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目的探讨围产期脑损伤与发育性髋关节脱位相关性研究及治疗。方法以围产期脑损伤儿为样本,调查母体因素、生产方式、肌张力、胎次、脑损伤程度等因素与发育性髋关节脱位的相关性。围产期脑损伤合并发育性髋关节脱位患儿实施三种治疗方案,记录运动功能正常发育及髋关节位痊愈的时间比较结果围产期脑损伤的患儿发育性髋关节脱位发病率高;发育性髋关节脱位与围产期脑损伤患儿的发病因素高度一致,提示围产期脑损伤与发育性髋关节脱位密切相关。统计分析发现方法三的治愈时间最短,为最佳方法。结论避免宫内缺氧是预防本病发生的关键;及早纠正髋关节异常位置、改善肌张力,选择发育性髋关节脱位固定位治疗的最佳时机的同时行早期运动干预及康复训练是最合适的治疗方法。
Objective To investigate the relationship between perinatal brain injury and developing hip dislocation. Methods Perinatal brain injury children as a sample to investigate the relationship between maternal factors, production methods, muscle tone, parity, brain injury and other factors and developmental dislocation of the hip. Perinatal brain injury with developmental dislocation of the hip in children with three kinds of treatment programs to record the normal development of motor function and hip joint recovery time comparison results in children with perinatal brain injury developmental dislocation of the high incidence of dislocation; Developmental hip dislocation and perinatal brain injury in children with high risk factors, suggesting that perinatal brain injury and developmental dislocation of the hip are closely related. Statistical analysis found that the shortest cure time for the third method, as the best method. Conclusions Avoid intrauterine hypoxia is the key to preventing the occurrence of this disease. It is most appropriate to correct the abnormal position of the hip as early as possible, improve the muscle tension, select the optimal time for the development of the fixed hip for developmental dislocation of the hip, and take the early exercise intervention and rehabilitation training at the same time The treatment.