12个月以后出现部发育的原因:一项试点研究
Ashok N Johari1, Ritesh Arvind Pandey2, Sudhir Kumar Mahapatra3
1Children's Orthopaedic Centre, Mumbai, Maharashtra, India.
The Indian journal of medical research
|November 13, 2023
概括
晚期诊断部发育性形 (DDH) 在12个月以上的儿童中很常见. 医生和家庭因素对延迟有很大影响,往往是由于初始查不足和父母的不知情造成的.
科学领域:
- 儿科整形外科 儿科整形外科
- 公共卫生 公共卫生
背景情况:
- 部发育性形 (DDH) 需要早期检测才能有效管理.
- 迟迟诊断DDH使治疗复杂化,特别是在发展中国家.
- 关于DDH晚期呈现的流行病学和原因的文献有限.
研究的目的:
- 调查超过12个月龄的儿童中DDH晚出现的原因.
- 确定导致DDH病例诊断和治疗延迟的因素.
主要方法:
- 一项研究包括54名DDH和部脱的儿童,在12个月后被诊断出.
- 用预先结构化的问卷进行了对父母的采访.
- 数据分析使用了微软Excel 2016和SPSS版本 26.
主要成果:
- 在96.2%的病例中,诊断延迟是延迟呈现的主要原因.
- 诊断时的平均年龄为24.7个月,诊断后的平均治疗延迟为12.5个月.
- 与医生相关的因素 (55.3%) 和家庭/社会问题 (44.7%) 是延迟的主要原因.
结论:
- 在门诊年龄的儿童中,DDH的晚期呈现很普遍.
- 医生和家庭因素是延迟诊断和治疗的主要原因.
- 新生儿部查不足和家长缺乏意识是导致DDH晚期检测的关键问题.
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