摘要
目的 探究分析婴幼儿发育性髋关节发育不良(DDH)的危险因素.方法 回顾性分析本院在2022年1月至2024年3月收治的166例可疑DDH婴幼儿的病历资料,按不同月龄选择不同的影像学检查:即0～6月婴幼儿采取Graf法超声检查;≥7月婴幼儿采用X线检查.根据影像学诊断结果,将研究对象分为髋关节发育不良阳性组与阴性组,其中阳性组73例,阴性组93例,收集2组资料,并采用多因素广义线性回归分析法(Logistic)分析婴幼儿DDH的危险因素.结果 阳性组患儿的性别、家族遗传史、臀位、羊水量＜300 mL、头胎、多胎、传统襁褓、首检月龄、髋关节弹响、肌性斜颈例数均多于阴性组,差异有统计学意义(P＜0.05);多因素Logistic分析,女性、有家族遗传史、臀位、羊水量＜300 mL、头胎、多胎、有传统襁褓史、首检月龄≥3个月、有髋关节弹响、有肌性斜颈情况是婴幼儿DDH的危险因素(P＜0.05).结论 婴幼儿是女性、有家族遗传史、臀位、羊水量＜300 mL、头胎、多胎、有传统襁褓史、首检月龄≥3个月以及检查合并有髋关节弹响、肌性斜颈情况可能会出现DDH,针对各影响因素为降低婴幼儿DDH发生提供参考.
Abstract
Objective To explore the risk factors of infant developmental hip dysplasia(DDH).Methods The medical records of 166 in-fants with suspected DDH admitted to our hospital from January 2022 to March 2024 were retrospectively analyzed,and different imaging examina-tions were selected according to different months of age:Graf ultrasound examination was performed for infants aged 0-6 months.Infants≥7months old were examined by X-ray.According to the imaging diagnosis results,the study subjects were divided into positive and negative hip dysplasia groups,including 73 cases in the positive group and 93 cases in the negative group.The data of children in the two groups were collected,and multi-variate generalized linear regression analysis(Logistic)was used to analyze the risk factors of DDH in infants and young children.Results Gender,family genetic history,breech position,amniotic fluid volume＜300 mL,first birth,multiple births,traditional swabling,first examination month age,hip joint bouncing,muscular torticolis cases in positive group were higher than those in negative group,with statistical significance(P＜0.05).Multi-variate Logistic analysis showed that female,family genetic history,breech position,amniotic fluid volume＜300 mL,first birth,multiple birth,tradi-tional swabling history,age ≥3 months at first examination,hip clank,muscular torticular neck were the risk factors for DDH in infants and young children(P＜0.05).Conclusion Female,family genetic history,breech position,amniotic fluid volume＜300 mL,first birth,multiple birth,history of traditional swaddling,age ≥3 months at first examination,hip clank,and muscular torticollis are risk factors for DDH in infants and young children,which is helpful to provide reference for early prevention and intervention measures of DDH in infants and young children.
基金项目
浙江省2023年度慈溪市公益类科技计划项目(CN2023017)
NETL
NSTL
万方数据