摘要
目的观察一指禅缠法为主与传统方法为主推拿治疗婴幼儿肌性斜颈的临床疗效。方法采取随机对照单盲法将患者分为两组，治疗组159例以一指禅缠法为主推拿治疗，对照组141例以传统方法推拿治疗，两组治疗1次，d，20min/次，15d为1个疗程。治疗4个疗程后，以二维超声检测胸锁乳突肌形态、大小的改变，以彩色多普勒超声观察胸锁乳突肌血流的变化，结合患儿头颈歪斜程度和活动度评价总疗效。结果治疗组痊愈33例，显效72例，有效45例，无效9例，总有效率为94．34％；对照组痊愈9例，显效36例，有效75例，无效21例，总有效率为85．11％。两组总疗效比较有显著性差异（P〈0．05）。结论一指禅缠法为主推拿治疗婴幼儿肌性斜颈较传统方法推拿疗效更明显，可有效缩短治疗时间，避免因病情迁延不愈而发生的后遗症。
Objective To observe the clinical effects of treating infantile muscular torticollis with the primary massage therapy of twining manipulation with one finger and by the traditional massage therapy. Methods 300 cases were randomly recruited into a control group （141 cases） and a treatment group （159 cases）. The treatment group was treated with primary massage of twining manipulation with one finger, while the control group was treated with conventional massage. Both groups were treated once daily. 20 rain for each time, and 15 days constituted one therapeutic course. After 4 therapeutic courses, the changes of the shape and the size of the sternocleidomastoid muscle were detected by two--dimensional supersonic examination, the changes of the stream of blood of the sternocleidomastoid muscle was observed by the colored doppler supersonic observation, and assessed the overall curative effect combined with neck deflection degree and the activity. Results In the treatment group, 33 cases were healed, excellent therapeutic effects were seen in 72 cases, effectiveness were seen in 45 cases, 9 cases were inefficacy, and the total effective rate was 94.34% ; In the control group, 9 cases were healed, excellent therapeutic effects were seen in 36 cases, effectiveness were seen in 75 cases, 21 cases were inefficacy, and the total effective rate was 85.11%. The result of the two groups showed a significant difference （P〈0.05） .Conclusion Infants muscular torticollis mainly treated by twining manipulation with one finger showed a better result than conventional massage. It can effectively shorten the therapeutic time and avoid the Sequela due to the protraction of disease.
出处
《国际中医中药杂志》
2009年第2期124-127,共4页
International Journal of Traditional Chinese Medicine
基金
淄博若2007年科学技术发展计划项目（淄科发[2007]59号）
关键词
婴幼儿肌性斜颈
胸锁乳突肌
一指禅缠法
推拿
临床研究
Infantile muscular torticollis
Sternocleidomastoid muscle
Twining manipulation with one finger： Massage therapy
Clinical research
