早期筛查手法复位夹板对新生儿先天性髋关节发育不良的效果分析

目的:探讨早期筛查,手法复位辅助蛙式夹板治疗新生儿先天性髋关节发育不良(DDH)与传统婴幼儿单纯用蛙式夹板治疗DDH的疗效比较1]。方法:选择在新生儿中筛选出的患有DDH的患儿共21例,与未能在出生1月内发现DDH的门诊婴幼儿患儿17例以手法按摩辅助蛙式夹板进行治疗对其效果比较2]。参考髋关节功能评分标准(Harris评分)对疗效进行评价3]。结果:试验组21例及对照组17例均接受治疗及长期随访。试验组Harris评分,其中优9例,良10例,优良率为90.48%(19/21);对照组Harris评分,其中优3例,良5例,优良率为72.73%(8/11)。两组患儿优良率差异有统计学意义(0.01

Effect analysis of Early screening manipulation reposition splint in treatment of neonatal congenital hip dyspla-sia

Objective To probe into the early screening,technique massage assisted by breaststroke splint treatment of neonatal congen-ital dysplasia of the hip（ DDH ） with the traditional infant breaststroke splint compare effectiveness for the treatment of DDH. Method screening of total of 21 cases of children with DDH in neonatal,and Cannot be discover within 1 month of DDH outpatient infant children of 17 cases with auxiliary breaststroke splint treatment effect comparison of reference of the hip function criteria（ Harris score）to evaluate the therapeutic effect. Results 21 cases of the experimental groupand 71 cases of the contrast group were treated and long-term follow-up. Experimental Harris score,excellent in 9 cases,as good in 10 cases,fine rate was 90. 48%（19/21）;Control group Har-ris scoring,excellent 3 cases,good 5 cases,fine rate was 72. 73%（8/11）. Two groups of children with excellent and had significant differ-ence（P〈0. 05）. Conclusion Early screening,auxiliary massage breaststroke splint treatment of neonatal DDH,has simple operation,small trauma,fewer complications,curative effect is reliable.