本文關(guān)鍵詞： 不同牽拉時(shí)間 小兒肌性斜頸 臨床療效　出處：《福建中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:通過(guò)觀察不同牽拉時(shí)間治療小兒肌性斜頸的臨床療效,初步探討不同牽拉時(shí)間對(duì)CMT臨床療效的影響,為臨床上提高推拿治療小兒肌性斜頸臨床療效提供一種簡(jiǎn)便可行、確實(shí)有效的方法。方法:按照本課題中診斷、納入和排除標(biāo)準(zhǔn)選擇福建中醫(yī)藥大學(xué)附屬康復(fù)醫(yī)院兒童康復(fù)科及推拿科2015年8月-2016年10月間小兒肌性斜頸患兒60例,按照隨機(jī)分組的方法分為治療組和對(duì)照組,每組各30例。兩組均采用"按揉法、彈撥法、拿捏法及被動(dòng)牽拉法"治療,其中被動(dòng)牽拉法治療組予"每次牽拉30s,牽拉10次",對(duì)照組予"每次牽拉10s,牽拉10次",兩組均每日1次,每周5次,20次為1個(gè)療程,治療3個(gè)療程。治療前后分別對(duì)兩組患兒進(jìn)行彩色多普勒超聲檢查及小兒斜頸病療效評(píng)價(jià)量表評(píng)分。將兩組收集的數(shù)據(jù),應(yīng)用SPSS21.0統(tǒng)計(jì)分析軟件進(jìn)行統(tǒng)計(jì)學(xué)處理。根據(jù)分析結(jié)果,比較兩組的臨床療效。結(jié)果:研究結(jié)束后,治療組完成研究28例,對(duì)照組完成研究29例。統(tǒng)計(jì)分析結(jié)果如下:1.臨床療效:治療組治愈7例,顯效8例,有效9例,無(wú)效4例,總有效率85.7%;對(duì)照組治愈2例,顯效4例,有效13例,無(wú)效10例,總有效率65.5%。兩組療效經(jīng)統(tǒng)計(jì)學(xué)處理,具有顯著性差異(P0.01)。說(shuō)明治療組療效優(yōu)于對(duì)照組。2.治療后,記錄兩組彩色多普勒超聲檢查指標(biāo),兩組進(jìn)行治療前后組內(nèi)比較,均有顯著性差異(P0.01),說(shuō)明兩組在改善腫塊大小方面都有顯著療效。治療后,對(duì)小兒斜頸病療效評(píng)價(jià)量表評(píng)分,兩組進(jìn)行治療前后組內(nèi)比較,兩組"頸斜程度"、"胸鎖乳突肌變化"、"腫塊硬度"、"頸椎旋轉(zhuǎn)情況"、"頸椎側(cè)彎情況"及"總分"比較均有顯著性差異(P0.01),兩組"腫塊大小"比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明兩組在改善小兒肌性斜頸癥狀與體征方面都有顯著療效,尤其在改善"頸斜程度"、"胸鎖乳突肌變化"、"腫塊硬度"、"頸椎旋轉(zhuǎn)情況"及"頸椎側(cè)彎情況"方面療效更明顯。3.治療后,兩組彩色多普勒超聲檢查指標(biāo)進(jìn)行組間比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。說(shuō)明兩組在改善腫塊大小方面療效相當(dāng)。治療后,對(duì)小兒斜頸病療效評(píng)價(jià)量表評(píng)分,兩組進(jìn)行組間比較,兩組"頸斜程度"、"胸鎖乳突肌變化"、"腫塊硬度"、"頸椎旋轉(zhuǎn)情況"、"頸椎側(cè)彎情況"及"總分"比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05),兩組"腫塊大小"比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。說(shuō)明治療組在改善CMT患兒癥狀和體征,尤其是"頸斜程度"、"胸鎖乳突肌變化"、"腫塊硬度"、"頸椎旋轉(zhuǎn)情況"及"頸椎側(cè)彎情況"方面更有效;而在改善"腫塊大小"方面,兩者療效相當(dāng)。結(jié)論:不同牽拉時(shí)間對(duì)CMT的臨床療效有影響,"每次牽拉30s,牽拉10次"能更明顯改善CMT患兒的臨床癥狀及體征,能有效提高推拿治療CMT的臨床療效。
[Abstract]:Objective: to observe the clinical effect of different stretch time on children muscular torticollis and to explore the effect of different stretch time on the clinical effect of CMT. To provide a simple and effective method for improving the clinical efficacy of massage in treating children with muscular torticollis. Methods: according to the diagnosis of this subject. From August 2015 to October 2016, 60 cases of children with muscular torticollis were selected from the Department of Child Rehabilitation and the Department of Massage in the Rehabilitation Hospital affiliated to Fujian University of traditional Chinese Medicine. According to the method of random grouping, each group was divided into treatment group (30 cases) and control group (30 cases). The two groups were treated with "pressing kneading method, spring plucking method, kneading method and passive pulling method". The passive traction treatment group was given "30 s each time, 10 times", while the control group was given "10 times each time, 10 times a time". The two groups were treated once a day, 5 times a week for 20 times as a course of treatment. Three courses of treatment. Before and after the treatment of the two groups of children were examined by color Doppler ultrasound and children with torticollis evaluation scale score. The data collected by the two groups. According to the analysis results, the clinical efficacy of the two groups was compared. Results: after the end of the study, the treatment group completed the study of 28 cases. The results of statistical analysis were as follows: 1. Clinical efficacy: 7 cases were cured, 8 cases were markedly effective, 9 cases were effective, 4 cases were ineffective in the treatment group, the total effective rate was 85.7%. In the control group, 2 cases were cured, 4 cases were markedly effective, 13 cases were effective, 10 cases were ineffective, and the total effective rate was 65.5%. The results showed that the therapeutic effect of the treatment group was better than that of the control group. 2. After treatment, the indexes of color Doppler ultrasound were recorded and compared between the two groups before and after treatment. There was significant difference between the two groups in improving the size of the tumor. After treatment, the evaluation scale of children's torticollis was evaluated, and the comparison between the two groups before and after treatment was made. There were significant differences in "cervical oblique degree", "changes of sternocleidomastoid muscle", "hardness of mass", "rotation of cervical spine", "lateral curvature of cervical spine" and "total score" between the two groups (P 0.01). The difference of "mass size" between the two groups was statistically significant (P 0.05), which indicated that the two groups had significant effects in improving the symptoms and signs of muscular torticollis in children, especially in improving the "degree of cervical oblique". "changes of sternocleidomastoid muscle", "hardness of mass", "rotation of cervical spine" and "lateral curvature of cervical vertebra" were more obvious. 3. After treatment, the indexes of color Doppler ultrasound were compared between the two groups. There was no significant difference between the two groups in improving the size of the tumor. After treatment, the evaluation scale for the efficacy of children with torticollis was scored and compared between the two groups. The degree of cervical oblique, the change of sternocleidomastoid muscle, the hardness of mass, the rotation of cervical vertebra, the degree of lateral curvature of cervical spine and the total score were significantly different between the two groups (P 0.05). There was no significant difference in the size of mass between the two groups (P 0.05). It indicated that the treatment group was improving the symptoms and signs of CMT, especially the degree of cervical oblique and the change of sternocleidomastoid muscle. "Mass hardness", "cervical spine rotation" and "cervical scoliosis" are more effective; But in the aspect of improving the "tumor size", the curative effect is equal. Conclusion: different traction time has influence on the clinical curative effect of CMT, "30 s each time." Pulling 10 times can significantly improve the clinical symptoms and signs of children with CMT, can effectively improve the clinical efficacy of massage in the treatment of CMT.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R244.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 潘冬梅;;靜力性伸展練習(xí)在頸腰椎病保健康復(fù)中的應(yīng)用[J];中醫(yī)臨床研究;2015年31期

