痉挛型脑瘫患儿髋脱位的相关因素
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北京中医药大学东直门医院

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Related factors of hip dislocation in children with spastic cerebral palsy
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Dongzhimen hospital of BUCM

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    摘要:

    摘要:目的:探究痉挛型脑瘫患儿髋脱位的相关因素。方法:纳入2014年1月至2021年12月就诊于我院痉挛型脑瘫患儿235例(共470髋),其中男172例,女63例,年龄(8.29±3.24)岁,所有患儿入院后完成骨盆正位X线片拍摄、临床资料完整。从病历资料中采集年龄、性别、脑瘫儿童粗大运动功能功能分级(the gross motor function classification system, GMFCS)等基本信息并测量股骨位移百分比(migration percentage,MP)、头干角(Head-shaft angle,HSA)、颈干角(neck‐shaft angle,NSA)、髋臼指数(acetabular index,AI)等影像学指标,按照MP值设置脱位组和未脱位组,并分组对数据进行组间对比及回归分析。结果:脱位组与未脱位组组间对比结果显示HSA、NSA、AI、GMFCS等因素与髋脱位正相关性(P < 0.05),二元多因素逻辑回归分析结果显示GMFCS、HSA、AI等分别是髋脱位的独立危险因素(P < 0.05)。结论:在痉挛型脑瘫儿童中,粗大运动功能的下降和股骨近端、髋臼的发育畸形均与髋脱位的发生密切相关。

    Abstract:

    Abstract: [Objective] : To explore the related factors of hip dislocation in children with spastic cerebral palsy. [Methods]: From January 2014 to December 2021, 235 children with spastic cerebral palsy (470 hips in total) were enrolled in our hospital, including 172 males and 63 females, aged (8.29±3.24) years old. All the children were admitted to the hospital. After the completion of the pelvic anteroposterior X-ray film, the clinical data is complete. Basic information such as age, gender, and GMFCS were collected from medical records, and imaging indicators such as MP, HSA, NSA, and AI were measured.The dislocation group and the non-dislocation group were set according to the MP value, and the data were grouped for comparison and regression analysis between groups.[Results]: HSA, NSA, AI, GMFCS and other factors were positively correlated with hip dislocation (P < 0.05). Binary multivariate logistic regression analysis showed that GMFCS, HSA, AI and other factors were independent risk factors for hip dislocation (P < 0.05). [Conclusion]: In children with spastic cerebral palsy, the decline of gross motor function and the developmental deformity of proximal femur and acetabulum are closely related to the occurrence of hip dislocation.

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  • 收稿日期:2022-08-02
  • 最后修改日期:2022-11-14
  • 录用日期:2023-02-06
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