目的 探讨儿童脊髓损伤后髋关节脱位的预防方法。方法 2017年3月起,对47例脊髓损伤后髋关节脱位患儿的家长进行坐位和卧位姿势指导,并采取综合预防措施。其中23例随访3个月以上。结果 新发髋关节半脱位1例,髋关节发育接近正常18例,其余4例入组时已有髋关节半脱位,随访期间髋关节半脱位未加重。结论 及时采取措施可有效预防脊髓损伤儿童髋关节脱位的发生。
关键词:
脊髓损伤; 儿童; 髋; 发育不良; 脱位
刘根林
,
周红俊
,
李建军
,
张缨
,
郑樱
,
郝春霞
,
卫波
,
王一吉
,
康海琼
,
逯晓蕾
,
袁媛
,
蒙倩茹
. 儿童脊髓损伤后髋关节发育异常预防:23例随访[J]. 中国康复理论与实践, 2018
, 24(9)
: 1087
-1089
.
DOI: 10.3969/j.issn.1006-9771.2018.09.020
Objective To explore the prevention for hip dysplasia after pediatric spinal cord injury. Methods From March, 2017, the families of 47 children with spinal cord injury accepted education for preventing improper posture of sitting and sleeping and other interventions, and 23 of them were followed up for three months or more. Results New hip dislocation was found in one child, and 18 children developed almost normally in hip, the other four children with old hip dislocation did not worsen.Conclusion Intervention in time may prevent the hip dislocation in children with spinal cord injury.
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