摘要
婴儿良性阵发性斜颈是以反复发作的头部歪斜为主要特征的疾病,常伴恶心、呕吐、易激惹及共济失调等问题,多数患儿可在学龄前自行缓解,部分患儿会逐渐演变为周期性呕吐、良性阵发性位置性眩晕甚至偏头痛等。其病因尚不清楚,可能与前庭功能障碍、离子通道障碍及遗传因素等相关,目前暂无特异性的临床治疗与康复策略,发作期可考虑使用止呕药、镇痛药以缓解部分急性期相应症状,而物理治疗、作业治疗及推拿等疗效尚不明确。
Benign paroxysmal torticollis of infancy is characterized by recurrent episodes of head tilt to one side.Associated symptoms,such as nausea,vomiting,irritability and ataxia are common.Most of them might resolve spontaneously in preschool age,but some could evolve into periodical vomiting,benign paroxysmal vertigo and even migraine.The aetiology of benign paroxysmal torticollis is still unclear,while it might be associated with vestibular dysfunction,channelopathy and genetic factors.So far,benign paroxysmal torticollis of infancy is still a lack of effective therapeutic strategy for it,and the management in acute attack stage such as anti-nausea and painkilling drugs can release partial symptoms.The efficacy of rehabilitation techniques,such as physical therapy,occupational therapy and massage,needs further study in benign paroxysmal torticollis of infancy.
作者
韩明珊
徐开寿
HAN Ming-shan;XU Kai-shou(Department of Rehabilitation,Guangzhou Womenand Children's Medical Center,Guangdong Provincial Clinical Research Center for Child Health,Guangzhou 510120,China)
出处
《中国实用儿科杂志》
CSCD
北大核心
2023年第1期23-26,共4页
Chinese Journal of Practical Pediatrics
关键词
良性阵发性斜颈
婴儿
康复
benign paroxysmal torticollis
infant
rehabilitation
