文章摘要

基于信息上报系统的无锡地区2015—2017年度婴幼儿髋关节筛查总结

作者: 1徐大鹏, 1程刚, 1周利宏, 1沈濬, 1王武愉, 1张爱国
1 南京医科大学附属无锡市人民医院(无锡市儿童医院)儿童骨科,江苏 无锡 214000
通讯: 张爱国 Email: 448390434@qq.com
DOI: 10.3978/j.issn.2095-6959.2019.03.024
基金: 无锡市科技局项目 (CSE31N1501);无锡市人民医院青年拔尖人才基金 (2018)。

摘要

目的:探讨无锡地区婴幼儿髋关节筛查信息上报系统在婴幼儿髋关节普遍筛查中的应用及相关数据分析。方法:将婴幼儿髋关节筛查内容、评价标准、治疗指导意见整合进一张表格,依托无锡市人民医院医联体,建立一套髋关节发育不良(developmental dysplasia of the hip,DDH)上报系统,对部分医院辐射范围内的所有出生6周的婴儿采用Graf超声筛查法检查髋关节,将收集的数据上传至婴幼儿髋关节筛查登记系统,依据系统指导意见,对可疑患儿进行随诊或转诊。将所获数据进行统计分析,评价该信息化上报系统对髋关节筛查的效果。结果:2015年1月至2017年4月6 094例婴儿实施髋关节Graf超声筛查,依据系统指导意见,随诊44例,36例转至无锡市儿童医院,17例确诊为DDH。结论:该信息上报系统可以有效地监测婴幼儿髋关节发育情况,精简上报流程,并且依据系统提供的指导意见可以减小人为误差,使治疗意见更为规范、客观,同时也让研究者更容易监测和收集髋关节发育信息。婴幼儿髋关节筛查信息化上报系统用于筛查婴幼儿髋关节切实可行,对髋关节的治疗和随访具有指导意义,但是在实施过程中需政府医保部门的大力支持。
关键词: 无锡地区;髋关节筛查;信息系统

Summary of infant hip joint screening in Wuxi area from 2015 to 2017 based on information reporting system

Authors: 1XU Dapeng, 1CHENG Gang, 1ZHOU Lihong, 1SHEN Jun, 1WANG Wuyu, 1ZHANG Aiguo
1 Department of Children Orthopedics, Wuxi People’s Hospital Affiliated to Nanjing Medical University (Wuxi Children’s Hospital), Wuxi Jiangsu 214000, China

CorrespondingAuthor: ZHANG Aiguo Email: 448390434@qq.com

DOI: 10.3978/j.issn.2095-6959.2019.03.024

Foundation: This work was supported by the Wuxi Municipal Science and Technology Bureau Major Program (CSE31N1501) and Wuxi People’s Hospital Young Medical Talents (2018), China.

Abstract

Objective: To explore the application of the information system of infant hip joint screening in wide range screening of hip joint in children and to analyze the related data. Methods: The infant hip screening content, evaluation criteria, treatment guidance integrated into a form, relying on the Wuxi People’s Hospital Medical Association, to establish a set of developmental dysplasia of the hip (DDH) reporting system, all children within 6 weeks old serviced by hospital were examined by Graf ultrasonography for hip joint examination, upload data to the registration system, interventions for suspected children were conducted on the basis of systematic guidelines. The data obtained were statistically analyzed, and the effect of the information reporting system on the hip joint screening was evaluated. Results: From January 2015 to April 2017, 6 094 infants underwent Graf ultrasound screening of the hip. According to the guidance of the system, 44 cases were followed up, 36 cases were transferred to Wuxi Children’s Hospital, and 17 cases were diagnosed as DDH. Conclusion: The information reporting system can effectively monitor the development of the hip joint in infants, streamlining the layers of reporting process, and based on the guidance provided by the system can reduce human error, make the treatment more standardized and objective views. It also allows researchers monitor and collect the information of hip dysplasia more easily. The information reporting system of infant hip joint screening is practicable to screen the hip joint of infants and children. It is of guiding significance to the treatment and follow-up of the hip joint. However, the government medical insurance department should support it in the process of operation.
Keywords: Wuxi area; hip joint screening; information system