■必须早期识别髋关节发育异常(DDH),以最大程度地减少其负面影响。超声筛查对于在医院中检测DDH是有用的。日本对基于社区的筛查系统的认识很低。尽管在该国建立了全国性的家庭访问服务和儿童健康检查,超过10%的DDH患者诊断年龄≥1岁.这篇综述旨在阐明日本社区婴儿中DDH的通用超声筛查状况。
■IgakuChuoZasshi的电子数据库,MEDLINE,CHINAL,ERIC,和APAPsycInfo搜索了2002年至2022年之间发表的文章。文章进行了评价,有效性,收养,实施,维护框架。
■总共,共148篇文章。手动添加了两篇文章,67篇文章通过抽象评论被排除在外,其中20个是重复的。最后,分析中包括18篇文章。在社区环境中,有两种类型的通用超声筛查:市政主导和医院主导。自1992年以来,在五个城市的公共婴儿健康检查中进行了市政当局主导的筛查。六家医院实施超声筛查。参与率约为90%。Graf方法通常用于此目的。髋关节异常的患病率为3.6%~16.6%。由于超声方面的人力资源和技能有限,所有研究都提到了早期发现DDH的通用筛查系统的必要性.
■在社区健康检查系统中嵌入通用超声筛查可以使医疗保健专业人员和护理人员之间的合作,以改善健康不平等并确保早期发现DDH病例。
UNASSIGNED: Early identification of developmental dysplasia of the hip (DDH) is necessary to minimize its negative effects. Ultrasound screening is useful for detecting DDH in hospitals. Awareness about community-based screening systems is low in Japan. Despite established nationwide home visiting services and child health checkups in the country, more than 10% of DDH patients are diagnosed at the age of ≥1 year. This review aimed to clarify the status of universal ultrasound screening for DDH among infants in community settings in Japan.
UNASSIGNED: The electronic databases of Igaku Chuo Zasshi, MEDLINE, CHINAL, ERIC, and APA PsycInfo were searched for articles published between 2002 and 2022. Articles were evaluated with the reach, effectiveness, adoption, implementation, and maintenance framework.
UNASSIGNED: In total, 148 articles were identified. Two articles were manually added, and 67 articles were excluded through abstract reviews, of which 20 were duplicates. Finally, 18 articles were included in the analysis. There are two types of universal ultrasound screening in community settings: municipality-led and hospital-led. Since 1992, municipality-led screening has been conducted during public infant health checkups in five municipalities. Six hospitals implemented ultrasound screening. The participation rate was around 90%. The Graf method is typically used for this purpose. The prevalence of abnormal hips was 3.6%-16.6%. Owing to limited human resources and skills in ultrasound, all studies mentioned the necessity of a universal screening system for the early detection of DDH.
UNASSIGNED: Embedding universal ultrasound screening in community health checkup systems enables collaboration between healthcare professionals and caregivers to improve health inequities and ensure early detection of DDH cases.