推拿联合局部注射糖皮质激素治疗小儿先天性斜颈的效果及对彩超结果的影响

目的 探讨推拿联合局部注射糖皮质激素治疗小儿先天性斜颈的效果及对彩超结果的影响。方法 以2015年5月至2017年4月进入本院门诊的150例于先天性斜颈患儿作为研究对象，按电脑数字表法随机分作3组，各50例，A组施予推拿治疗，B组施予局部注射糖皮质激素治疗，C组施予推拿联合局部注射糖皮质激素治疗，回顾性分析3组疗效及其彩超结果。结果 治疗后C组优良率高于A组和B组，差异有统计学意义（P<0.05）；治疗开始后第2、4、6、8、10、12月时随访发现，3组肿块厚度及其胸锁乳突肌的挛缩长度与治疗前比较差异有统计学意义（P<0.05）；且组内在各随访时间点与之前各时间点比较，差异均有统计学意义（P<0.05）；此外，在各随访时间点，A、B两组比较差异无统计学意义（P>0.05），但C组与A、B两组比较差异有统计学意义（P<0.05）。结论 推拿联合局部注射糖皮质激素治疗小儿先天性斜颈可提升疗效，有助于缩短肿块厚度及其胸锁乳突肌的挛缩长度，值得临床推广。

Efficacy of Massage Combined with Local Injection of Glucocorticoid for Treating Congenital Muscular Torticollis in Children and Its Impact on Color Doppler Ultrasound Results

Objective To analyze the efficacy of massage combined with local injection of glucocorticoid in the treatment of congenital muscular torticollis in children and its impact on color Doppler ultrasound results. Methods A total of 150 children with congenital muscular torticollis, who visited the outpatient department of our hospital from May 2015 to April 2017, were enrolled as subjects and equally divided into three groups using a computer-generated random number table. Group A was treated with massage. Group B received local injection of glucocorticoid. Group C received massage combined with local injection of glucocorticoid. A retrospective analysis was performed on the clinical outcomes and color Doppler ultrasound results in the three groups. Results After treatment, group C had a significantly higher response rate than group A and group B (96.00% vs 78.00%/76.00%, P<0.05). During the follow-up at 2, 4, 6, 8, 10, and 12 months after treatment, the mass thickness and contracture length of the sternocleidomastoid (SCM) muscle were significantly reduced in the three groups (P<0.05); the mass thickness and contracture length of the SCM muscle at each time point were significantly larger than those at following time points (P<0.05). Conclusion Massage combined with local injection of glucocorticoid can improve the treatment outcomes and reduce mass thickness and contracture length of the SCM muscle in children with congenital muscular torticollis, which holds promise for clinical application.