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目的:观察杨氏疗法治疗小儿先天性马蹄内翻足的疗效。方法:采用杨氏手法、可塑性形夹板外固定、中药熏洗、功能锻炼、穿矫形鞋,定期复查等一整套中医规范化方法,治疗小儿先天性马蹄内翻292例436只足,其中双足288只,单足148只。治疗时间最短者28 d,最长者112 d,平均86 d。结果:疗效优224只,良186只,可23只,差3只,优良率为94.0%。结论:杨氏疗法对刚出生至10岁以内的小儿先天性马蹄内翻足疗效显著,且不开刀、无创伤、患儿与家长依从性好,是中医正骨手法的创新和发展。
Objective: To observe the effect of Young’s therapy on pediatric congenital clubfoot. Methods: A total of 292 cases of pediatric congenital clubfoot were treated with Young’s technique, plastic form splint external fixation, traditional Chinese medicine fumigation, functional exercise, orthopedic shoes and regular review. Only, one foot 148 only. The shortest treatment time of 28 d, the longest 112 d, an average of 86 d. Results: The curative effect was excellent in 224, good in 186, fair in 23 and poor in 3, the excellent and good rate was 94.0%. Conclusion: Young’s treatment of children with congenital clubfoot from birth to within 10 years of significant efficacy, and no surgery, no trauma, good compliance with the parents of children with the orthodontic treatment of traditional Chinese medicine innovation and development.