目的:观察香木活血散外敷联合常规推拿治疗小儿肌性斜颈的临床疗效。方法:选取2023年3月~2024年3月在成都中医药大学附属医院推拿科门诊收治的60例先天性肌性斜颈患儿,随机分为治疗组和对照组,每组30例。观察组采用常规推拿联合院内制...目的:观察香木活血散外敷联合常规推拿治疗小儿肌性斜颈的临床疗效。方法:选取2023年3月~2024年3月在成都中医药大学附属医院推拿科门诊收治的60例先天性肌性斜颈患儿,随机分为治疗组和对照组,每组30例。观察组采用常规推拿联合院内制剂香木活血散外敷,对照组单纯采用常规推拿。疗程为三个月。比较两组患者治疗前后的胸锁乳突肌厚度及其厚度比值,以及临床治疗总有效率。结果:治疗后,观察组临床治疗总有效率为96.7%,显著高于对照组的83.3% (P P > 0.05);治疗后,两组患者的胸锁乳突肌厚度及厚度比值均显著下降,且观察组的下降幅度显著大于对照组(P Objective: To observe the clinical efficacy of external application of Xiangmu Huoxue San combined with conventional tuina in treating pediatric myotonic cervix. Methods: 60 cases of congenital myotonic cervical strabismus admitted to the outpatient clinic of Tuina Department of Affiliated Hospital of Chengdu University of Traditional Chinese Medicine from March 2023 to March 2024 were selected and randomly divided into the treatment group and control group, with 30 cases in each group. In the observation group, conventional massage was used in combination with external application of the hospital preparation Xiangmu Huoxue San, and in the control group, conventional massage was used alone. The course of treatment was three months. The thickness of the sternocleidomastoid muscle and its thickness ratio before and after the treatment were compared between the two groups, as well as the total effective rate of clinical treatment. RESULTS: After treatment, the total effective rate of clinical treatment in the observation group was 96.7%, which was significantly higher than that of 83.3% in the control group (P 0.05);after treatment, the thickness of the sternocleidomastoid muscle and the thickness ratio of the two groups of patients were significantly decreased, and the magnitude of the decrease in the observation group was significantly greater than that in the control group (P < 0.05). Conclusion: The effect of external application of the in-hospital preparation Xiangmu Huoxue San combined with conventional massage in the treatment of pediatric myoclonic strabismus is remarkable, which can significantly improve the thickness of the sternocleidomastoid muscle and the thickness ratio value of the children, is safe and reliable, and is worth promoting in the clinic.展开更多
【目的】探讨完全经腋窝腔镜下治疗小儿先天性肌性斜颈的手术方法。【方法】自2015年1月至2016年11月,在中山大学附属第一医院小儿外科完全经腋窝腔镜下治疗的小儿先天性肌性斜颈患儿共12例。在患侧腋窝做两个小切口,分别置入5 mm和3 mm...【目的】探讨完全经腋窝腔镜下治疗小儿先天性肌性斜颈的手术方法。【方法】自2015年1月至2016年11月,在中山大学附属第一医院小儿外科完全经腋窝腔镜下治疗的小儿先天性肌性斜颈患儿共12例。在患侧腋窝做两个小切口,分别置入5 mm和3 mm Trocar,经5 mm Trocar置入镜头,经3 mm Trocar置入分离钳或电凝钩。皮下腔内持续充入CO2气体,压力维持在6 mmHg。在颈阔肌筋膜下间隙分离胸锁乳突肌胸骨头和锁骨头,予电灼切断。【结果】12例患儿均完全经腋窝腔镜下完成手术,颈部无切口,术后恢复好。随访16～22个月,斜颈均获矫正,腋下切口瘢痕不明显。【结论】完全经腋窝腔镜下治疗小儿先天性肌性斜颈,是安全可行的,效果确切,外观满意。展开更多
文摘目的:观察香木活血散外敷联合常规推拿治疗小儿肌性斜颈的临床疗效。方法:选取2023年3月~2024年3月在成都中医药大学附属医院推拿科门诊收治的60例先天性肌性斜颈患儿,随机分为治疗组和对照组,每组30例。观察组采用常规推拿联合院内制剂香木活血散外敷,对照组单纯采用常规推拿。疗程为三个月。比较两组患者治疗前后的胸锁乳突肌厚度及其厚度比值,以及临床治疗总有效率。结果:治疗后,观察组临床治疗总有效率为96.7%,显著高于对照组的83.3% (P P > 0.05);治疗后,两组患者的胸锁乳突肌厚度及厚度比值均显著下降,且观察组的下降幅度显著大于对照组(P Objective: To observe the clinical efficacy of external application of Xiangmu Huoxue San combined with conventional tuina in treating pediatric myotonic cervix. Methods: 60 cases of congenital myotonic cervical strabismus admitted to the outpatient clinic of Tuina Department of Affiliated Hospital of Chengdu University of Traditional Chinese Medicine from March 2023 to March 2024 were selected and randomly divided into the treatment group and control group, with 30 cases in each group. In the observation group, conventional massage was used in combination with external application of the hospital preparation Xiangmu Huoxue San, and in the control group, conventional massage was used alone. The course of treatment was three months. The thickness of the sternocleidomastoid muscle and its thickness ratio before and after the treatment were compared between the two groups, as well as the total effective rate of clinical treatment. RESULTS: After treatment, the total effective rate of clinical treatment in the observation group was 96.7%, which was significantly higher than that of 83.3% in the control group (P 0.05);after treatment, the thickness of the sternocleidomastoid muscle and the thickness ratio of the two groups of patients were significantly decreased, and the magnitude of the decrease in the observation group was significantly greater than that in the control group (P < 0.05). Conclusion: The effect of external application of the in-hospital preparation Xiangmu Huoxue San combined with conventional massage in the treatment of pediatric myoclonic strabismus is remarkable, which can significantly improve the thickness of the sternocleidomastoid muscle and the thickness ratio value of the children, is safe and reliable, and is worth promoting in the clinic.
文摘【目的】探讨完全经腋窝腔镜下治疗小儿先天性肌性斜颈的手术方法。【方法】自2015年1月至2016年11月,在中山大学附属第一医院小儿外科完全经腋窝腔镜下治疗的小儿先天性肌性斜颈患儿共12例。在患侧腋窝做两个小切口,分别置入5 mm和3 mm Trocar,经5 mm Trocar置入镜头,经3 mm Trocar置入分离钳或电凝钩。皮下腔内持续充入CO2气体,压力维持在6 mmHg。在颈阔肌筋膜下间隙分离胸锁乳突肌胸骨头和锁骨头,予电灼切断。【结果】12例患儿均完全经腋窝腔镜下完成手术,颈部无切口,术后恢复好。随访16～22个月,斜颈均获矫正,腋下切口瘢痕不明显。【结论】完全经腋窝腔镜下治疗小儿先天性肌性斜颈,是安全可行的,效果确切,外观满意。
