Pathogenic risk factors correlation study of developmental dysplasia hip in Shigatse of Tibet
10.3760/cma.j.issn.2095-428X.2016.11.009
- VernacularTitle:西藏日喀则地区发育性髋关节发育不良致病危险因素相关性研究
- Author:
Xiaodong YANG
;
Xiaolian MO
;
Xiang FENG
;
Lihua ZHAO
;
Hao YING
- Publication Type:Journal Article
- Keywords:
Tibet;
Child;
Developmental dysplasia hip;
Pathogenic risk factor;
Correlation study
- From:
Chinese Journal of Applied Clinical Pediatrics
2016;31(11):833-835
- CountryChina
- Language:Chinese
-
Abstract:
Objective To perform the epidemiological analysis of the developmental dysplasia hip(DDH) in Shigatse of Tibet in order to explore the correlation between the onset of DDH with some risk factors such as altitude and take targeted intervention measures to reduce the disability rate of DDH.Methods A total of 5900 children aged 0 to 14 year-old from different altitudes in Shigatse of Tibet were surveyed randomly from June 2013 to June 2014.SPSS 18.0 statistical software was used to analyze the correlation of the onset of DDH with residence altitude,production and living ways,binding method of the lower limbs,delivery situation and genetic factor.Results One hundred and ninety-one DDH cases were screened out,and the average incidence of DDH in Shigatse of Tibet was about 32.4‰,and unilateral was higher than bilateral,fight side(33 cases)∶left side(68 cases) =1.00∶ 2.06.The result of Pearson correlation analysis of the onset of DDH with residence altitude showed that there was significant correlation (r=0.820,P=0.046).The result of Spearman correlation analysis of the onset of DDH with production and living ways showed that there was significant correlation(r=0.530,P =0.048).The result of x2 test analysis of the onset of DDH with binding method of the double lower limbs and breech delivery showed that there was statistical significance (P=0.0017,0.0082).Conclusions The DDH incidence of children living in high altitude areas in Tibet has certain regional characteristics indicating that it has clear correlation with some environmental risk factors such as altitude,methods of the lower limbs binding,production and living ways and breech delivery,especially the bundled package of lower limbs is the main environmental risk factor of DDH.
