香木活血散外敷联合常规推拿治疗小儿肌性斜颈临床观察
Clinical Observation on the Treatment of Pediatric Myotonic Strabismus with External Application of Xiangmu Huoxue San Combined with Regular Massage

目的：观察香木活血散外敷联合常规推拿治疗小儿肌性斜颈的临床疗效。方法：选取2023年3月~2024年3月在成都中医药大学附属医院推拿科门诊收治的60例先天性肌性斜颈患儿，随机分为治疗组和对照组，每组30例。观察组采用常规推拿联合院内制剂香木活血散外敷，对照组单纯采用常规推拿。疗程为三个月。比较两组患者治疗前后的胸锁乳突肌厚度及其厚度比值，以及临床治疗总有效率。结果：治疗后，观察组临床治疗总有效率为96.7%，显著高于对照组的83.3% (P < 0.05)。治疗前，两组患者的胸锁乳突肌厚度及厚度比值差异无统计学意义(P > 0.05)；治疗后，两组患者的胸锁乳突肌厚度及厚度比值均显著下降，且观察组的下降幅度显著大于对照组(P < 0.05)。结论：院内制剂香木活血散外敷联合常规推拿治疗小儿肌性斜颈效果显著，能显著改善患儿胸锁乳突肌厚度及厚度比值，安全可靠，值得临床推广。
Objective: To observe the clinical efficacy of external application of Xiangmu Huoxue San combined with conventional tuina in treating pediatric myotonic cervix. Methods: 60 cases of congenital myotonic cervical strabismus admitted to the outpatient clinic of Tuina Department of Affiliated Hospital of Chengdu University of Traditional Chinese Medicine from March 2023 to March 2024 were selected and randomly divided into the treatment group and control group, with 30 cases in each group. In the observation group, conventional massage was used in combination with external application of the hospital preparation Xiangmu Huoxue San, and in the control group, conventional massage was used alone. The course of treatment was three months. The thickness of the sternocleidomastoid muscle and its thickness ratio before and after the treatment were compared between the two groups, as well as the total effective rate of clinical treatment. RESULTS: After treatment, the total effective rate of clinical treatment in the observation group was 96.7%, which was significantly higher than that of 83.3% in the control group (P < 0.05). Before treatment, the difference between the thickness of the sternocleidomastoid muscle and the thickness ratio of the two groups of patients was not statistically significant (P > 0.05); after treatment, the thickness of the sternocleidomastoid muscle and the thickness ratio of the two groups of patients were significantly decreased, and the magnitude of the decrease in the observation group was significantly greater than that in the control group (P < 0.05). Conclusion: The effect of external application of the in-hospital preparation Xiangmu Huoxue San combined with conventional massage in the treatment of pediatric myoclonic strabismus is remarkable, which can significantly improve the thickness of the sternocleidomastoid muscle and the thickness ratio value of the children, is safe and reliable, and is worth promoting in the clinic.