Li Yanhua,Lv Xuemin,Zhang Yuchen,et al.Preventive significance of early screening for developmental dysplasia of the hip and its influencing factors[J].Journal of Clinical Pediatric Surgery,,18():395-399.[doi:10.3969/j.issn.1671-6353.2019.05.011]
Preventive significance of early screening for developmental dysplasia of the hip and its influencing factors
- CLC:
- R726.8;R181.3+2
- Abstract:
- Objective To explore the preventive significance and influencing factors of developmental dysplasia of the hip (DDH) for early screening.Methods A total of 1376 DDH children hospitalized from January 2009 to December 2013 were recruited and divided according to the age of initial visit and different treatment routes.Their parents were surveyed by an anonymous questionnaire of age of initial visit,family’s wealth status,parental education level,medical insurance,average annual medical expenses,history of orthopedic disease and level of attending physician during an initial visit.Results The proportion of DDH children aged under 2 years showed a year-on-year increase among the total number of children visiting initially (P<0.05) while the proportion of DDH children aged over 6 years accounted for a decreasing proportion (P<0.05).The proportion of children diagnosed and referred by local physicians was on the rise.Logistic regression analysis showed that the relevant variables included paternal/maternal educational level and seniority of physician during an initial visit.Conclusion There is a heightened awareness of early screening for hip dislocation in newborns.And the knowledge of disease diagnosis and treatment is gradually expanding.Parental education level and seniority of physician during an initial visit are two major influencing factors of early screening age of DDH children.
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Memo
收稿日期:2018-06-15。
基金项目:北京市卫生系统高层次卫生技术人才培养项目资助（编号：2015-3-032）；北京市医院管理局儿科学协同发展中心专项经费资助（编号：XTYB201821）
通讯作者:吕学敏,Email:Lxm98@sina.com