Klisić P, Zivanović V, Brdar R
Banjica Orthopaedic Hospital, Belgrade, Yugoslavia.
J Pediatr Orthop. 1988 Jan-Feb;8(1):9-11. doi: 10.1097/01241398-198801000-00002.
Triple prevention of congenital dislocation of the hip (CDH) consists of screening and earliest treatment in newborns, universal wide diapering in all presumably healthy hips, and repeated screening and early treatment in infants. Preventive activity proved to be decisively stimulated by introduction of "baby packages," containing equipment for wide diapering, which are being distributed to every newborn free of charge. Since the introduction of baby packages, prevalence of CDH dropped from 1.3 to 0.7% despite incomplete distribution. Likewise, incidence of surgery for CDH decreased sevenfold.
先天性髋关节脱位(CDH)的三级预防包括对新生儿进行筛查和尽早治疗、对所有疑似健康的髋关节普遍采用宽尿布包裹法以及对婴儿进行反复筛查和早期治疗。事实证明,发放“婴儿礼包”对预防活动起到了决定性的推动作用,礼包中包含用于宽尿布包裹法的设备,这些礼包正免费分发给每个新生儿。自发放婴儿礼包以来,尽管分发并不完全,但CDH的患病率从1.3%降至0.7%。同样,CDH的手术发病率下降了七倍。