推拿联合中药外用治疗肿块型先天性肌性斜颈28例  

Clinical Effect of Massage Combined with External Application of Traditional Chinese Medicine in Treatment of Mass-type Muscular Torticollis:An Analysis of 28 Cases

作　　者：方芳[1] 胡恩庆 王佳佳[2] 孙安达[1] 张晓磊[1] FANG Fang;HU Enqing;WANG Jiajia;SUN Anda;ZHANG Xiaolei(Department of Pediatric Massage,The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China;Department of Ultrasonic Medicine,The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院小儿推拿科,安徽合肥230031 [2]安徽中医药大学第一附属医院超声医学科,安徽合肥230031

出　　处：《安徽中医药大学学报》2025年第1期76-79,共4页Journal of Anhui University of Chinese Medicine

基　　金：安徽中医药大学第一附属医院临床科学研究项目(2020yfyzc37)。

摘　　要：目的观察优化推拿法联合中药外敷、药酒外涂治疗肿块型先天性肌性斜颈的临床疗效。方法将56例肿块型先天性肌性斜颈患儿随机分为观察组和对照组,每组28例。对照组采取传统推拿法治疗,观察组采取优化推拿法(直推“颈部五线法”为君,捏、捻、拿、拨患侧胸锁乳突肌为臣,牵伸患侧胸锁乳突肌为佐,长按阳陵泉、膈俞、膻中、足三里为使)联合中药外敷、药酒外涂。治疗前后分别观察患儿颈部歪斜角度、患侧被动旋转角度、健侧被动侧屈角度、颜面部差值,采用二维超声测量双侧胸锁乳突肌的肌肉厚度差值及肌肉弹性值差值,并观察两组临床疗效。结果在降低两侧胸锁乳突肌的肌肉厚度差值、肌肉弹性值差值和颈部歪斜角度、颜面部差值,升高患侧被动旋转角度、健侧被动侧屈角度方面,观察组显著优于对照组(P<0.05);观察组临床疗效显著优于对照组(P<0.05)。结论优化推拿法联合中药外敷、药酒外涂对肿块型先天性肌性斜颈的疗效优于传统推拿法。Objective To investigate the clinical effect of optimized massage combined with the external application of traditional Chinese medicine and medicinal liquor in the treatment of mass-type muscular torticollis.Methods A total of 56 children with mass-type muscular torticollis were randomly divided into observation group and control group,with 28 children in each group.The children in the control group received traditional massage therapy,while those in the observation group received optimized massage(with direct massage along the five lines of the neck as the monarch,pinching,rolling,grasping,and plucking of the ipsilateral sternocleidomastoid muscle as the minister,extension of the ipsilateral sternocleidomastoid muscle as the assistant,and sustained pressure on Yanglingquan,Geshu,Danzhong,and Zusanli as the guide)combined with the external application of traditional Chinese medicine and medicinal liquor.Related clinical symptoms were observed before and after treatment,including neck deviation angle,passive rotation angle on the affected side,passive bending angle on the unaffected side,and facial symmetry,and two-dimensional ultrasound was used to measure the differences of the thickness and muscle elasticity value of the sternocleidomastoid muscle at both sides.Clinical outcome was observed for both groups.Results Compared with the control group,the observation group had significantly greater reductions in the differences of the thickness and muscle elasticity value of the sternocleidomastoid muscle at both sides,neck deviation angle,and facial symmetry,as well as significantly greater increases in the passive rotation angle on the affected side and the passive bending angle on the unaffected side(P<0.05).The observation group had a significantly better clinical outcome than the control group(P<0.05).Conclusion Optimized massage combined with the external application of traditional Chinese medicine and medicinal liquor has a better clinical effect than traditional massage in the treatment of mass-type congenit

关 键 词：先天性肌性斜颈 小儿推拿 中药外敷 药酒外涂 肌肉厚度 肌肉弹性值 

分 类 号：R244[医药卫生—针灸推拿学]