以中医推拿为主要手段治疗小儿肌性斜颈的概况及临床体会

General situation and clinical experience of massage as the main means of treating myogenic torticollis of children

关键词:  小儿肌性斜颈  中医推拿  中药外敷  小针刀  综述

Key words:  myogenic torticollis of children  massage  external application of Chinese medicine  small needle-knife  wax therapy  review

摘要:

小儿肌性斜颈是一种儿科常见病和多发病，其临床表现以患儿头向患侧歪斜、前倾，颜面旋向健侧为特点。近年来，在临床上发现此病的发病率呈上升趋势，早发现早治疗对于患儿的预后及正常发育具有非常关键的意义。目前小儿肌性斜颈的治疗方案具有多样化特点，西医治疗主要手段为手术治疗，而通过中医药手段治疗小儿肌性斜颈具有方法操作简单、起效快、损伤小、不良反应少等优势。文章主要针对近年来临床上应用推拿手法以及配合牵引、中药外敷、穴位埋线、蜡疗、物理治疗、小针刀、针刺等中医药手段治疗小儿肌性斜颈的现状及效果进行综述，为小儿肌性斜颈临床治疗及推拿手法的临床应用提供借鉴与参考。

Abstract:

Myogenic torticollis of children is a common and frequently-occurring pediatric disease. The clinical manifestations are head of the child leaning to the affected side and pronation, face leaning to the uninjured side. In recent years, incidence of the disease is rising in clinical, early detection and treatment has great significance for the prognosis and normal growth of children. Treatment protocols for the children with myogenic torticollis have diverse characteristics. The main therapeutic tool of western medicine is surgery, while the therapeutic tool of traditional Chinese medicine has advantages of simple operation, quick effect, less damage and less adverse reaction. In this paper, present situation and effect of Myogenic torticollis of children treated by massage skill and traction, external application of Chinese medicine, catgut implantation at acupoint, wax therapy, physical therapy, small needle-knife and acupuncture were summarized, and it provides reference for clinical treatment and massage skill of myogenic torticollis of children.