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[外源性因素在先天性髋关节脱位病因学中的作用:一项社会流行病学研究]

[The role of exogenous factors in the etiology of congenital hip dislocation: a socio-epidemiologic study].

作者信息

Drimal J

出版信息

Acta Chir Orthop Traumatol Cech. 1989 Oct;56(5):457-64.

PMID:2631495
Abstract

The authors present in their work the results of the analysis of the relation between congenital dislocation of vertebral joints and social factors which they have found out in 120 children singled out of 9516 live-born children in the Martin district (Slovakia) in the period 1979-1983. The investigation of social factors has been based on the analysis of socioeconomic and social conditions of the Martin district which has no regional particularities. According to their results the share of exogenous factors in the origin and development of this disease is manifested more frequently in the first-borns (having the highest representation in the examined group). On the top of the list of social indices, which they have examined in primiparae and multiparae respectively, there are unsuitable housing conditions (living in discord with mother-in-law in the same house-hold), high percentage of impregnation before marriage which can be considered a strain and longterm conflicting situation and can have together with other factors a sociopathogenetic effect.

摘要

作者在其研究中展示了对椎体关节先天性脱位与社会因素之间关系的分析结果,这些结果是他们在1979年至1983年期间从马丁区(斯洛伐克)9516名活产儿童中挑选出的120名儿童身上发现的。对社会因素的调查基于对马丁区社会经济和社会状况的分析,该地区没有区域特殊性。根据他们的结果,外源性因素在这种疾病的起源和发展中的作用在头胎婴儿中表现得更为频繁(在所检查的群体中占比最高)。在他们分别在初产妇和经产妇中检查的社会指标清单上,首要的是不合适的住房条件(与婆婆住在同一家庭中关系不融洽)、婚前受孕比例高,这可被视为一种压力和长期冲突的情况,并且可能与其他因素一起产生社会致病效应。

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