单纯推拿治疗小儿肌性斜颈近十年临床研究进展

Clinical Research Progress in the Past Ten Years on the Treatment of Congenital Myogenic Torticollis by Simple Tui-Na

摘要: [目的] 总结归纳单纯推拿手法治疗小儿肌性斜颈的临床研究文献，探讨推拿疗法的应用疗效。[方法] 检索中国期刊全文数据库(CNKI)和万方数据知识服务平台近十年有关单纯推拿手法治疗小儿肌性斜颈的临床研究文献，按纳入及排除标准以手检筛选。[结果] 共筛选得出41篇有效文献，推拿疗法治疗小儿肌性斜颈疗效显著，其中优化、联合及特色推拿手法较传统推拿手法疗效更佳。[结论] 推拿疗法已成为临床治疗小儿斜颈的常用手段，相关临床研究已取得了不俗进展，但现有临床研究主要为回顾性，缺乏前瞻性研究，研究设计及描述大多严谨度不足，未来需要遵循更规范的研究方法，才能充分验证小儿推拿疗法治疗肌性斜颈的应用价值。

Abstract: [Objective] To summarize the clinical research literature on the treatment of congenital myogenic torticollis by simple Tui-Na therapy and to discuss the efficacy of the application of Tui-Na therapy. [Methods] Searched the literature of clinical studies on the treatment of congenital myogenic torti-collis by simple Tui-Na therapy in the past ten years on the China National Knowledge Infrastruc-ture (CNKI) and Wanfang Data Knowledge Service Platform, and screened them by manual exami-nation according to the inclusion and exclusion criteria. [Results] 41 valid research papers were screened, and the efficacy of Tui-Na therapy in the treatment of congenital myogenic torticollis was significant, among which optimized, combined and special Tui-Na techniques were more effective than traditional Tui-Na techniques. [Conclusion] Tui-Na therapy has become a common clinical treatment for congenital myogenic torticollis, and relevant clinical studies have made considerable progress, but the existing clinical studies are mainly retrospective, lacking in prospective studies, and most of the study designs and descriptions are not rigorous enough, and more standardized research methods need to be followed in the future to fully verify the application value of pediatric Tui-Na therapy for congenital myogenic torticollis.