揉捏牵转法结合斜方肌按揉治疗肌性斜颈的临床研究

发布时间：2018-01-08 17:01

本文关键词：揉捏牵转法结合斜方肌按揉治疗肌性斜颈的临床研究　出处：《浙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的通过随机对照试验,观察揉捏牵转法结合斜方肌按揉对小儿先天性肌性斜颈的疗效,以期为本病提供更有效的治疗方案。方法将符合纳入标准的100例患儿随机分为治疗组和对照组。治疗组采用揉捏牵转法结合斜方肌按揉治疗,对照组采用揉捏牵转法治疗,每周治疗5次,5次为1个疗程,共5个疗程。治疗后观察患儿头部倾斜、旋转及颈椎活动功能。结果两组病例在性别、分型、病位、月龄分布上无显著差异,治疗前耳肩距、健侧颌肩距、患侧颌肩距方面比较均无显著差异,治疗组和对照组的患儿头部倾斜、旋转及颈椎活动功能在治疗后均有改善,与同组治疗前相比,差异显著,有统计学意义(P0.05)。治疗后治疗组的患儿头部倾斜、旋转及颈椎活动功能与对照组相比,治疗组优于对照组,差异有统计学意义(P0.05)。在临床疗效方面,治疗组总有效率为97.87%,对照组总有效率为93.33%,治疗组总有效率优于对照组,但差异无统计学意义(P0.05);治疗组愈显率为65.96%,对照组愈显率为42.22%,差异有统计学意义(P0.05)。结论揉捏牵转法结合斜方肌按揉与揉捏牵转法均能改善肌性斜颈症状,但揉捏牵转法结合斜方肌按揉优于揉捏牵转法。揉捏牵转法结合斜方肌按揉安全有效,值得临床推广。
[Abstract]:Objective to observe the effect of kneading and retraction combined with trapezius on congenital muscular torticollis in children through a randomized controlled trial. In order to provide a more effective treatment for the disease. Methods 100 children who met the inclusion criteria were randomly divided into the treatment group and the control group. The treatment group was treated by kneading method combined with trapezius. The patients in the control group were treated by kneading and retraction, 5 times a week for a course of five courses. After the treatment, the head tilt, rotation and cervical vertebrae function were observed. Results the patients in the two groups were classified according to sex. There was no significant difference in the distribution of disease position and age. There was no significant difference in the anterior ear shoulder distance, the healthy side shoulder distance and the affected side shoulder distance. The head tilt of the children in the treatment group and the control group was not significant. Rotation and cervical movement were improved after treatment, compared with the same group before treatment, the difference was significant (P 0.05). After treatment, the head of the children in the treatment group was tilted. Compared with the control group, the treatment group was better than the control group, the difference was statistically significant (P 0.05). In clinical effect, the total effective rate of the treatment group was 97.87%. The total effective rate of the control group was 93.33, the total effective rate of the treatment group was better than that of the control group, but the difference was not statistically significant (P 0.05). The effective rate was 65.96 in the treatment group and 42.22% in the control group. The difference was statistically significant (P 0.05). Conclusion the kneading method combined with trapezius method can improve the symptoms of muscular torticollis. But kneading traction combined with trapezius is better than kneading. Kneading combined with trapezius is safe and effective, which is worth popularizing in clinic.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1

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