LAUSR

ObjectiveTo observe the clinical efficacy of different media in pediatric tuina treatment for children with muscular torticollis.MethodsA total of 80 children with muscular torticollis were randomized into an observation group and a control group, 40 cases in each group. Both groups received conventional pediatric tuina therapy. The observation group was treated with Bai Mai ointment as the massage medium, while the common lubrication oil was used as medium in the control group. Both groups were treated five times a week, 20 min for each time, 20 times constituted a course of treatment. The traditional Chinese medicine (TCM) syndrome scores were evaluated before and after treatment, and the curative effect was observed after 3 courses and 6 courses of treatment respectively.ResultsThe TCM syndrome scores improved in both groups after treatment, and the intra-group differences were statistically significant (both P<0.01). The score of the observation group was statistically different from that in the control group (P<0.05). In the observation group, the total effective rates after 3 courses and 6 courses of treatment were 95.0% and 100.0%, respectively, versus 87.5% and 95.0% in the control group. The total effective rates of the two groups were statistically different (both P<0.05).ConclusionBai Mai ointment has a better curative effect than the common lubricating oil as a massage medium in the treatment of children with muscular torticollis.摘要目的观察不同介质的小儿推拿治疗小儿肌性斜颈的临床疗效。方法将80例肌性斜颈的患儿随机分为观察组和对照组, 每组40例。两组均接受常规小儿推拿手法治疗, 观察组用白脉软膏作为推拿介质, 对照组使用普通润滑油作为介质。两组均每星期治疗5次, 每次20 min, 治疗20次为1个疗程。分别于治疗前和治疗后进行中医证候积分评定, 并于治疗3个疗程和6个疗程后进行疗效观察。结果治疗后, 两组中医证候积分均有改善, 组内治疗前后评分差异均有统计学意义(均P<0.01); 观察组评分与对照组有统计学差异(P<0.05)。观察组治疗3个疗程和6个疗程后的总有效率分别为95.0%和100.0%, 对照组的总有效率分别为87.5%和95.0%, 两组总有效率差异均有统计学意义(均P<0.05)。结论用白脉软膏作为推拿介质治疗小儿肌性斜颈的疗效优于用普通润滑油作为介质。