推康融合治疗小儿先天性肌性斜颈的临床诊疗思路  

Clinical diagnosis and treatment approach of integrating tuina and rehabilitation for pediatric congenital muscular torticollis

作　　者：毛嘉雯 王慧娟 杨秋萍 马清华 王文星 龙倩 汤伟[2] MAO Jiawen;WANG Huijuan;YANG Qiuping;MA Qinghua;WANG Wenxing;LONG Qian;TANG Wei(The First Clinical School of Chinese Medicine,Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)

机构地区：[1]湖南中医药大学第一中医临床学院,湖南长沙410007 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《湖南中医药大学学报》2025年第1期95-99,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家中医药管理局第七批全国老中医药专家学术继承人项目(国中医药人教函〔2022〕76号);中国残疾人联合会2024年度课题(2024&WT005);湖南省“十四五”第一批中医领军人才和学科带头人培养项目(湘中医药〔2022〕4号);湖南省卫生健康委员会高层次人才项目(湘卫函〔2024〕43号);湖南省教育厅优秀青年项目(21B0381)。

摘　　要：本文从推康融合角度,针对小儿先天性肌性斜颈提出“衷中参西,诊评结合;推康融合,相须为用;调态固本,功能为先;灵活变通,随症调治;手手联动,杂合而康”的治疗思路,巧妙地将现代康复评估和治疗融入传统推拿,强调小儿斜颈“无评估不推拿”。此外,针对手法康复临床疗效不佳的患儿,主张推康贯穿全程,手术择期介入,形成“推-康-术,手手联动”模式,以实现最优临床疗效。该诊疗思路立足临床,以疗效为核心,以期为小儿先天性肌性斜颈的临床治疗提供新思路和新模式。This article,from the perspective of integrating tuina and rehabilitation,proposes a treatment approach for pediatric congenital muscular torticollis that emphasizes"combining Chinese and Western medicine,emphasizing both diagnosis and evaluation;integrating tuina and rehabilitation for mutual reinforcement;prioritizing functional recovery through adjusting the body's state and reinforcing the foundation;being flexible and adapting treatment according to symptoms;and achieving comprehensive health through the coordinated use of various techniques."It skillfully integrates modern rehabilitation assessment and treatment into traditional tuina,emphasizing that"no tuina should be performed without assessment"for pediatric torticollis.Furthermore,for children with poor clinical outcomes from manual rehabilitation alone,it is advocated to integrate tuina and rehabilitation throughout the entire treatment process,with surgical intervention considered at an appropriate time,forming a"tuina-rehabilitation-surgery,coordinated use of various techniques"model to achieve optimal clinical outcomes.This diagnosis and treatment approach is clinically oriented,with efficacy as its core,aiming to provide new ideas and models for the clinical treatment of pediatric congenital muscular torticollis.

关 键 词：推拿 康复 推康融合 先天性肌性斜颈 诊疗思路 

分 类 号：R247.9[医药卫生—中医临床基础]