超声波疗法结合肿块点刺对肿块型小儿肌性斜颈患者的临床疗效  

Clinical efficacy of ultrasound therapy combined with mass pricking in the treatment of patients with mass-type congenital muscular torticollis

作　　者：赖冬冬 陈卓伟 LAI Dongdong;CHEN Zhuowei(Department of Rehabilitation Medicine,Panyu Maternal and Child Care Service Centre of Guangzhou,Guangdong,Guangzhou 511400,China)

机构地区：[1]广州市番禺区妇幼保健院康复医学科,广东广州511400

出　　处：《中国医药科学》2023年第20期78-81,共4页China Medicine And Pharmacy

摘　　要：目的探讨应用超声波疗法结合肿块点刺对肿块型小儿肌性斜颈患者的临床疗效。方法选取2020年6月至2022年6月广州市番禺区妇幼保健院康复医学科收治的62例肿块型小儿肌性斜颈患者为研究对象,根据随机数表法分为对照组和观察组,每组各31例。对照组给予常规推拿治疗,观察组给予超声波+针刺治疗。治疗15次后观察两组的临床疗效、两侧胸锁乳突肌厚度之差以及颈部被动旋转度和侧屈度的变化,评估各组治疗的临床效果。结果治疗前两组两侧胸锁乳突肌厚度之差比较,差异无统计学意义(P>0.05);治疗后观察组两侧胸锁乳突肌厚度之差小于对照组,差异有统计学意义(P<0.05);治疗前两组两侧颈部被动活动度比较,差异无统计学意义(P>0.05);治疗后观察组颈部被动旋转度、向健侧侧屈活动度明显大于对照组,差异有统计学意义(P<0.05)。观察组总有效率为93.55%高于对照组的70.96%,差异有统计学意义(P<0.05)。结论超声波治疗结合肿块点刺对肿块型小儿斜颈患儿有较好的疗效,有利于胸锁乳突肌肿块缩小并且改善颈部的活动范围。Objective To explore the clinical efficacy of ultrasound therapy combined with mass pricking in the treatment of patients with mass-type congenital muscular torticollis.Methods A total of 62 patients with mass-type congenital muscular torticollis who were treated in the Rehabilitation Medicine Department of Panyu Maternal and Child Care Service Centre of Guangzhou from June 2020 to June 2022 were selected as the research subjects.They were divided into a control group(n=31)and an observation group(n=31)based on a random number table method.The control group was given conventional massage treatment,and the observation group was given ultrasound+acupuncture treatment.After 15 treatments,the clinical efficacy of the two groups,the difference in thickness of the bilateral sternocleidomastoid muscles,and the changes in passive neck rotation and lateral flexion were observed to evaluate the clinical effect of each group’s treatment.Results Before treatment,there was no statistically significant difference in thickness of bilateral sternocleidomastoid muscles between the two groups(P>0.05),while the difference in thickness of bilateral sternocleidomastoid muscles between the observation group after treatment was smaller than that of the control group(P<0.05).Before treatment,there was no statistically significant difference in passive neck mobility between the two groups(P>0.05),while the passive neck rotation and the lateral flexion mobility towards the healthy side in the observation group after treatment was significantly higher than that in the control group(P<0.05).The total effective rate of the observation group(93.55%)was higher than that of the control group(70.96%),with statistically significant difference(P<0.05).Conclusion Ultrasound therapy combined with mass pricking has a good therapeutic effect on children with mass-type congenital muscular torticollis,which is beneficial for reducing the mass of the sternocleidomastoid muscle and improving the range of motio n of the neck.

关 键 词：针刺 超声波疗法 肿块型 小儿肌性斜颈 

分 类 号：R445.1[医药卫生—影像医学与核医学] R726.8[医药卫生—诊断学]