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目的分析家庭被动伸展运动(PSE)治疗婴儿先天性肌性斜颈(CMT)的疗效及其影响因素。方法回顾性分析133例接受家庭PSE治疗的CMT婴儿的临床资料,分析家庭PSE治疗的疗效及其影响因素。结果 133例随访3~12个月,家庭PSE治疗有效124例(93.2%),无效9例(6.8%)。家庭PSE治疗CMT新生儿(年龄≤28d)、小婴儿(28d<年龄≤6个月)有效的比例高于大婴儿(6个月<年龄≤1岁)[(40/42)例、(78/82)例vs.(6/9)例](P<0.05),治疗轻中度头歪CMT婴儿有效的比例高于重度头歪婴儿[(115/118)例vs.(9/15)例](P<0.05);不同性别、病变侧别、临床病理分型、面部不对称程度CMT婴儿间的疗效差异均无统计学意义(P>0.05)。结论家庭PSE治疗婴儿CMT疗效可靠,尤其适用于尽早治疗和头歪程度较轻的CMT婴儿。
Objective To analyze the efficacy and influencing factors of congenital muscular torticollis (CMT) in family passive extension exercise (PSE). Methods Retrospective analysis of 133 cases of CMT infants receiving PSE treatment of family history of clinical data analysis of the efficacy of home PSE treatment and its influencing factors. Results 133 cases were followed up for 3 to 12 months. There were 124 cases (93.2%) of PSE in the family and 9 cases (6.8%) ineffective in the family. The proportion of newborns with CMT (age ≤28d) and small infants (28d 0.05). Conclusion Family PSE is a reliable treatment for infant CMT and is especially suitable for CMT infants who have early treatment and have less head crookedness.