“五步”推拿法治疗小儿肌性斜颈73例临床观察

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1、“五步”推拿法治疗小儿肌性斜颈73例临床观冯燕华1孙武权1陈倩婧2史珊怡3衡庆鑫1杭晓娟4顾非5房敏1（1.上海中医药大学附属岳阳中丙医结合医院推拿科上海200437）（2.福建中医药大学附属第二人民医院推拿科福建福州350003）（3.黑龙江中医药大学附属第二医院治未病中心黑龙江哈尔滨150001）（4.江苏省无锡市中医院儿科江苏无锡214001）（5.上海中医药大学附属岳阳中丙医结合医院脊柱科上海200437）【摘要】目的：为观察“五步”推拿法治疗小儿斜颈的临床效果。方法：随机选择小儿肌性斜颈患者73例，治疗组37例，以“五步”推拿手法治疗；对照组36例，以传统推拿治疗。观察

2、治疗前后患儿症状的改变，患侧胸锁乳突肌彩超影像变化。结果：治疗组总有效率94.6%；对照组总有效率75%。患侧胸锁乳突肌彩超影像显示，治疗组肿块厚度治疗后明显减小（P<0.01）o两组比较有显著性差异（P<0.01）。结论：“五步”推拿法治疗小儿斜颈疗效显著。【关键词】小儿斜颈；推拿；胸锁乳突肌【中图分类号1R244.1【文献标识码】B【文章编号】1003-5028（2015）6-0454-02ClinicalObserveofChildMyogenicTorticollis73CaseswithFive-StepsTuinaTherapyFENGYan-hual，S

3、UNWu-quanl,CHENQian-qian2,SHIShan-yi3HENGQing-xinl,HANGXiao-Juan4GU-Fei5FANGMini（l.YueyangAffiliatedtoShanghaiUniversityofTraditionalChineseMedicine,CombinedChineseandWesternMedicineHospital,Shanghai200437,China）(2.SecondPeople’sHospitalAffiliatedtoFujianUniversityofTraditionalChineseMe

4、dicine,Fujian350003,China)(3.SecondHospitalAffiliatedtoHeilongjiangUniversityofTraditionalChineseMedicine,Heilongjiang150001,China)(4.ChineseMedicineHospitalofWuxi,JiangSu214001,China)[Abstract]Objectives：Toobserveandstudytheclinicaltherapeuticeffectofchildmyogenictorticollis73caseswithfive-s

5、tepstuinatherapy.Method：Therewere73casesofchildmyogenictorticollis,randomlydividedintotwogroups,with37casesinthetreatmentgroup(treatedwiththefive-stepstuinatherapy)andwith36casesinthecontrolgroup(traditionaltuinatherapy),Toobservebeforeandaftertherapyofchangeofsymptomswiththetroublechild,affe

6、ctedpartsternocleidomastoidmuscleaboutcolordopplerimaging.Results：Inevitablytherewillbeefficencyinthetreatmentgroup94.6%,andinevitablytherewillbeefficencyinthethecontrolgroup75%,affectedpartsternocleidomastoidmuscleaboutcolordopplerimagingmanifest:aftertreatmentinthetreatmentgroupgrowththickn

7、essobvioustoreduce(P<0.01).compareinthetwogroupshaveobviousdifference(P<0.01).Conclusion：Theresultsindicatechildmyogenictorticolliswithfive-stepstuinatherapyhaveobvioiuscurativeeffect.【Keywords】ChildMyogenicTorticollis;Tuina；Sternocleid