天牖五部分刺法联合推拿手法治疗婴儿先天性肌性斜颈的随机对照研究

A Randomized Controlled Study of Tianyouwubu Intermuscular Acupuncture Combined with Massage in Treatment of Congenital Muscular Torticollis in Infants

目的:观察天牖五部分刺法联合推拿手法治疗婴儿先天性肌性斜颈的临床疗效。方法:将74例先天性肌性斜颈患儿随机分为治疗组与对照组,每组37例,对照组给予传统推拿手法治疗,治疗组在对照组的基础上给予天牖五部分刺法治疗。治疗后通过彩超观察患侧胸锁乳突肌肿块厚度及挛缩长度,从而统计其临床疗效。结果:治疗后通过彩超观察患侧胸锁乳突肌肿块厚度及挛缩长度改善,治疗组优于对照组,差异有统计学意义(P<0.05)。治疗组与对照组临床有效率分别为94.29%和80.00%,差异有统计学意义(P<0.05)。结论:天牖五部分刺法联合推拿手法治疗先天性肌性斜颈早期疗效优于单纯推拿手法。

Objective：To observe the clinical effect of Tianyouwubu intermuscular acupuncture combined with massage in treatment of congenital muscular torticollis in infants.Methods：74 cases of congenital muscular torticollis in infants were randomly divided into the treatment group and the control group,37 cases in each group.The control group was treated with traditional massage and the treatment group was treated with Tianyouwubu intermuscular acupuncture therapy on the basis of the control group.After treatment,the thickness and the contracture length of the sternocleidomastoid muscle were observed by Doppler,and the clinical efficacy was evaluated.Results：The thickness and contracture length of the sternocleidomastoid muscle were better than those of the control group after treatment,and the difference was statistically significant（P〈0.05）.The clinical effective rate of the treatment group and the control group were 94.29% and 80.00% respectively,and the difference was statistically significant（P〈0.05）.Conclusion：Tianyouwubu intermuscular acupuncture combined with massage is superior to that of simple manipulation in early treatment of congenital muscular torticollis,provides effective solutions for clinical treatment of congenital muscular torticollis in infants.