Abstract：Objective To investigate the prevalence of developmental dysplasia of the hip (DDH) and its related risk factors among children aged 0-14 years in Qujing region so as to provide supports for implementing tertiary prevention and treatment strategy. Methods We selected 1,332 children underwent physical examination in Qujing Maternal and Child Health CareHospital from January 2015 to December 2019 to serve as the research subjects. Graf ultrasound was used to screen DDH among children aged 0-6 months, and X-ray was applied to screening DDH among children aged 7 months to 14 years. Theepidemiological characteristics and risk factors of DDH in children aged 0-14 years were analyzed, and a three-level disease prevention strategy was formulated based on the results. Results Among the 1,332 children surveyed, 22 cases of DDH were detected, with the prevalence rate of 1.65%. No statistically significant difference was found in the prevalence rate of DDH among different age groups (χ2=1.646, P>0.05). The prevalence rate of DDH was higher in females than in males (χ2=7.090, P<0.05) as well as higher in the left hip than in the right hip (χ2=4.583, P<0.05). Multiple logistic regression analysis with univariate χ2 test showed that oligohydramnios (OR=3.851), breech presentation (OR=2.064), asymmetry of gluteal lines (OR=2.776) and having a family history (OR=3.560) were the independent risk factors for DDH in children aged 0-14 years (P<0.05). Conclusion Among the children aged 0-14 years, DDH is more common in females and left hip joint, of which deficient amniotic fluid, breech delivery, asymmetric hip grain, and having a family history of DDH are the independent risk factors for the onset of DDH. DDH prevention should follow the three-level prevention and treatment strategy, mainly including monitoring amniotic fluid volume during pregnancy, fetal position, screening children at high risk in the early stages of disease, family guidance and symptomatic treatment during the onset of disease.
余雄武, 邓星梅, 刘媛, 聂鑫, 李传锋, 熊良君, 陆宏娜. 曲靖地区0~14岁儿童发育性髋关节发育不良患病情况及相关因素分析[J]. 实用预防医学, 2021, 28(7): 815-817.
YU Xiong-wu, DENG Xing-mei, LIU Yuan, NIE Xin, LI Chuan-feng, XIONG Liang-jun, LU Hong-na. Prevalence of developmental dysplasia of the hip among children aged 0-14 years in Qujing region. , 2021, 28(7): 815-817.
2021, Vol. 28 
