[1]蒋海云,金瑛.推拿联合自拟斜颈方热敷治疗小儿先天性肌性斜颈40例疗效观察[J].中医儿科杂志,2019,15(03):65-67.[doi:10.16840/j.issn1673-4297.2019.03.21]
 JIANG Haiyun,JIN Ying.Curative effect observation on 40 cases of pediatric congenital myogenic torticollis treated by tuina combined with hot compress of self-made Xiejingfang (斜颈方)[J].Journal of Pediatrics of Traditional Chinese Medicine,2019,15(03):65-67.[doi:10.16840/j.issn1673-4297.2019.03.21]
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推拿联合自拟斜颈方热敷治疗小儿先天性肌性斜颈40例疗效观察
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《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
15
期数:
2019年03期
页码:
65-67
栏目:
针灸推拿
出版日期:
2019-05-25

文章信息/Info

Title:
Curative effect observation on 40 cases of pediatric congenital myogenic torticollis treated by tuina combined with hot compress of self-made Xiejingfang (斜颈方)
作者:
蒋海云 金瑛
衢州市中医医院针灸推拿科, 浙江 衢州 324000
Author(s):
JIANG Haiyun JIN Ying
Department of Acupuncture and Tuina, Quzhou Hospital of TCM, Quzhou, Zhejiang, 324000, China
关键词:
小儿先天性肌性斜颈推拿热敷疗效观察
Keywords:
pediatric congenital myogenic torticollis (CMT)tuinahot compresscurative effect observation
分类号:
R681.1+2
DOI:
10.16840/j.issn1673-4297.2019.03.21
摘要:
目的 观察推拿联合自拟斜颈方热敷治疗小儿先天性肌性斜颈(CMT)的临床疗效。方法 选取2015年2月至2018年3月在衢州市中医医院针灸推拿科门诊诊治的40例CMT患儿,给予揉捏牵转推拿法联合中药自拟斜颈方热敷,连续治疗30 d为1个疗程,分别在治疗1个、3个、6个疗程后复查双侧胸锁乳突肌彩超变化并统计患儿临床症状的改善情况。结果 40例患儿中治愈5例(占12.5%),好转32例(占80.5%),无效3例(占7.5%),总有效率为92.5%。治疗6个疗程后,40例包块处回声有不同程度减弱(强回声3例,中等回声15例,低回声17例,无回声5例),回声改变率为92.5%。治疗前患侧胸锁乳突肌包块平均厚度为(10.45±2.41)mm,治疗1个、3个、6个疗程后分别为(9.56±2.38)mm、(8.14±2.12)mm、(7.35±2.14)mm。结论 推拿联合自拟斜颈方热敷治疗小儿CMT疗效满意,值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of tuina combined with hot compress of self-made Xiejingfang (斜颈方) in the treatment of pediatric congenital myogenic torticollis (CMT).Methods Forty cases of pediatric CMT diagnosed and treated in outpatient service of the department of acupuncture and tuina in Quzhou Hospital of TCM from Febuary 2015 to March 2018 were given tuina including kneading,pinching,pulling and rotating manipulation combined with hot compress of self-made Xiejingfang using Chinese materia medica. Consecutive treatment for 30 days constituted 1 course of treatment.After treatment for 1 course,3 courses and 6 courses of treatment,respectively,we checked the color ultrasound changes of bilateral sternocleidomastoid muscle and kept statistics of the improvement of the clinical symptoms of the children patients.Results Among the 40 cases,5 cases were cured (12.5%),32 cases were improved (80.5%),3 cases were ineffective (7.5%),and the total effective rate was 92.5%.After 6 courses of treatment,there were 40 cases with different degree of attenuation of echo in the mass (3 cases with strong echo,15 cases with medium echo,17 cases with low echo,5 cases with no echo),and the echo change rate was 92.5%.The average thickness of the sternocleidomastoid mass on the affected side before treatment was (10.45±2.41) mm,after 1 course, 3 courses and 6 courses of treatment,they were (9.56±2.38) mm,(8.14±2.12) mm and (7.35±2.14) mm,respectively.Conclusion It has satisfactory curative effect to use tuina combined with hot compress of self-made Xiejingfang in the treatment of pediatric CMT,which deserves clinical promotion and application.

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备注/Memo

备注/Memo:
基金项目:衢州市科技局项目(2016015)。
作者简介:蒋海云(1983-),女,主治中医师,医学学士,主要从事针灸推拿治疗儿科常见病、多发病工作。
通信作者:金瑛(1969-),男,主任中医师,医学学士。研究方向:杨继洲针灸古方今用和脊柱相关疾病的临床研究。E-mail:jfxb555@163.com
更新日期/Last Update: 1900-01-01