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先天性髋关节脱位是儿童期常见的髋关节畸形,其中1至3岁的患儿仍以非手术疗法为主。为了使闭合复位成功,降低复位后股骨头坏死的发生率,在复位前应做双下肢髋屈位皮肤悬吊牵引。双下肢悬吊皮牵引(Bryant牵引)的特点是利用婴幼儿胭绳肌松弛,在屈髋90°的情况下进行的,是一种简单而有效的治疗方法。由于婴幼儿在治疗过程中配合欠佳,年龄小不能正确反馈病情,故观察和护理显得更为重要。现将2001年10月~2006年6月收住32例先天性髋关节脱位患儿的护理介绍如下。
Congenital dislocation of the hip is a common childhood malformation of the hip, in which 1 to 3-year-old children are still mainly non-surgical treatment. In order to make the closed reduction successful, reduce the incidence of post-reduction femoral head necrosis, hip reduction and flexion of the skin should be performed before the suspension of the lower limb traction. The characteristics of the double lower extremity suspension leather traction (Bryant Traction) is the simple and effective treatment method which utilizes the relaxation of the infant stilts and the 90 ° hip flexion. As infants and young children in the course of treatment with poor, young age can not be correct feedback condition, so observation and care is even more important. Now in October 2001 ~ June 2006 admitted 32 cases of congenital hip dislocation in children care are described below.