| 刘桂亭,孙合圣,王维照,等.推拿按摩联合曲安奈德与泼尼松龙交替局部注射治疗先天性斜颈69例[J].安徽医药,2019,23(9):1879-1882. |
| 推拿按摩联合曲安奈德与泼尼松龙交替局部注射治疗先天性斜颈69例 |
| Effect of massage combined with local injection of the glucocorticoid in the treatment of 69 cases of children patients with congenital torticollis |
| |
| DOI：10.3969/j.issn.1009-6469.2019.09.048 |
| 中文关键词: 先天性斜颈 推拿按摩 糖皮质激素 局部注射 症状改善 |
| 英文关键词: Congenital torticollis Massage glucocorticoid Local injection Symptoms change |
| 基金项目: |
|
| 摘要点击次数: 1959 |
| 全文下载次数: 589 |
| 中文摘要: |
| 目的 观察推拿按摩联合糖皮质激素局部注射治疗先天性斜颈的疗效。方法 选择2011年9月至2016年1月在昌邑市人民医院接受治疗的先天性斜颈小儿138例，依照简单随机数字表法分成观察组和对照组各69例，观察组给予推拿按摩联合糖皮质激素局部注射，对照组单用糖皮质激素局部注射，随访6个月，比较两组疗效、胸锁乳突肌挛缩长度、血气分析指标。结果 观察组治疗后优良率94.20%，明显高于对照组82.61%(P＜0.05)。胸锁乳突肌挛缩长度治疗前观察组(1.56±0.14)cm和对照组(1.54±0.21)cm，差异无统计意义(P＞0.05)，治疗后两组胸锁乳突肌挛缩长度均明显低于治疗前，观察组(0.25±0.03)cm低于对照组(0.47±0.02)cm(P＜0.05)。血氧分压(PO2)及二氧化碳分压(PCO2)治疗前观察组分别为(14.25±3.28)mmHg、(54.97±15.32)mmHg和对照组分别为(14.23±4.12)mmHg、(55.01±14.86)mmHg，差异无统计学意义(P＞0.05)，PO2治疗后观察组(15.57±3.47)mmHg较治疗前及对照组治疗后(14.31±3.22)mmHg高，PCO2治疗后观察组(50.21±11.78)mmHg较治疗前及对照组治疗后(55.12±12.65)mmHg低(P＜0.05)。根据Logistic回归分析法评价发现，小儿症状改善的影响因素有未实施推拿按摩、病程＞1个月，以及治疗依从性不强。结论 推拿按摩联合糖皮质激素局部注射治疗先天性斜颈，疗效好，临床症状改善明显，可促进气血通畅，但应尽可能地规避影响因素。 |
| 英文摘要: |
| Objective To study the effect of the massage combined with local injection of the glucocorticoid in the treatment of children patients with congenital torticollis.Methods One hundred and thirty-eight cases of children with congenital torticollis in Changyi People’s Hospital from September 2011 to January 2016 were studied and assigned into the observation group and the control group according to the simple digital random table method，with 69 cases in each group.The observation group was given the massage combined with local injection of the glucocorticoid，while the control group was given a local injection of glucocorticoid.The two groups were followed up for 6 months.The curative effect，the length of the contraction of the muscle of the chest，the blood gas analysis index of the patients before and after treatment of the two groups were compared.Results The excellent rate of the observation group after treatment was 94.20%，which was significantly higher than 82.61% of the control group (P＜0.05).The length of sternocleidomastoid contracture in observation group and control group was (1.56±0.14) cm and (1.54±0.21) cm，respectively，and the difference was not statistically significant(P＞0.05).The length of sternocleidomastoid contracture of the two groups after treatment were significantly lower than before treatment，and the length of sternocleidomastoid contraction of the observation group (0.25±0.03) cm was significantly lower than (0.47±0.02) cm of the control group (P＜0.05).Before treatment，PO2 and PCO2 in observation group were ［(14.25±3.28) mmHg，(54.97±15.32) mmHg］，and in control group were ［(14.23±4.12) mmHg，(55.01±14.86) mmHg］，and the differences of PO2 and PCO2 were no significant between the two groups (P＞0.05).After treatment，PO2 of the observation group (15.57±3.47) mmHg was significantly increased compared with before treatment，which was higher than (14.31±3.22) mmHg of the control group after treatment.After treatment，PCO2 of the observation group (50.21±11.78) mmHg was significantly decreased compared with before treatment，which was lower than (55.12±12.65)mmHg of the control group after treatment (P＜0.05).Logistic regression analysis exhibited that the influencing factors of children’s symptom improvement were not implemented massage，the course of disease ＞1 months，and the treatment compliance was not strong.Conclusion The massage combined with local injection of the glucocorticoid for the treatment of children with congenital torticollis has good curative effect，and can improve clinical symptoms and promote blood flow.However，the influencing factors should be avoided as much as possible. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
