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| Investigation and analysis of postoperative perineal swelling in children with developmental dislocation of the hip |
| WANG Ling WANG Ning▲ HE Meiying LIU Hailun |
| Department of Pediatric Surgery, the First Medical Center of PLA General Hospital, Beijing 100853, China |
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Abstract Objective To understand the incidence of postoperative perineal swelling in children with developmental dislocation of the hip, to analyze the causes of the swelling, and to provide a certain clinical basis for active prevention and early treatment. Methods From January 2015 to January 2020, 456 children with developmental dislocation of the hip in the department of pediatric surgery of the First Medical Center of PLA General Hospital were selected for observation, and relevant data were recorded according to different ages and different genders. Three intervention methods of magnesium sulfate wet compress, Iodophor wet compress and ice compress were adopted for children with severe perineal swelling, while a control group was established. The relevant data of the magnesium sulfate wet compress group (13 cases), the iodophor wet compress group (13 cases), the ice compress group (13 cases) and the control group (13 cases) were recorded for analysis and summary. Results The incidence of swelling in children >4-7 years old and >7-14 years old were lower than that in the children 1.5-4 years old, and the differences were statistically significant (P < 0.05). The time of perineal swelling in the magnesium sulfate wet compress group, iodophor wet compress group, and ice compress group was shorter than that of the control group, while the pain score was lower than that of the control group, and the differences were statistically significant (P < 0.05). The prevalence of developmental dislocation of the hip in female children was higher than that in male children, and the difference was statistically significant (P < 0.05). The prevalence of developmental dislocation of the hip in female children was higher than that in male children, and the difference was statistically significant (P < 0.05). Conclusion The incidence of postoperative swelling is different in children with developmental dislocation of the hip with different genders and different ages. All three intervention methods can reduce the degree of perineal swelling in children after surgery, and reduce the pain of children, provide scientific basis for clinical nursing work.
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