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目的:探讨寰枢椎半脱位患儿接受脊柱旋转定点复位手法治疗的效果。方法:收集80例寰枢椎半脱位患儿的临床资料,对其采用脊柱旋转定点的方法进行复位治疗,并结合中药热敷以及消炎药的治疗等,观察其治疗效果。结果:所有患儿接受手法治疗次数为2～9次,平均4次,住院时间5～30天,平均住院时间(13.2±3.5)天,经旋转定点复位手法治疗,28例痊愈,24例好转,20例有效,8例无效,总有效率为90.0%。结论:采用脊柱旋转定点复位手法治疗寰枢椎半脱位具有很好的治疗效果,并且操作简单方便,值得在临床中推广应用。
Objective: To investigate the effect of spinal manipulation and fixed-point reduction in children with atlanto-axial subluxation. Methods: The clinical data of 80 children with atlantoaxial subluxation were collected, and their therapeutic effects were observed by using the method of spinal spin fixed point reduction and reduction combined with traditional Chinese medicine hot compress and anti-inflammatory drug treatment. Results: The average number of hospitalized patients was 2 to 9 times (average 4 times), the hospitalization time was 5 to 30 days and the average length of hospital stay was (13.2 ± 3.5) days. 28 cases recovered and 24 cases improved , 20 cases were effective, 8 cases were ineffective, the total effective rate was 90.0%. Conclusion: The treatment of atlantoaxial subluxation by means of spinal rotation and fixed-point reduction has a good therapeutic effect, and the operation is simple and convenient, which is worth popularizing and applying in clinical practice.