“五步”推拿法治疗小儿肌性斜颈73例临床观察.docVIP

“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（Plt;0.01 ）o 两组比较有显著性差异（Plt;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 ） 6-0454-02 Clinical Observe of Child Myogenic Torticollis 73Cases with Five-Steps Tuina Therapy FENG Yan-hual，SUN Wu-quanl, CHEN Qian-qian2,SHI Shan-yi3HENG Qing-xinl,HANG Xiao-Juan4 GU-Fei 5FANG Mini （l.Yueyang Affiliated to Shanghai University of Traditional Chinese Medicine, Combined Chinese and Western Medicine Hospital,Shanghai 200437,China） (2.Second Peoplersquo;s Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fujian 350003,China ) (3.Second Hospital Affiliated to Heilongjiang University of Traditional Chinese Medicine, Heilongjiang 150001,China) (4.Chinese Medicine Hospital of Wuxi,JiangSu214001,China) [Abstract] Objectives： To observe and study the clinical therapeutic effect of child myogenic torticollis 73cases with five-steps tuina therapy. Method： There were 73cases of child myogenic torticollis, randomly divided into two groups, with 37 cases in the treatment group (treated with the five-steps tuina therapy) and with 36 cases in the control group (traditional tuina therapy), To observe before and after therapy of change of symptoms with the trouble child,affected part sternocleidomastoid muscle about color doppler imaging. Results： Inevitably there will be efficency in the treatment group94.6%, and inevitably there will be efficency in the the control group75%, affected part sternocleidomastoid muscle about color doppler imaging manifest:after treatment in the treatment group growth thickness obvious to reduce(Plt;0.01).compar