PEI Shengtai, DAI Changquan
Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
发育性髋关节脱位; 流行病学调查; 整群抽样法
Keywords:
developmental dislocation of the hip;  epidemiological investigation;  cluster sampling method
分类号:
R681.6
文献标志码:
A
摘要:
目的：调查发育性髋关节脱位的发生与遗传因素、分娩方式、襁褓方法的相关性，为预防发育性髋关节脱位(DDH)提供依据。方法：按照整群抽样的方法，在甘肃临夏回族自治区依据经济条件和地域特色选取甘肃临夏回族广河县幼儿园的儿童进行普查。纳入对象10 412人，实际调查10 335人（试验组），随机抽取正常儿童100人作为对照（对照组）。调查入选幼儿的既往病史、家族病史、毒物接触史、生产方式、环境室温、婴儿期护理方式和襁褓方法。结果：先天因素中，剖腹产、头胎的髋脱位发病率较顺产、非头胎发病率高；后天性因素中，生后半年室温较低(家长包裹患儿较紧较厚)、护理方法(尿不湿或尿布)、襁褓方法3种因素均与髋脱位的发生有关(P＜0.05)。结论：剖宫产、头胎、室温较低、使用尿布、襁褓方法中绑腿的幼儿和DDH的发生率相关，可为临床筛查和患儿初诊提供诊疗参考。
Abstract:
Objective: To provide the basis for the prevention of developmental dislocation of the hip(DDH) by investigating the correlation between the occurrence of DDH and the genetic factors, mode of delivery and swaddle method. Methods: In accordance with the method of cluster sampling, children in Guanghe county kindergartens of Linxia Hui nationality of Gansu Province were selected on the basis of economic conditions and regional characteristics from Linxia Hui Autonomous Region of Gansu for census. All 10 412 subjects were included in this study, however, the actual survey was 10 335 subjects (the trial group). The 100 normal children were randomly chosen for controlling (the control group). Factors such as children’s previous history, family history, and history of exposure to toxins, delivery methods, environmental temperature, infancy nursing method and swaddle method were selected for survey. Results: Among the congenital factors, the incidences of hip dislocation of cesarean section and the firstborn were higher than those with normal childbirth and non-firstborn. They were the same as other epidemiological findings; Moreover, among the acquired factors, these three factors as low room temperature during the six months after birth (the parents wrapped children tightly and thickly), nursing method (baby diapers or diapers) and swaddle method were all related to the occurrence of the dislocation of the hip joint (P＜0.05). Conclusion: The cesarean section, firstborn, low room temperature, using of diapers, leg wrappings of the children in swaddle method are related to the incidence of DDH. It can provide diagnosis reference for the clinical screening are related to new diagnosis of children.

相似文献/References:

[1]朱群邦,陈明骏,方凡夫,等.留学生抑郁情绪影响因素分析[J].西部中医药,2013,26(09):45.
　ZHU Qunbang,CHEN Mingjun,FANG Fanfu,et al.On Influencing Factors of Depression in Foreign Students[J].Western Journal of Traditional Chinese Medicine,2013,26(03):45.
[2]贾文芳,李卫平,张天太.可调式人体位支架治疗小儿发育性髋关节脱位30例护理观察[J].西部中医药,2012,25(07):111.
　JIA Wen-fang,LI Wei-ping,ZHANG Tian-tai.Observation on Nursing 30 Cases of Developmental Dislocation of Hip in Children Treated with Zoom Brachet[J].Western Journal of Traditional Chinese Medicine,2012,25(03):111.
[3]安永东,王治中,唐文森,等.临夏地区糖尿病流行病学调查[J].西部中医药,2017,30(02):61.
　AN Yongdong,WANG Zhizhong,TANG Wensen,et al.Epidemiological Investigation of Diabetes Mellitus in Linxia Region[J].Western Journal of Traditional Chinese Medicine,2017,30(03):61.
[4]孙鑫,钱会南△,蔡舒婷,等.青海省高原多民族地区人群中医体质类型调查分析[J].西部中医药,2018,31(03):71.
　SUN Xin,QIAN Huinan,CAI Shuting,et al.Investigation and Analysis of TCM Constitutional Type of the People in the Multi-ethnic Region of Qinghai Provincial Plateau[J].Western Journal of Traditional Chinese Medicine,2018,31(03):71.
[5]赵骞,何松蔚.435例儿童腹型过敏性紫癜的中医证素分布特征分析[J].西部中医药,2021,34(07):76.[doi:10.12174/j.issn.2096-9600.2021.07.19]
　ZHAO Qian,HE Songyu.Distribution Characteristics of TCM Syndromes in 435 Children with HSP[J].Western Journal of Traditional Chinese Medicine,2021,34(03):76.[doi:10.12174/j.issn.2096-9600.2021.07.19]

备注/Memo

备注/Memo:
收稿日期：2016-06-12 *基金项目：甘肃省科技支撑项目(编号1304FKCA110)。 作者简介：陈世海(1979—)，男，硕士学位，主治医师。研究方向：儿骨科包括创伤、各类矫形、肿瘤等疾病的诊治。
更新日期/Last Update: 2017-03-15