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目的探讨美国斜颈指南综合干预模式对早期先天性肌性斜颈的治疗效果。方法将64例2月龄以内的先天性斜颈患儿随机分为研究组和对照组各32例。研究组采用美国斜颈指南综合干预方法,包括颈部被动活动度训练,加强颈部及周围肌群力量训练,促进患儿对称性运动发育,环境调适,家属的指导教育;对照组采用单一的传统推拿手法治疗。治疗3个疗程后对比治疗效果。结果研究组治疗30例,优良率90.00%;对照组治疗29例,优良率82.76%,两组优良率差异无统计学意义(P>0.05)。研究组在颈部被动活动度改善、胸锁乳突肌肿块及肌肉紧张消退、颅面部对称均优于对照组,差异有统计学意义(P<0.05)。结论美国斜颈指南综合干预方法治疗先天性肌性斜颈临床总体疗效优于传统推拿组,尤其对于改善颈部被动活动度、消退肿块、改善及预防颅面部畸形疗效显著,值得临床推广。
Objective To explore the treatment effect of American torticollis comprehensive intervention model on early congenital muscular torticollis. Methods 64 cases of congenital torticollis within 2 months of age were randomly divided into study group and control group of 32 cases. The study group adopted the United States cross-necked guide comprehensive intervention methods, including the training of neck passive motion, strengthen the strength training of the neck and surrounding muscles, and promote the symmetry of children with motor development, environmental adaptation, guidance of family members; the control group with a single Traditional massage manipulation. After 3 courses of treatment, the treatment effect was compared. Results The study group was treated with 30 cases, the excellent and good rate was 90.00%. In the control group, 29 cases were treated with excellent and good rate of 82.76%. There was no significant difference between the two groups in the excellent and good rates (P> 0.05). The study group in the neck passive activity improved, sternocleidomastoid muscle and muscle tension subsidence, craniofacial symmetry were better than the control group, the difference was statistically significant (P <0.05). Conclusion The comprehensive treatment of congenital muscular torticollis in the United States is better than traditional massage group in the comprehensive treatment of congenital muscular torticollis. It is worthy of clinical promotion especially for improving the passive movement of the neck, relieving the mass, improving and preventing craniofacial deformity.