推拿结合活血柔筋膏治疗姿势性斜颈的回顾性研究  

Retrospective study on treatment of postural torticollis with massage combined with Huoxue Roujin Ointment

作　　者：马建强 穆晓红[1] 李海天[2] 张曼[2] 王岩[2] 孟旭 吕忠礼[2] MA Jian-qiang;MU Xiao-hong;LI Hai-tian;ZHANG Man;WANG Yan;MENG Xu;LYU Zhong-li(Department of Orthopaedics,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Department of Rehabilitation,Beijing Children’s Hospital Affiliated to the Capital Medical University,National Children's Medical Center,Beijing 100045)

机构地区：[1]北京中医药大学东直门医院骨科,北京100700 [2]国家儿童医学中心首都医科大学附属北京儿童医院康复科,北京100045

出　　处：《北京中医药》2023年第8期912-915,共4页Beijing Journal of Traditional Chinese Medicine

基　　金：北京市自然科学基金资助项目(7222281)。

摘　　要：目的观察推拿结合活血柔筋膏治疗姿势性斜颈的临床疗效。方法选取2019年1月—2022年1月于北京儿童医院就诊的姿势性斜颈患儿91例,按治疗方法分为观察组34例,对照组57例。对照组予物理治疗,观察组在物理治疗基础上予推拿结合活血柔筋膏治疗,每周5次,治疗2周。对比2组痊愈率及治疗前后斜颈严重程度分级、颈椎被动关节活动度、表面肌电[仰卧中立位胸锁乳突肌放松时的均方根值平均值(average root mean square,AVG-RMS)、患侧胸锁乳突肌用力收缩时的均方根值最大值(maximum root mean square,Max-RMS)]。结果观察组痊愈率58.8%(20/34)、对照组痊愈率33.3%(19/57),2组比较差异有统计学意义(χ^(2)=5.65,P<0.05)。与治疗前比较,治疗2周后2组斜颈严重程度分级均好转(P<0.05),且观察组优于对照组(P<0.05)。与治疗前比较,治疗2周后2组被动旋转关节活动度、被动侧屈关节活动度均提高(P<0.01),且观察组高于对照组(P<0.05)。与治疗前比较,治疗2周后2组AVG-RMS均降低(P<0.01),且观察组低于对照组(P<0.05);与治疗前比较,治疗2周后观察组Max-RMS提高(P<0.05),对照组治疗后无显著改变,治疗后2组差异无统计学意义(P>0.05)。结论推拿结合活血柔筋膏治疗姿势性斜颈可显著改善患儿颈部关节活动度及胸锁乳突肌张力,临床疗效优于单纯物理治疗。Objective To investigate the clinical effect of massage combined with Huoxue Roujin(activating blood circulation and softening the tendon)Ointment on postural torticollis.Methods 91 children with postural torticolliswho visited Beijing Children′s Hospital from January 2019 to January 2022 were selected and divided into two groups according to treatment methods,that is control group(57 cases)and observation group(34 cases).The control group was treated with physiotherapy,and the observation group was treated with massage combined with Huoxue Roujin Ointment on the basis of the control group.Both groups were treated fivetimes a week for two weeks.The recovery rate,severity classification of torticollis before and after treatment,passive joint activity of cervical vertebra and surface electromyography(average root mean square(AVG-RMS)of sternocleidomastoid muscle in supine neutral position and maximum root mean square(Max-RMS)of sternocleidomastoid muscle in affected side)were compared between the two groups.Results The recovery rate of observation group was 58.8%(20/34)higher than that of control group(33.3%)(19/57),the difference was statistically significant(χ^(2)=5.65,P<0.05).Compared with before treatment,the severity of torticollis in both groups were improved after 2 weeks of treatment(P<0.05),and the observation group was better than the control group(P<0.05).Compared with before treatment,the range of motion of passive rotation joint and passive lateral flexion joint in the two groups were increased after treatment for 2 weeks(P<0.01),and the observation group was higher than the control group(P<0.05).Compared with before treatment,AVG-RMS in both groups was decreased after 2 weeks of treatment(P<0.01),and the observation group was lower than the control group(P<0.05).Compared with before treatment,the Max-RMS in the observation group was increased after 2 weeks of treatment(P<0.05),but there was no significant change in the control group after treatment,and there was no significant difference between th

关 键 词：婴儿 姿势性斜颈 推拿 活血柔筋膏 

分 类 号：R244.1[医药卫生—针灸推拿学]