| 刘静,韩蕾,黄鲁豫,等.发育性髋关节脱位患儿术后生存质量现状及影响因素分析.骨科,2025,16(5): 442-447. |
| 发育性髋关节脱位患儿术后生存质量现状及影响因素分析 |
| Postoperative quality of life and influencing factors in children with developmental dislocation of the hip |
| 投稿时间：2025-03-13 |
| DOI：10.3969/j.issn.1674-8573.2025.05.010 |
| 中文关键词: 发育性髋关节脱位 生存质量 多因素线性回归 影响因素 |
| 英文关键词: Developmental dislocation of the hip Quality of life Multiple linear regression Influencing factors |
| 基金项目:空军军医大学西京医院学科助推项目（XJHL22D208） |
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| 中文摘要: |
| 目的 分析发育性髋关节脱位（developmental dislocation of the hip，DDH）患儿术后生存质量现状及相关影响因素。方法 2023年1月至6月，采用便利抽样法选取我院儿童骨科病区收治行手术治疗，术后1年及以上的DDH患儿为研究对象。通过自行设计的一般情况调查表和中文版的儿童生存质量测定量表（PedsQL4.0）的普适性核心量表进行问卷调查，收集患儿资料。结果 共纳入388例DDH患儿，术后1年生存质量得分为（73.45±18.22）分，生理功能得分最低为（71.48±21.81）分。通过多因素线性回归进行影响因素分析，患儿休学［B=-10.469，95% CI（-17.242，-3.695）］、髋关节功能为良/中/差［B=-8.605，95% CI（-12.421，-4.789）；B=-17.159，95% CI（-23.748，-10.570）；B=-13.861，95% CI（-23.759，-3.964）］、切开复位手术［B=-4.783，95% CI（-8.987，-0.579）］、骨科住院次数＞2次［B=-3.074，95% CI（-6.332，-0.710）］、父母无固定工作［B=-5.288，95% CI（-9.446，-1.129）］是DDH患儿术后生存质量的影响因素。结论 DDH患儿术后1年生存质量较差，其中生理功能受影响最大；患儿因病休学、术后髋关节功能为良/中/差、行切开复位手术、骨科住院次数＞2次和父母无固定工作时，生存质量较低，需给予更多的关注和支持。 |
| 英文摘要: |
| Objective To assess the postoperative quality of life and its influencing factors in children with developmental dislocation of the hip (DDH). Methods A cross-sectional study was conducted from January to June 2023 using convenience sampling, and children with DDH who were treated in our pediatric orthopedics department and had undergone surgery for one year or more were enrolled. Data were collected via a self-designed general questionnaire and the Chinese version of the Pediatric Quality of Life Inventory 4.0 (PedsQL4.0). Results The mean total score of postoperative quality of life was (73.45±18.22), with the lowest score observed in the physiological dimension (71.48±21.81). Factors such as enrollment status in kindergartens/schools (suspension) ［B=-10.469, 95% CI (-17.242, -3.695)］, hip function (good, moderate, poor) ［B=-8.605, 95% CI (-12.421, -4.789); B=-17.159, 95% CI(-23.748, -10.570); B=-13.861, 95% CI (-23.759, -3.964)］, surgical method (open reduction) ［B=-4.783, 95% CI (-8.987, -0.579)］, number of orthopedic hospitalizations (greater than 2) ［B=-3.074, 95% CI(-6.332, -0.710)］, and parents' presence of a regular job (no) ［B=-5.288, 95% CI(-9.446, -1.129)］ were found to influence postoperative quality of life scores. Conclusion The postoperative quality of life of children with DDH remains suboptimal, particularly in physical functioning. Key risk factors for diminished quality of life include school absenteeism, impaired hip function, open reduction surgery, repeated hospitalizations, and lack of parental stable employment. Targeted interventions addressing these factors are warranted to improve long-term outcomes. |
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