小儿先天性肌性斜颈发病的相关因素

目的:探讨小儿先天性肌性斜颈发病的相关因素,以便早期预防和治疗。方法:选择先天性肌性斜颈组患儿200例及对照组小儿40例,回顾性分析两组小儿的出生体重、家族遗传史、父母年龄、父母职业、孕期状况、分娩方式、胎次、出生时面部不对称、患儿卧位和并发症的差异。结果:两组小儿的出生体重、父母年龄、孕期状况(如孕期发热、用药、病毒感染、胎位不正、脐带绕颈、羊水过少、孕期经常玩游戏等)、分娩方式、出生时面部不对称、并发髋关节脱位的差异具有统计学意义(P<0.05或P<0.01)。结论:小儿出生时体重重、父母亲年龄大、孕期异常、剖宫产、出生时面部不对称、并发髋关节脱位可能为小儿先天性肌性斜颈发病的相关因素。

Analysis of risk factors in infant congenital muscular torticollis

Objective:To explore risk factors in infant congenital muscular torticollis.Methods:200 infants with congenital muscular torticollis and 40 controls were surveyed retrospectively.Relevant factors,such as general conditions,genetic history,conditions of their parents,state of pregnancy,parturition way,fetus order,dissymmetry of face,sleeping side,were compared between congenital muscular torticollis group and control group.Results:There was a significant difference in weight at birth,age of their parents,state of pregnancy,parturition way,dissymmetry of face between two groups.Conclusion:Low weight at birth,elder age of their parents,profession of their parents,abnormal state in pregnancy such as fever,use of drug,virus infection,Caesarean birth,and dissymmetry of face are risk factors for infant congenital muscular torticollis.