Observation of the effects of three methods for reducing perineal swelling in children with developmental hip dislocation

ARTICLE HIGHLIGHTS

Research background

Developmental dysplasia of the hip (DDH) is a developmental abnormality of the hip joint that results from hypoplasia during birth and continues to deteriorate after birth. With a prevalence as high as 1.0% to 2.9%, DDH affects more girls than boys. The clinical manifestations include shortened limbs, external rotation of the nodules, and lateral bulging of the hip bone, resulting in limited mobility. There have been no reports on the reduction of perineal swelling in children after routine care.

Research motivation

In this study, to further explore effective nursing interventions to reduce postoperative perineal swelling in children with developmental hip dislocation, to reduce postoperative pain of these children, and to improve the level of care, three types of nursing interventions, namely, magnesium sulfate wet compress, iodophor wet compress and ice compress, were compared.

Research objectives

This study aimed to observe the effect of reducing postoperative perineal swelling in children with developmental hip dislocation using magnesium sulfate wet compress, iodophor wet compress, and ice compress to provide effective nursing interventions in the clinic.

Research methods

A total of 120 children with surgical hip dislocation after surgery in a third-class A hospital were randomly divided into four groups, the magnesium sulfate wet compress group, iodophor wet compress group, ice compress group and the control group, and data such as height, weight, age, duration of surgery, intraoperative blood loss, postoperative body temperature, swelling duration, pain score, and incidence of blisters were collected and analyzed.

Research results

There were no significant differences in height, weight, age, duration of surgery, intraoperative blood loss, and postoperative body temperature among the four groups of children.

Research conclusions

Postoperative perineal swelling in children with developmental hip dislocation was reduced using magnesium sulfate wet compress, iodophor wet compress, and ice compress. These findings provide a reference for clinical use. 

Research perspectives

The ice compress was more effective than the others in terms of pain relief, but special attention should be paid to the prevention of frostbite during use. The clinical application of magnesium sulfate wet compress, iodophor wet compress and ice compress in the treatment of perineum swelling after surgery for developmental dislocation of hip joint in children should be investigated further.