透明质酸酶直流电离子导入结合牵伸手法治疗先天性肌性斜颈的临床疗效观察

The clinical effect of iontophoresis of hyaluronidase in treating infants with congenital muscular torticollis

目的观察透明质酸酶直流电离子导入对先天性肌性斜颈患儿颈部活动的疗效。方法将50例符合入选条件的先天性肌性斜颈患儿随机分为治疗组和对照组,治疗组采用透明质酸酶直流电离子导入治疗和手法牵伸治疗,对照组只进行手法牵伸治疗。分别测量治疗前、治疗1个月和2个月后患儿被动的健侧侧屈、患侧旋转的角度,治疗结束时评估疗效及记录治疗时间。结果入选时治疗组与对照组的各项差异无统计学意义(P>0.05),经过1～2个月治疗后,治疗组患儿被动健侧侧屈、患侧旋转的角度均明显大于对照组(P<0.05),治疗结束时,治疗组疗效明显优于对照组(P<0.05),治疗组治疗时间明显短于对照组(P<0.05)。结论透明质酸酶直流电离子导入治疗可以促进先天性肌性斜颈患儿临床症状的改善。

Objective： To observe the clinical effects of hyaluronidase iontophoresis in the treatment of infants with congenital muscular torticollis （CMT）. Methods Fifty infants with congenital muscular torticollis were divided randomly into a treatment group and a control group. Manual stretching was performed with both groups,while hyaluronidase iontophoresis was also administered to those in the treatment group. The range of side-flexion and rota- tion of the neck was examined at the beginning of and after 1 and 2 months of treatment. At the end of the treatment, the overall outcome was assessed according to a scoring system. Results： There was no significant difference between the two groups at admission. Compared with the control group, the range of side-flexion and rotation of the neck, and the overall treatment outcome were all significantly better in the treatment group after treatment. Conclusion： Hyaluronidase iontophoresis can effectively improve function in infants with CMT and alleviate their symptoms.