微波联合手法矫正按摩治疗小儿先天性肌性斜颈的疗效研究  

Microwave combined with manipulative correction massage for treating congenital muscular torticollis in children

作　　者：晏林华 蒋林峻[1] YAN Linhua;JIANG Linjun(Department of Orthopedics,Liangjiang Branch Hospital,Affiliated Children′s Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/ National Clinical Research Center for Child Health and Disease/ China International Science and Technology Cooperation Base of Child Development and Critical disorders/Chongqing Municipal Key Laboratory of Pediatrics,Chongqing 401122,China)

机构地区：[1]重庆医科大学附属儿童医院两江院区骨科/儿童发育疾病研究教育部重点实验室/国家儿童健康与疾病临床医学研究中心/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室,401122

出　　处：《重庆医学》2021年第21期3699-3701,3705,共4页Chongqing medicine

摘　　要：目的探讨手法矫正按摩联合微波治疗小儿先天性肌性斜颈的疗效。方法选取2016年5月至2020年3月该院诊治的1岁以下先天性肌性斜颈患儿155例,2018年6月前单纯采用手法矫正按摩治疗先天性肌性斜颈75例(单纯手法矫正按摩组),2018年6月起采用手法矫正按摩联合微波治疗先天性肌性斜颈80例(手法矫正按摩联合微波治疗组)。参照《临床疾病诊断依据治愈好转标准》拟定评价标准评估两组患儿疗效。结果手法矫正按摩过程中未发生颈椎骨折脱位、窒息等严重并发症。微波治疗过程中未发生皮肤烫伤、眼部损伤等并发症。手法矫正按摩联合微波治疗组患儿治愈率(75.00%)、总有效率(96.25%)均明显高于单纯手法矫正按摩组(分别为60.00%、86.67%),差异均有统计学意义(P<0.05)。结论手法矫正按摩联合微波治疗可有效缓解头颈偏斜畸形,恢复颈部功能,是治疗小儿先天性肌性斜颈的一种安全、有效的方法,值得临床推广应用。Objective To investigate the therapeutic effect of manipulative correction massage combined microwave for the treatment of congenital muscular torticollis in children.Methods A total of 155 cases of congenital muscular torticollis aged under 1 years old treated in this hospital from May 2016 to March 2020 were selected.Seventy-five cases of congenital muscular torticollis were treated by simple manipulative correction massage(simple manipulative correction massage group)before June 2018 and 80 cases of congenital muscular torticollis adopted the manipulative correction massage combined microwave(manipulative correction massage combined microwave group)since June 2018.Referring to the Clinical Disease Diagnosis Basis and Standard of Cure and Improvement,the evaluation standard was formulated to evaluate the treatment effect in the two groups.Results No serious complications such as cervical fracture and dislocation,and asphyxia occurred during the manipulative correction massage process.No complications such as skin burns and eye injuries occurred during the microwave treatment process.The cure rate and total effective rate of the manipulative correction massage combined microwave treatment group were 75.00%and 96.25%,which were significantly higher than 60.00%and 86.67%in the simple manipulative correction massage group,and the differences were statistically significant(P<0.05).Conclusion The manipulative correction massage combined microwave therapy can effectively relieve the head and neck deflection deformity,restore the neck function,and is a safe and effective method for treating congenital muscular torticollis in children,which is worthy of clinical promotion and application.

关 键 词：按摩 肌性斜颈 儿童畸形 保守治疗 临床疗效 

分 类 号：R726.8[医药卫生—儿科]