School of Nursing, Yuzuncu Yil University, Van, Turkey.
J Membr Biol. 2013 Feb;246(2):115-9. doi: 10.1007/s00232-012-9509-4. Epub 2012 Oct 19.
The purpose of this study was to investigate prospectively the effects of swaddling and consanguineous marriage on developmental dysplasia of the hip and associated risk factors. We screened by ultrasound 265 infants using the Graf method. The Pediatrics Department referred all newborn infants with suspected instability or a recognized risk factor to the orthopedic clinic. Risk factors of developmental dysplasia of the hip were searched and noted in these patients. Swaddling and consanguineous marriage were also determined and noted. We observed 164 of 265 infants (61.9 %) who had been swaddled and that 64 of 265 infants' parents were in a consanguineous marriage (24.2 %). In the statistical analysis that was conducted for swaddling and consanguineous marriage, highly significant differences were found. Our study showed that the rate of developmental dysplasia of the hip is very high, 11.7 %, in our region, eastern Turkey. Also, we commonly see improper swaddling and consanguineous marriage in our region, which affects many infants.
本研究旨在前瞻性地探讨襁褓和近亲结婚对发育性髋关节发育不良的影响及其相关危险因素。我们采用 Graf 法对 265 例婴儿进行了超声筛查。儿科学系将所有怀疑不稳定或有明确危险因素的新生儿转介到矫形科诊所。我们对这些患者进行了髋关节发育不良的危险因素搜索和记录。我们还观察了 265 例婴儿中有 164 例（61.9%）被襁褓包裹，其中 265 例婴儿的父母中有 64 例（24.2%）是近亲结婚。在对襁褓和近亲结婚进行的统计学分析中，发现了非常显著的差异。我们的研究表明，在我们所在的土耳其东部地区，发育性髋关节发育不良的发生率非常高，为 11.7%。此外，我们在本地区经常看到不当的襁褓和近亲结婚，这影响了许多婴儿。
