摘要
目的:探究与分析可调节式人体位支架与蛙式石膏治疗小儿发育性髋关节脱位的远期恢复效果。方法:前瞻性选取60例小儿发育性髋关节脱位患儿,采取随机数表法将其分为人体位支架组与蛙式石膏固定组,每组30例。对比两组患儿性别比例、平均年龄、发病时间、临床疗效及并发症、随访3年残余畸形发生率以及足底压力变化。结果:人体位支架组的临床疗效优良率高于蛙式石膏固定组,差异有统计学意义(x^2=7.863,P<0.05);两组患儿治疗前相比足底压力测量时最大压力、最大压强及冲量值比较差异无统计学意义。随访3年,人体位支架组并发症低于蛙式石膏固定组,残余畸形发生率差异有统计学意义(x^2=4.304,P<0.05);两组患儿治疗后与治疗前相比足底压力测量最大压力减小、最大压强减少及冲量减少各值均改善显著,组间比较差异有统计学意义(t=6.731,t=7.345,t=5.904;P<0.05)。结论:可调节式人体位支架治疗小儿发育性髋关节脱位疗效较好,且后期并发症及残余畸形发生率低,足底压力可得到明显改善。
Objective:To explore and analyze the long-term recovery effect of adjustable human body stent and frog-style gypsum in treating developmental dislocation of the hip(DDH)of children.Methods:Sixty children with DDH were perspective selected as subjects.They were randomly divided into human body stent group(30 cases)and frog-style gypsum fixation group(30 cases).The gender ratio,average age,disease time,clinical efficacy and complications,incidence rate of residual malformation during 3 years of follow-up,and changes in plantar pressure between the two groups were compared.Results:The excellence rate of clinical efficacy of human body stent group was significantly higher than that of frog-style gypsum fixation group(x^2=7.863,P<0.05).Before treatment,the differences of maximum pressure,maximum intensity of pressure and impulse value of plantar pressure between two groups were no significant.During 3 years of follow-up,the complications of human body stent group was less than that of frog-style gypsum fixation group,and the incidence rate of residual malformation of human body stent group was significantly lower than that of frog-style gypsum fixation group(x^2=4.304,P<0.05).Compared with before treatment,the diminutions of maximum pressure of plantar pressure,the maximum intensity of pressure and the impulse of two groups were improved after treatment,and the differences of them between two group were significant,respectively(t=6.731,t=7.345,t=5.904,P<0.05).Conclusion:The curative effect of adjustable human body stent is better than that of frog-style gypsum in treating DDH.And the incidence rates of complications and residual malformation at later period is low,and the plantar pressure of children can be significantly improved.
作者
艾力·热黑
楚古丽克·巴吐尔
阿斯哈尔江·买买提依明
AILI Re-hei;CHUGULIKE Ba-tuer;ASIHAERJIANG Maimaiti-yiming(The First Department of Pediatrics Surgery,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)
出处
《中国医学装备》
2019年第10期82-85,共4页
China Medical Equipment
基金
新疆维吾尔自治区自然科学基金(2016D01C288)“小儿发育性髋关节脱位预后的多因素分析及个体化治疗策略研究”
关键词
可调节式人体支架
蛙式石膏
发育性髋关节脱位
远期恢复效果
Adjustable human body stent
Frog-style gypsum
Developmental dislocation of the hip(DDH)
Long term recovery effect
