先天性肌性斜颈严重程度及康复时间影响因素研究OA

Objective:To investigate the factors influencing the recovery time of patients with congenital myotonic torticollis(CMT)and to predict the severity and prognosis of CMT.Methods:Retrospectively,73 children with CMT and admitted to the pediatric rehabilitation department of the Children's Health Center of Changsha Maternal and Child Health Hospital Affiliated to Hunan Normal University from July 2017 to June 2020 were analyzed.The clinical data of the children and maternal pregnancy history were collected,and the clinical data of the sternocleidomastoid muscle(SCM)muscle thickness on both sides,the ratio of the affected side to the healthy side SCM thickness(A/N),the difference between the affected side and the healthy side SCM thickness(A-N),and the rehabilitation time were recorded.The children were grouped according to their sex,oblique neck deviation,delivery method and fetal position,and the SCM thickness,A/N,A-N and recovery time of different groups were compared,and the rel-evant factors affecting the recovery time were analyzed.Results:(1):The SCM was thicker and the A/N and A-N values were greater in the right CMT group compared with the left CMT group,and the difference was statistically significant;the difference in recovery time between the two groups was not statistically significant(P>0.05).(2)There was no statistically significant difference in SCM thickness,A/N,A-N,and recovery time compared between the two groups of men and women(P>0.05).(3)The abnormal fetal position group had thicker SCM,larger A/N and A-N values and longer recovery time compared with the normal fetal position group,and the difference was statistically significant(P<0.05).(4)Compared with vaginal obstructed labor(referred to as obstructed labor)and vaginal normal labor(referred to as normal labor)and cesarean delivery,the greater the values of A/N and A-N of obstructed labor,the longer the recovery time,and the difference was statistically significant(P<0.05),and the difference of SCM thickness was not statistically significant(P>0.05).(5)SCM thickness,A/N,and A-N were linearly and positively correlated with recovery time(P<0.001),with correlation coefficients of 0.425,0.497,and 0.489,respectively.age at diagnosis,birth weight,and recovery time were not corre-lated,and the differences were not statistically significant(P>0.05).Conclusion:SCM was thicker in children with right-sided CMT,abnormal fetal position,and difficult CMT,and abnormal fetal position and difficult CMT were more severe and required longer recovery time.Birth weight,age at diagnosis,and gender were not related to the recovery time of CMT.