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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 curative effect of the five parts of the tianxu combined with acupuncture therapy on the treatment of infantile congenital muscular torticollis. Methods: A total of 74 cases of congenital muscular torticollis were randomly divided into treatment group and control group, 37 cases in each group. The control group was treated by traditional massage manipulation. The treatment group was given five parts of stomata treatment. After treatment, the thickness and contracture length of affected sternocleidomastoid muscle were observed by color Doppler ultrasound, and the clinical effect was statistically analyzed. Results: The thickness of the sternocleidomastoid muscle and the length of contracture were improved by color Doppler ultrasonography. The treatment group was better than the control group (P <0.05). The clinical effective rates of the treatment group and the control group were 94.29% and 80.00%, respectively, with significant difference (P <0.05). CONCLUSION: The early treatment of congenital muscular torticollis by the five parts of TIENS and the manipulation of massage is superior to the simple manipulation.