摘要
目的对比临床体格检查和Graf超声检查在小婴儿髋关节发育情况中的作用,以达到早期发现小婴儿先天性发育性髋关节发育不良（DDH）,并早期干预的目的。方法自行设计问卷,对本单位儿童保健门诊2 516名42天-4个月内小婴儿进行临床手法检查和Graf超声检查髋关节,填写问卷并记录检查结果进行比较分析。结果本次调查受检小婴儿共2 516例,正常髋关节2 176例（86.49%）,可疑髋关节332例（13.20%）,异常髋关节8例（0.31%,6例为Ⅱb型,2例为Ⅱc型）。2 516例小婴儿共计5 032个髋关节,正常髋关节数4 670个（92.80%）,可疑髋关节数353个（7.02%）,异常髋关节9个（0.18%）;其中可疑和异常髋关节,左侧均多于右侧,女性均多于男性。临床手法和Graf超声检查小婴儿髋关节发育情况,两种方法在非正常髋关节检出中的例数、右侧、女性及合计数等方面比较有统计学意义,而左侧和男性的非正常髋关节检出数比较无统计学意义。结论临床手法检查和Graf超声检查技术在小婴儿发育性髋关节异常的检出中应该被同等重视。
OBJECTIVE Compare clinical skill with Graf ultrasonic method to check the infant hip development situation,to achieve early detection of infant congenital dysplasia of the hip（DDH） and early intervention.METHODS Through a self-designed questionnaire and clinical examination form,use of clinical technique and Graf ultrasonography for 2 516 infants aged from 42 days to 4months,record and analyze the inspection results.RESULTS The survey includes little infants,a total of 2 516 cases,normal hip 2 176（86.49%） cases,suspicious hip 332（13.20%） cases,abnormal hip in 8 cases（0.31%）（6 cases of type II,2 cases of type C）.2 516 cases of infant normal hip of 4 670（92.80%） and the suspicious hip of 353（7.02%）,abnormal hip 9（0.18%）.The suspicious and abnormal hip and the left side hip were more than the right,the female were more than male.The comparison of the two methods in the cases of abnormal hip detection,the right side,female,was statistically significant,and the left and male abnormal hip detection had no statistical significance.CONCLUSION Clinical skill examination and Graf ultrasound technology in small infants developmental abnormal hip check out should be equal in importance to it.
出处
《中国初级卫生保健》
2015年第12期33-35,共3页
Chinese Primary Health Care
