[1]李巧莲,张巧娜△,徐淼,等.按动疗法治疗小儿肌性斜颈的疗效观察[J].中国中医骨伤科杂志,2025,33(11):45-50.[doi:10.20085/j.cnki.issn1005-0205.251109]
 LI Qiaolian,ZHANG Qiaona,XU Miao,et al.Clinical Observation on the Therapeutic Effect of An-Dong Manipulation on Congenital Muscular Torticollis in Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(11):45-50.[doi:10.20085/j.cnki.issn1005-0205.251109]
点击复制

按动疗法治疗小儿肌性斜颈的疗效观察()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年11期
页码:
45-50
栏目:
临床研究
出版日期:
2025-11-15

文章信息/Info

Title:
Clinical Observation on the Therapeutic Effect of An-Dong Manipulation on Congenital Muscular Torticollis in Children
文章编号:
1005-0205(2025)11-0045-06
作者:
李巧莲1张巧娜1△徐淼1薛李红1张丽佳1宋斌1邱丽漪1许仙女1史素杰1
1北京按摩医院(北京,100035)
Author(s):
LI Qiaolian1ZHANG Qiaona1△XU Miao1XUE Lihong1ZHANG Lijia1SONG Bin1QIU Liyi1XU Xiannv1SHI Sujie1
1Beijing Massage Hospital,Beijing 100035,China.
关键词:
小儿肌性斜颈 按动疗法 筋骨并重 改善颈部运动功能
Keywords:
muscular torticollis in children An-Dong manipulation equal emphasis on bones and muscles improvement of neck motor function
分类号:
R726.8
DOI:
10.20085/j.cnki.issn1005-0205.251109
文献标志码:
A
摘要:
目的:观察比较按动疗法和常规手法治疗小儿肌性斜颈的疗效差异。方法:用单盲随机数字法将纳入研究的64名小儿肌性斜颈患儿随机分为观察组和对照组(各32例),其中观察组受试者采用按动疗法治疗,对照组受试者采用常规推拿手法治疗。两组患儿均1周治疗5次,共进行30次治疗。以证候评分和包块超声检查结果作为观察指标,用SPSS 22.0进行统计分析。结果:观察组患者与对照组患者颈部包块超声检查结果和证候评分差异均有统计学意义(P<0.05)。观察组患者2例痊愈,9例显效,16例有效,1例无效,总有效率为96.67%; 对照组患者5例显效,16例有效,9例无效,总有效率为70.00%,两组患者推拿疗效差异有统计学意义(P<0.05)。结论:按动疗法比常规手法治疗小儿肌性斜颈对症状评分和包块超声检查结果有明显改善,按动疗法比常规手法疗效更优,说明按动疗法行之有效,可在临床推广应用。
Abstract:
Objective:To observe and compare the therapeutic effect between An-Dong manipulation and conventional manipulation in the treatment of muscular torticollosis in children.Methods:In this study,64 children with muscular torticollis were randomly divided into observation group and control group by single blind random number method.Among them,32 patients in the observation group were treated with An-Dong manipulation,and 32 patients in the control group were treated with conventional massage.Both groups were treated 5 times a week for a total of 30 treatments.The syndrome score and ultrasound examination were used as observation indexes,and SPSS 22.0 was used for statistical analysis.Results:There were significant statistical differences in neck ultrasound and syndrome scores between the observation group and the control group(P<0.05).In the observation group,2 cases were cured,9 cases were markedly effective,16 cases were effective,1 case was ineffective,and the total effective rate was 96.67%.In the control group,5 cases were markedly effective,16 cases were effective,9 cases were ineffective,and the total effective rate was 70.00%.SPSS 22.0 statistical analysis showed that there was a statistically significant difference in the efficacy of massage between the two groups(P<0.05).Conclusion:An-Dong manipulation is more effective than conventional manipulation in the treatment of children with muscular torticollis on symptom score and mass ultrasound.The curative effect of An-Dong manipulation is better than that of conventional manipulation,which proves that pressing manipulation is effective and can be popularized and applied in clinical practice.

