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[目的]观察针刺手足少阳联合按摩、牵伸治疗婴儿重型先天性肌性斜颈疗效。[方法]使用随机平行对照方法,将64例门诊患者按就诊顺序号法简单随机分为两组。对照组32例按摩:仰卧位,暴露颈部皮肤,一手托项部,置于中立位并稍后伸,以滑石粉为介质,指揉法自胸锁乳突肌乳突部,自上而下沿轮廓反复揉动,5min/次,1次/d;牵伸:一手扶患侧肩部,手稍向下压固定住肩部,另一手扶患侧头部上方,将头推向健侧,使健侧耳垂接近健侧肩部,9次为一组,分3组间断进行,1次/d。治疗组32例针刺,双侧手足少阳:阳池、丘墟、阳陵泉、关冲、丝竹空,瞳子髎、足窍阴;阳池、丘墟、阳陵泉留针20min,余用快针,不留针,1次/d;按摩、牵伸治疗同对照组。连续治疗15d为1疗程。观测临床症状、胸锁乳突肌硬结、不良反应。连续治疗3疗程,疗程间隔15d,判定疗效。[结果]治疗组痊愈26例,显效3例,有效3例,无效2例,总有效率94.44%。对照组痊愈16例,显效4例,有效5例,无效9例,总有效率73.52%。治疗组疗效优于对照组(P<0.05)。[结论]针刺手足少阳经联合按摩、牵伸治疗婴儿重型先天性肌性斜颈疗效满意,无严重不良反应,值得推广。
[Objective] To observe the acupuncture hand, foot and shaoyang joint massage, drafting treatment of severe congenital muscular torticollis in infants. [Methods] Using randomized parallel control method, 64 outpatients were randomly divided into two groups according to the sequence number of visiting doctor. Control group, 32 cases of massage: supine position, exposing the neck skin, one hand care items Department, placed in the neutral position and later extended to talc as medium, refers to the kneading method from the sternocleidomastoid mastoid, from top to Under the outline of the repeated rubbing motion, 5min / times, 1 time / d; drafting: one hand supporting the affected side of the shoulder, hand slightly down to fix the shoulder, the other hand supporting the affected side of the head, Side, so that healthy contralateral lobes close to the healthy side, 9 times as a group, divided into 3 groups intermittent, 1 / d. The treatment group of 32 cases of acupuncture, both hands and feet less Shaoyang: Yangchi, Qiuxu, Yanglingquan, Guan Chong, bamboo empty, pupil 髎, foot Ye Yin; Yangchi, Qiuxu, Yanglingquan needle 20min, remaining Fast needle, needle-free, 1 time / d; massage, drafting treatment with the control group. Continuous treatment of 15d for a course of treatment. Observation of clinical symptoms, sternocleidomastoid sclerosis, adverse reactions. Continuous treatment of 3 courses, treatment interval 15d, to determine the efficacy. [Results] The treatment group cured 26 cases, 3 cases markedly effective, 3 cases effective, 2 cases ineffective, the total effective rate 94.44%. The control group cured 16 cases, 4 cases markedly effective in 5 cases, 9 cases were ineffective, the total effective rate was 73.52%. The treatment group was better than the control group (P <0.05). [Conclusion] Acupuncture hand, foot and Shaoyang combined with massage and drafting is effective in treating infantile severe congenital muscular torticollis without serious adverse reactions and is worth promoting.