早期干预对新生儿发育性髋关节异常的影响

Clinical effects of early intervention on newborns with developmental dysplasia of the hip

目的观察早期干预对超声波髋关节筛查异常新生儿的临床效果。方法试验组选择2009年7月至2010年2月出生、出生后3～7d超声波髋关节筛查异常新生儿93例,采取早期干预措施(每天2次做髋关节外展操同时播放音乐,并使用宽尿布包扎),出生30d复查髋关节超声波。对照组选择2008年11月至2009年6月出生,出生后3～7d超声波髋关节筛查异常新生儿90例,告知家属不能采用"蜡烛包"式包裹新生儿,但未采取早期干预措施,出生30d时复查髋关节超声波。比较两组新生儿出生30d时髋关节超声波复查情况。结果出生30d时复查结果显示,试验组发育性髋关节异常率明显低于对照组,差异有统计学意义(P<O.05)。结论对出生3～7d超声波髋关节筛查异常新生儿采取早期干预措施能促进其髋关节的自然复位和发育。

Objective To evaluate the clinical effects of early intervention on newborns with developmental dysplasia of the hip screened by ultrasonography. Methods The 3-7day-old newborns with possible developmental dysplasia of the hip screened by ultrasonograpby were recruited in this study. Ninety-three children in the experimental group from July 2009 to February 2010 received early intervention （hip-outreach exercise with music twice a day,and wrapped with wide diapers）. Ninety children in the control group from November 2008 to June 2009 received routine care. The hips of newborns in both groups were examined by uhrasonography in 30 days of life. Results Compared with the control group,the incidence of developmental dysplasia of the hip at 30-day old was significantly lower in the experimental group （P〈0.05）. Conclusion Early intervention for infants of 3-7 days old with possible developmental dysplasia of the hip screened by ultrasonography can promote the natural reposition and normal development.