推拿治疗发育不良型肌性斜颈临床验谈
Clinical Experience Discussion on Massage Therapy for Hypodevelopmental Muscular Torticollis
DOI: 10.12677/acm.2026.163805, PDF,   
作者: 向婉榕:云南中医药大学第二临床医学院,云南 昆明;胡 鸾*:云南省中医医院推拿科,云南 昆明
关键词: 推拿肌性斜颈发育不良临床经验Massage Congenital Muscular Torticollis Developmental Dysplasia Clinical Experience
摘要: 小儿肌性斜颈是临床儿科常见病,根据患儿临床表现,大致分为包块型、发育不良型、混合型3种。近年来该病发病率呈现不断上升的趋势,为了探讨小儿肌性斜颈的诊断、治疗及预后,提高临床医务工作者对该疾病的认识,早期诊断,积极治疗,降低远期并发症,我们报道推拿治疗1例非包块–发育不良型的肌性斜颈,旨在提高对本病的认识,减少误诊和漏诊。
Abstract: Congenital muscular torticollis (CMT) is a prevalent condition in pediatric clinical practice. Based on the clinical manifestations of affected children, it is generally classified into three subtypes: the mass type, the dysplastic type, and the mixed type. In recent years, the incidence of CMT has been on a continuous upward trend. To investigate the diagnosis, treatment, and prognosis of CMT, enhance the understanding of this disease among clinical healthcare providers, facilitate early diagnosis, promote active intervention, and reduce long-term complications, we present a case report of non-mass-dysplastic CMT managed with Tuina (Chinese therapeutic massage). This report aims to improve the clinical recognition of CMT and minimize the rates of misdiagnosis and missed diagnosis.
文章引用:向婉榕, 胡鸾. 推拿治疗发育不良型肌性斜颈临床验谈[J]. 临床医学进展, 2026, 16(3): 411-415. https://doi.org/10.12677/acm.2026.163805

参考文献

[1] Kim, O.H., Lee, S.W., Ha, E.K., Kim, J.H., Jo, Y.H., Rhie, S., et al. (2022) Neurodevelopmental Outcomes and Comorbidities of Children with Congenital Muscular Torticollis: Evaluation Using the National Health Screening Program for Infants and Children Database. Clinical and Experimental Pediatrics, 65, 312-319. [Google Scholar] [CrossRef] [PubMed]
[2] 李茂林, 杜君威. 基于理筋理论四步法推拿治疗先天性肌性斜颈[J]. 光明中医, 2025, 40(13): 2706-2709.
[3] 丛中笑, 曾庆云. 何氏健脾益肾法推拿治疗小儿先天发育不良型肌性斜颈的临床研究[J]. 中医外治杂志, 2021, 30(4): 70-71.
[4] 王红桢, 于娟, 张璇. 推拿治疗先天性肌性斜颈的研究进展[J]. 中国民间疗法, 2025, 33(10): 112-115.
[5] 赵娜, 骆雄飞, 苏志超, 等. 美国物理治疗协会2018年《先天性肌性斜颈的循证医学指南》解读: 早期识别、分级与治疗[J]. 中国康复医学杂志, 2020, 35(2): 221-223.
[6] 韦茜. 正骨拉伸技术联合推拿疗法治疗小儿先天性肌性斜颈的效果研究[J]. 中国实用医药, 2025, 20(2): 171-173.
[7] 冯雪菲, 刘苑, 龚德志, 等. 表面肌电图在先天性肌性斜颈儿童中的诊断价值及临床应用[J]. 解放军医学杂志, 2023, 48(12): 1433-1438.
[8] 袁凤明, 宋维铭. 先天性肌性斜颈的研究进展[J]. 中国医疗美容, 2022, 12(12): 44-49.
[9] 朱玲, 李瑞仕, 欧巍, 等. 冯兆才主任医师运用特色推拿手法治疗小儿肌性斜颈经验[J]. 中医儿科杂志, 2018, 14(3): 22-25.
[10] 赵江波, 任小英. 中医推拿治疗小儿肌性斜颈的研究进展[J]. 中医临床研究, 2020, 12(28): 146-148.
[11] 胡舒然. 先天性肌性斜颈患儿运动对称性的评估及干预研究[D]: [硕士学位论文]. 上海: 上海中医药大学, 2019.
[12] 赖雪如. 脊背四法为主治疗小儿非肿块型肌性斜颈的临床观察[D]: [硕士学位论文]. 广州: 广州中医药大学, 2023.