本文選題：斜頭異常　切入點：姿勢矯正　出處：《中國當代兒科雜志》2017年10期

【摘要】：目的探討引起嬰兒斜頭異常的可能原因,以及姿勢矯正訓練對斜頭異常的改善效果。方法選擇診斷為斜頭異常的患兒101例進行研究,按照診斷斜頭異常時的年齡分為3組:1~4月齡組(n=31)、5~8月齡組(n=40)和9~12月齡組(n=30)。對3組患兒斜頭異常的可能原因進行調(diào)查分析,并對3組患兒給予姿勢矯正訓練前后頭顱不對稱指數(shù)(CVAI)進行比較。結(jié)果 101例患兒中,89例(88.1%)患兒為仰臥位固定睡姿,3組間此睡姿率比較差異無統(tǒng)計學意義。1~4月齡組患兒早產(chǎn)出生率、不良圍產(chǎn)因素發(fā)生率及先天性肌性斜頸的發(fā)生率高于5~8月齡組和9~12月齡組,差異有統(tǒng)計學意義。3組患兒姿勢矯正訓練3個月后CVAI值均較訓練前顯著下降(P0.001)。1~4月齡組給予姿勢矯正訓練前后CVAI差值顯著大于5~8月齡組和9~12月齡組(P0.001)。結(jié)論仰臥位固定睡姿可能與嬰兒斜頭異常的發(fā)生有關(guān);不良圍產(chǎn)因素、早產(chǎn)出生及先天性肌性斜頸作為嬰兒斜頭異常的可能原因更常見于嬰兒早期;姿勢矯正訓練對嬰兒斜頭異常改善有意義,特別是對嬰兒早期的斜頭異常的改善效果更明顯。
[Abstract]:Objective to explore the possible causes of the abnormal oblique head in infants and the effect of posture correction training on the abnormal oblique head. Methods 101 cases of children with abnormal oblique head were selected and studied. According to the age of diagnosis of diagonal head abnormality, the patients were divided into 3 groups: 1 / 1 / 4 month old group (n = 31) and 9 ~ 12 months old group (n = 30). The possible causes of the abnormal head of oblique head in the three groups were investigated and analyzed. The cranial asymmetry index (CVAII) before and after postural correction training was compared among the 3 groups. Results there was no significant difference in the sleeping position rate between the three groups for supine position fixed sleeping position in 89 out of 101 children (88. 1). There was no significant difference in the sleeping position rate among the 3 groups at the age of 4 months. Preterm birth rate, The incidence of adverse perinatal factors and congenital muscular torticollis was higher than that of 5-month group and 9-month group. The difference of CVAI between postural correction group and postural correction training group after 3 months training was significantly lower than that before and after postural correction training. The difference of CVAI between postural correction group and postural correction training group was significantly higher than that in 5-month group and 91-month group. Conclusion supine position fixation is significantly higher than that of postural orthodontic group before and after postural orthodontic training. Conclusion supine position fixation is significantly higher than that of postural orthodontic training. The determination of sleeping position may be related to the occurrence of abnormal oblique head in infants. Adverse perinatal factors, preterm birth and congenital muscular torticollis are more common in the early stage of infants. In particular, the improvement of early infants with abnormal oblique head is more obvious.
【作者單位】： 北京大學第三醫(yī)院兒科;
【分類號】：R742

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