BACKGROUND Developmental dysplasia of the hip is a developmental abnormality of the hip joint that results from hypoplasia during birth and continues to deteriorate after birth.AIM To observe the effects of magnesium ...BACKGROUND Developmental dysplasia of the hip is a developmental abnormality of the hip joint that results from hypoplasia during birth and continues to deteriorate after birth.AIM To observe the effects of magnesium sulfate wet compress,iodophor wet compress,and ice compress on reducing postoperative perineal swelling in children with developmental hip dislocation to provide effective nursing interventions in the clinic.METHODS A total of 120 children with hip dislocation after surgery in a third-class A hospital from January 2018 to January 2020 were randomly divided into four groups,the magnesium sulfate wet compress group,iodophor wet compress group,ice compress group and the control group.Data such as height,weight,age,duration of surgery,intraoperative blood loss,postoperative body temperature,swelling duration,pain score,and incidence of blisters were collected and analyzed.RESULTS There were no significant differences in height,weight,age,duration of surgery,intraoperative blood loss,and postoperative body temperature among the four groups of children.Statistical differences were observed between the intervention groups and the control group(P<0.05).CONCLUSION All three methods significantly reduced postoperative perineal swelling in children with developmental hip dislocation,reduced the duration of postoperative perineal swelling,reduced pain,and improved the quality of care.展开更多
Objective To summarizethe status of screening of developmental dysplasia of the hip(DDH)in infants and young children 0-36 months of age and to generate a standardized process for DDH screening in infants and young ch...Objective To summarizethe status of screening of developmental dysplasia of the hip(DDH)in infants and young children 0-36 months of age and to generate a standardized process for DDH screening in infants and young children.Methods Preliminary DDH screening was carried out by obstetricians for newborns,and by pediatricians for infants and young children 0-36 months inpatients in ward,and by pediatric surgeon for infants and young children 0-36 months of age outpatient.Secondary screening was performed by pediatric orthopedic surgeons.In addition,ultrasound or radiograph examination of bilateral hip joints was performed.Suspected cases were followed up regularly until patients were diagnosed with DDH or excluded.Results From January2012 to December 2014,22396 infants and young children were screened at the First Affiliated Hospital of Zhengzhou University,Zhengzhou,China.Ultrasound examination was performed for 2669 patients,591 of whom(775 hips)with suspected and abnormal findings were transferred to the Department of Pediatric Orthopedics.Among the referrals,a positive Ortolani or Barlow test was observed in 61 patients(89 hips).Anteroposterior hip radiography showed acetabular dysplasia in 94 cases(131 hips).Finally,76 patients(121 hips)were diagnosed with DDH.Among them,21(29 hips)were males and 55(92 hips)were females.The left side was involved in 91 hips,and the right side was involved in 30 hips.Thirteen cases(including 3 newborns)were 1-6 months old(1.95%,13/6676),49 cases were 7-18 months old(7.09%,49/6909),and 14 cases were 19-36 months old(1.59%o,14/8811).Among the 76 cases of DDH,49(64.47%)were 7-18 months old.The incidence of hip dysplasia was 3.39%(76/22396).Conclusions During the present study,we screened infants and young children 0-36 months old for early detection and diagnosis of DDH and generated a standardized screening process based on the actual status of patients in our district.展开更多
文摘BACKGROUND Developmental dysplasia of the hip is a developmental abnormality of the hip joint that results from hypoplasia during birth and continues to deteriorate after birth.AIM To observe the effects of magnesium sulfate wet compress,iodophor wet compress,and ice compress on reducing postoperative perineal swelling in children with developmental hip dislocation to provide effective nursing interventions in the clinic.METHODS A total of 120 children with hip dislocation after surgery in a third-class A hospital from January 2018 to January 2020 were randomly divided into four groups,the magnesium sulfate wet compress group,iodophor wet compress group,ice compress group and the control group.Data such as height,weight,age,duration of surgery,intraoperative blood loss,postoperative body temperature,swelling duration,pain score,and incidence of blisters were collected and analyzed.RESULTS There were no significant differences in height,weight,age,duration of surgery,intraoperative blood loss,and postoperative body temperature among the four groups of children.Statistical differences were observed between the intervention groups and the control group(P<0.05).CONCLUSION All three methods significantly reduced postoperative perineal swelling in children with developmental hip dislocation,reduced the duration of postoperative perineal swelling,reduced pain,and improved the quality of care.
基金Provincial Joint Project by the National Health and Family Planning Commission with Henan Province Health and Family Planning Commission(201401007)the Scientific and Technological Key Project by Zhengzhou Science and Technology Bureau(131PPTGG409-23)
文摘Objective To summarizethe status of screening of developmental dysplasia of the hip(DDH)in infants and young children 0-36 months of age and to generate a standardized process for DDH screening in infants and young children.Methods Preliminary DDH screening was carried out by obstetricians for newborns,and by pediatricians for infants and young children 0-36 months inpatients in ward,and by pediatric surgeon for infants and young children 0-36 months of age outpatient.Secondary screening was performed by pediatric orthopedic surgeons.In addition,ultrasound or radiograph examination of bilateral hip joints was performed.Suspected cases were followed up regularly until patients were diagnosed with DDH or excluded.Results From January2012 to December 2014,22396 infants and young children were screened at the First Affiliated Hospital of Zhengzhou University,Zhengzhou,China.Ultrasound examination was performed for 2669 patients,591 of whom(775 hips)with suspected and abnormal findings were transferred to the Department of Pediatric Orthopedics.Among the referrals,a positive Ortolani or Barlow test was observed in 61 patients(89 hips).Anteroposterior hip radiography showed acetabular dysplasia in 94 cases(131 hips).Finally,76 patients(121 hips)were diagnosed with DDH.Among them,21(29 hips)were males and 55(92 hips)were females.The left side was involved in 91 hips,and the right side was involved in 30 hips.Thirteen cases(including 3 newborns)were 1-6 months old(1.95%,13/6676),49 cases were 7-18 months old(7.09%,49/6909),and 14 cases were 19-36 months old(1.59%o,14/8811).Among the 76 cases of DDH,49(64.47%)were 7-18 months old.The incidence of hip dysplasia was 3.39%(76/22396).Conclusions During the present study,we screened infants and young children 0-36 months old for early detection and diagnosis of DDH and generated a standardized screening process based on the actual status of patients in our district.
