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目的:观察天牖五部分刺法联合推拿手法对小儿早期先天性肌性斜颈的临床疗效。方法:将70例12月龄以内患儿随机分为治疗组与对照组,每组45例,对照组给予传统推拿手法治疗;治疗组在对照组的基础上给予天牖五部分刺法治疗。治疗后观察颈部旋转受限、颈部侧屈受限、颅面部不对称、胸锁乳突肌(SCM)肿块、胸锁乳突肌肌肉紧张消退情况,统计两组患者的临床疗效。结果:两组优良率差异无统计学意义(P>0.05)。在颈部被动活动度改善、颅面部对称、胸锁乳突肌肿块消退方面治疗组均优于对照组,差异有统计学意义(P<0.05)。治疗组与对照组临床有效率分别为91.43%、77.14%,比较有统计学意义(P<0.05)。结论:天牖五部分刺法联合推拿手法治疗先天性肌性斜颈早期疗效优于单纯推拿手法,为临床治疗小儿早期先天性肌性斜颈提供了有效的治疗方案。
Objective: To observe the clinical curative effect of the five parts of the tianxu combined with acupuncture on the pediatric congenital muscular torticollis. Methods: Seventy children aged less than 12 months were randomly divided into treatment group and control group, with 45 cases in each group. The control group was treated with traditional manipulation method. The treatment group was treated with five parts of stomata on the basis of the control group. After treatment, the rotation of the neck was restricted, neck flexion was limited, craniofacial asymmetry, sternocleidomastoid (SCM) mass and sternocleidomastoid muscle tension were observed. The clinical effects were observed in both groups. Results: The difference between the two groups was not statistically significant (P> 0.05). The improvement of passive activity in the neck, the symmetry of the craniofacial region and the regression of the sternomastoid muscle mass in the treatment group were better than those in the control group (P <0.05). The clinical effective rates of the treatment group and the control group were 91.43% and 77.14% respectively, with statistical significance (P <0.05). Conclusion: The early treatment of congenital muscular torticollis by the combination of the five parts of TIENS and the massage is superior to the simple manipulation, which provides an effective treatment for early congenital muscular torticollis in children.