2 孫安達(dá);張曉磊;方芳;張燕;;不同推拿手法治療小兒肌性斜頸100例臨床觀察[J];現(xiàn)代醫(yī)藥衛(wèi)生;2015年13期

3 趙瑋;宋軍鋒;;推拿配合蠟療早期治療先天性肌性斜頸臨床療效觀察[J];世界最新醫(yī)學(xué)信息文摘;2015年53期

4 宋建輝;張一粟;;肌筋膜按摩療法在小兒肌性斜頸治療中的應(yīng)用[J];中醫(yī)臨床研究;2015年15期

5 姚一明;謝功能;祝偉宏;周小平;江秋香;;彩色多普勒超聲對(duì)康復(fù)治療小兒先天性肌性斜頸的動(dòng)態(tài)效果評(píng)價(jià)[J];中外醫(yī)學(xué)研究;2015年02期

6 欒云;殷立平;吳意峗;周正國(guó);高慧;;超聲四分型法在先天性肌性斜頸診斷中的應(yīng)用價(jià)值[J];臨床超聲醫(yī)學(xué)雜志;2014年12期

7 欒云;殷立平;徐大華;強(qiáng)也;張芹;;超聲在先天性肌性斜頸診斷及推拿治療療效評(píng)估中的應(yīng)用[J];中國(guó)中西醫(yī)結(jié)合影像學(xué)雜志;2014年06期

8 王琴;王金萍;王佳佳;;超聲對(duì)小兒肌性斜頸的應(yīng)用價(jià)值[J];中醫(yī)藥臨床雜志;2014年12期

9 齊熙X;呂忠禮;;手法配合頸部功能訓(xùn)練治療先天性肌性斜頸臨床研究[J];河北中醫(yī)藥學(xué)報(bào);2014年03期

10 李騰飛;商鑫飛;;持續(xù)性與間歇性靜力牽伸對(duì)提高乆繩肌柔韌性的效果比較[J];中國(guó)社區(qū)醫(yī)師;2014年16期

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