软伤洗剂外用联合推拿治疗小儿肌性斜颈疗效观察  

Clinical observation on congenital muscular torticollis treated by Ruanshang Lotion combined with Tuina

作　　者：郝唯 马彦旭[1] 程五中[1] 阴祖新 崔述生[2] HAO Wei;MA Yanxu;CHENG Wuzhong;YIN Zuxin;CUI Shusheng(Tuina Department,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Tuina Department,Beijing Gulou Hospital of Traditional Chinese Medicine,Beijing 100009)

机构地区：[1]首都医科大学附属北京中医医院推拿科,北京100010 [2]北京市鼓楼中医医院推拿科,北京100009

出　　处：《北京中医药》2025年第2期223-227,共5页Beijing Journal of Traditional Chinese Medicine

基　　金：北京市属医院科研培育计划项目(PZ2023015);北京中医药“薪火传承3+3工程”崔述生名医传承工作站(2021-SZC-86)。

摘　　要：目的观察软伤洗剂联合推拿法治疗小儿肌性斜颈(CMT)的临床疗效。方法选择2018年7月—2023年12月就诊于首都医科大学附属北京中医医院推拿科的CMT患儿60例,按照随机数字表法分为观察组、对照组,各30例。对照组采用一指禅推法配合冯氏捏脊,10 min/次,1次/d;温水湿敷,早、晚各1次,10 min/次。观察组采用一指禅推法配合冯氏捏脊,10 min/次,1次/d;软伤洗剂湿敷,1剂/d,早、晚各1次,10 min/次。2组均治疗8周,观察比较2组治疗前后自然颈斜角度、胸锁乳突肌(SCM)厚度、颈主动旋转角度、颅骨畸形[经颅斜径差(CVA)],记录治疗过程中发生的不良反应。结果观察组疗效优于对照组(Z=4.617,P<0.05)。治疗后,2组自然颈斜角度、患侧SCM厚度、颈主动旋转角度均较治疗前降低(P<0.05),且观察组优于对照组(P<0.05)。治疗后,2组CVA均较治疗前降低(P<0.05),2组间比较差异无统计学意义(P>0.05)。研究过程中患儿均无不良反应,未出现皮肤过敏及意外事件。结论软伤洗剂湿敷联合推拿治疗能够有效改善CMT症状,减少SCM厚度,恢复患儿颈椎功能。Objective To observe the clinical efficacy of Ruanshang Lotion combined with tuina therapy in the treatment of congenital muscular torticollis(CMT)in children.Methods Sixty pediatric patients with CMT who visited the Tuina Department of Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University from July 2018 to December 2023 were selected and randomly divided into an observation group and a control group using a random number table,with 30 patients in each group.The control group received One-Finger Push Massage combined with Feng's chiropractic once daily for 10 minutes per session over 8 weeks;they also underwent warm water wet compresses for 10 minutes each time,twice daily(morning and evening),for 8 weeks.The observation group received One-Finger Push Massage combined with Feng's chiropractic plus Soft Tissue Injury Lotion wet compresses.The lotion was applied once daily for 10 minutes per session,twice daily(morning and evening),for 8 weeks.The natural cervical tilt angle,sternocleidomastoid muscle(SCM)thickness,active cervical rotation angle,and cranial deformity[cranial vault asymmetry(CVA)]were compared between the two groups before and after treatment.Adverse reactions during treatment were recorded.Results The therapeutic efficacy in the observation group was superior to that in the control group(Z=4.617,P<0.05).After treatment,both groups showed significant reductions in the natural cervical tilt angle,SCM thickness on the affected side,and active cervical rotation angle compared to those before treatment(P<0.05),with greater improvements in the observation group than in the control group(P<0.05).Both groups also showed significant reductions in CVA after treatment compared to that before treatment(P<0.05),but the difference between the two groups was not statistically significant(P>0.05).No adverse reactions,skin allergies,or unexpected events occurred during the study.Conclusion Ruanshang Lotion wet compresses combined with tuina therapy can effectively improve CMT sym

关 键 词：小儿肌性斜颈 软伤洗剂 一指禅推法 冯氏捏脊 推拿 

分 类 号：R272[医药卫生—中医儿科学]