参考文献/References:

[1] 刘明军,邰先桃.小儿推拿学[M].北京:中国中医药出版社,2021:117-119.
[2] 金义成,陈志伟,蒋诗超.海派儿科推拿[M].青岛:青岛出版社,2021.
[3] 娄冉,黄克勤,王亭.推拿配合睡卧特殊体位治疗小儿肌性斜颈39例临床观察[J].中医儿科杂志,2023,19(4):71-74.
[4] 孙德仁,夏慧萍,陈博睿,等.小儿肌性斜颈病因与少儿推拿治疗概述[J].实用中医药杂志,2018,34(9):1138-1140.
[5] 江载芳,申昆玲,沈颖.诸福棠实用儿科学[M].8版.北京:人民卫生出版社,2015.
[6] 廖品东.小儿推拿学[M].2版.北京:人民卫生出版社,2018.
[7] CHENG J C,METREWELI C,CHEN T M,et al.Correlation of ultrasonographic imaging of congenital muscular torticollis with clinical assessment in infants[J].Ultrasound in Medicine & Biology,2000,26(8):1237-1241.
[8] LEE Y T,YOON K,KIM Y B,et al.Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography:a prospective study[J].Journal of Pediatric Surgery,2011,46(8):1526-1531.
[9] 吴炜翰,刘淑娟.先天性肌性斜颈保守治疗研究现状[J].按摩与康复医学,2021,12(20):80-82.
[10] 刘茂升,刘琦,陈永法,等.A型肉毒毒素联合物理治疗对难治性先天性肌性斜颈的疗效[J].深圳中西医结合杂志,2021,31(6):27-28.
[11] 毛嘉雯,王慧娟,杨秋萍,等.推康融合治疗小儿先天性肌性斜颈的临床诊疗思路[J].湖南中医药大学学报,2025,45(1):95-99.
[12] XIAO Y Y,CHI Z H,YUAN F Q,et al.Effectiveness and safety of massage in the treatment of the congenital muscular torticollis:a systematic review and meta-analysis protocol[J].Medicine,2020,99(35):e21879.
[13] 解晓融,赵伟,李鑫,等.关节镜下松解术治疗先天性肌性斜颈的短期疗效观察[J].中国脊柱脊髓杂志,2025,35(1):96-99.
[14] 黄秀明,肖婷,钟斌,等.改良腔镜技术在儿童先天性肌性斜颈手术治疗中的应用[J].临床医药实践,2023,32(7):490-493.
[15] TANG W,LI Z J,XU W H,et al.Effect of massage therapy on infants with congenital muscular torticollis:a retrospective comparative study[J].Frontiers in Pediatrics,2023,10:984675.
[16] 李文锦,周孙章,林高鸥,等.胸锁乳突肌双切口手术治疗先天性肌性斜颈疗效观察[J].临床合理用药杂志,2020,13(7):144-145.
[17] ZOLLARS J A,BURTNER P A,STOCKMAN G,et al.Neural and visceral manipulation in infants with congenital muscular torticollis:a feasibility study[J].Journal of Physical Therapy Science,2020,32(1):7-15.
[18] 张铭,傅瑞阳.推拿治疗小儿肌性斜颈核心手法探析[J].新中医,2020,52(10):121-124.
[19] 鲁潇莹,姜淑云,李阳,等.先天性肌性斜颈患儿运动发育异常的临床研究进展[J].实用骨科杂志,2023,29(9):810-813.
[20] 智照林,李兵,王钲,等.按动推拿流派手法治疗筋伤的经验特色[J].中国医药导报,2022,19(2):143-147.
[21] 王海龙,王虹.按动疗法精义与医案[M].北京:中国盲文出版社,2017.
[22] 黄梅,陆亮亮,王亚,等.推拿结合功能训练治疗先天性肌性斜颈的临床观察[J].中国民间疗法,2022,30(18):54-57.
[23] 钱亦华,张卫光.局部解剖学[M].10版.北京:人民卫生出版社,2024:59-61.
[24] 高正文,孔安安,张鸿雁.张鸿雁特色推拿手法治疗小儿肌性斜颈的临床经验[J].江西中医药大学学报,2021,33(1):23-25.
(收稿日期:2025-03-05)

备注/Memo

备注/Memo:
基金项目:中国残疾人联合会项目(2021&WT001)
首都卫生发展科研专项(2022-3-7021)
通信作者 E-mail:1605506047@qq.com
更新日期/Last Update: 2025-11-15