推拿配合睡卧特殊体位治疗小儿肌性斜颈39例临床观察  

Clinical observation on 39 cases of congenital muscular torticollis in infantile treated by tuina combined with sleeping in a special position

作　　者：娄冉 黄克勤 王亭 LOU Ran;HUANG Keqin;WANG Ting(Department of Acupuncture-Moxibustion and Tuina,Wenzhou Central Hospital,Wenzhou,Zhejiang,325000,China)

机构地区：[1]温州市中心医院针灸推拿科,浙江温州325000

出　　处：《中医儿科杂志》2023年第4期71-74,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：浙江省中医药管理局项目(2018ZQ045);温州市级科技计划项目(2021Y1607)。

摘　　要：目的 观察推拿配合睡卧特殊体位治疗小儿肌性斜颈的临床疗效。方法 选取2016年1月至2020年12月在温州市中心医院针灸推拿科就诊的78例肌性斜颈患儿,按照就诊时间分为对照组和治疗组,各39例。对照组予推拿治疗,治疗组在对照组治疗方法的基础上配合睡卧特殊体位治疗。2组均连续治疗3个月后统计疗效。结果 治疗前,2组的颈部倾斜和旋转度比较,差异均无统计学意义(P>0.05),具有可比性;治疗后,2组的颈部倾斜和旋转度均较同组治疗前明显改善,差异均有统计学意义(P<0.01),且治疗组改善更显著(P<0.01)。治疗前,2组的颈部功能评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组颈部功能评分均较同组治疗前明显升高,差异均有统计学意义(P<0.05),且治疗组升高更显著(P<0.05)。治疗组痊愈率为97.44%(38/39),显著高于对照组的84.62%(33/39),2组比较,差异有统计学意义(P<0.05)。结论 推拿配合睡卧特殊体位治疗小儿肌性斜颈,可明显改善患儿头颈部活动度,显著提高颈部功能评分,疗效确切,值得临床推广应用。Objective To observe the clinical efficacy of tuina combined with sleeping in a special position in the treatment of pediatric congenital muscular torticollis(CMT).Methods 78 children with CMT who visited the Acupuncture-Moxibustion and Tuina Department of Wenzhou Central Hospital from January 2016 to December 2020 were selected and divided into a control group and a treatment group according to the time of visit,with 39 cases in each group.The control group was treated with tuina.On the basis of the control group's treatment method,the treatment group was treated with sleeping in a special position.Both groups were treated continuously for 3 months and their therapeutic effects were statistically analyzed.ResultssBefore treatment,there was no statistically significant difference in head and neck tilt and rotation between the two groups(P>0.05),indicating comparability.After treatment,the head and neck tilt and rotation of the two groups were significantly improved compared to the same group before treatment,with statistically significant differences(P<0.01),and the improvement was more significant in the treatment group(P<0.01).Before treatment,there was no statistically significant difference in neck function scores between the two groups(P>0.05),indicating comparability.After treatment,the neck function scores of both groups were significantly increased compared to the same group before treatment,with statistical significance(P<0.05),and the increase in the treatment group was more significant(P<0.05).The cure rate of the treatment group was 97.44%(38/39),significantly higher than the control group's 84.62%(33/39),and the difference between the two groups was statistically significant(P<0.05).Conclusion Tuina combined with sleeping in a special position can significantly improve the head and neck mobility of children with CMT,significantly improve the neck function score,and have a definite therapeutic effect.It is worthy of clinical promotion and application.

关 键 词：肌性斜颈 小儿 推拿 睡卧特殊体位 临床观察 

分 类 号：R274.3[医药卫生—中医骨伤科学]