摘要
【目的】探讨针刺运动疗法治疗小儿炎症性斜颈(Grisel综合征)的临床疗效。【方法】将85例炎症性斜颈患儿随机分为治疗组44例和对照组41例。治疗组使用针刺运动疗法,针刺合谷穴,得气后配合患儿颈部主动运动,每5 min行针1次,共留针20 min;对照组放松双侧颈部肌肉15 min后行手法复位。治疗每日1次,共3次,如期间患儿治愈则结束治疗。治疗结束后评估2组疗效,并观察比较2组患儿治疗前后颈部活动度、Wong Baker面部表情疼痛量表评分法(WBFPS)分值及首次治疗过程中改良面部表情评分法(FLACC)分值。【结果】(1)2组患者临床疗效相当,差异无统计学意义(P>0.05)。(2)2组治疗前后各角度颈部活动度、WBFPS分值均较治疗前明显改善,差异有统计学意义(P<0.01)。(3)治疗组首次治疗过程中FLACC分值较对照组低,差异有统计学意义(P<0.01)。【结论】使用手法治疗和针刺运动疗法治疗小儿炎症性斜颈均可取得较好的疗效。且相对于手法治疗,针刺运动疗法不作用于局部,治疗过程中的疼痛较手法治疗轻,可避免患儿因疼痛而抗拒治疗,此法可供临床借鉴。
Objective To observe the clinical curative efficacy of acupuncture kinesitherapy in treating children with inflammatory torticollis. Methods A total of 85 patients were randomly divided into treatment group(44 cases)and control group(41 cases). The treatment group received acupuncture kinesitherapy(giving acupuncture at Hegu point(LI4),and after arrival of qi,making children do neck exercise actively,manipulating the needle every 5 minutes, retaining the needle for a total of 20 minutes. The control group received the manual reduction after relaxation of bilateral neck muscles for 15 min. The treatment was performed one time every day,in a total of 3 times,but the treatment would be ended once the child was cured. After the treatment was ended,the curative effect was evaluated. Clinical curative effect,neck mobility,Wong-Baker FACES pain scale(WBFPS)scores in the two groups before and after treatment, and the Faces, Legs, Activity, Cry and Consolability(FLACC)scores during the first treatment in the two groups were observed and compared. Results(1)There was no significant difference in the curative effect between the treatment group and the control group(P > 0.05).(2)The angle of neck activity and WBFPS scores in the two groups after treatment were obviously better than those before the treatment(P < 0.01).(3)The FLACC score of the treatment group during the first treatment was lower than that of the observation group(P < 0.01). Conclusion The manual reduction combined with acupuncture kinesitherapy has better curative efficacy on treatment of children’s inflammatory torticollis. Compared with manual reduction,acupuncture kinesitherapy does not act on the affected area,and the pain in the treatment process is milder than that of manual reduction,which can increase the treatment compliance. This method can be used for reference in clinical practice.
作者
周捷
李明
龚东方
ZHOU Jie;LI Ming;GONG Dong-Fang(Clinical Medical College of Acupuncture, Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong, China;Dept, of Massage, Foshan Hospitcil of Chinese Medicine,Foshan 528000 Guangdong, China)
出处
《广州中医药大学学报》
CAS
2019年第5期692-696,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
炎症性斜颈
Grisel综合征
针刺运动疗法
穴
合谷
inflammatory torticollis
Grisel’s syndrome
acupuncture kinesitherapy
Hegu point(LI4)
