中国实用儿科杂志

中国实用儿科杂志 ›› 2023, Vol. 38 ›› Issue (1): 23-26.DOI: 10.19538/j.ek2023010604

• 专题笔谈 • 上一篇    下一篇

婴儿良性阵发性斜颈的临床与康复进展

  

  1. 广州市妇女儿童医疗中心康复科，广东省儿童健康与疾病临床医学研究中心，广东  广州  510120
  • 出版日期:2023-01-06 发布日期:2023-02-10
  • 通讯作者: 徐开寿，电子信箱：xksyi@126.com

Clinical and rehabilitation progress of benign paroxysmal torticollis in infancy

  1. Department of Rehabilitation，Guangzhou Women and Children's Medical Center，Guangdong Provincial Clinical Research Center for Child Health，Guangzhou  510120，China
  • Online:2023-01-06 Published:2023-02-10

摘要： 婴儿良性阵发性斜颈是以反复发作的头部歪斜为主要特征的疾病，常伴恶心、呕吐、易激惹及共济失调等问题，多数患儿可在学龄前自行缓解，部分患儿会逐渐演变为周期性呕吐、良性阵发性位置性眩晕甚至偏头痛等。其病因尚不清楚，可能与前庭功能障碍、离子通道障碍及遗传因素等相关，目前暂无特异性的临床治疗与康复策略，发作期可考虑使用止呕药、镇痛药以缓解部分急性期相应症状，而物理治疗、作业治疗及推拿等疗效尚不明确。

关键词: 良性阵发性斜颈, 婴儿, 康复

Abstract: Benign paroxysmal torticollis of infancy is characterized by recurrent episodes of head tilt to one side. Associated symptoms，such as nausea，vomiting，irritability and ataxia are common. Most of them might resolve spontaneously in preschool age，but some could evolve into periodical vomiting，benign paroxysmal vertigo and even migraine. The aetiology of benign paroxysmal torticollis is still unclear，while it might be associated with vestibular dysfunction，channelopathy and genetic factors. So far，benign paroxysmal torticollis of infancy is still a lack of effective therapeutic strategy for it，and the management in acute attack stage such as anti-nausea and painkilling drugs can release partial symptoms. The efficacy of rehabilitation techniques，such as physical therapy，occupational therapy and massage， needs further study in benign paroxysmal torticollis of infancy.

Key words: benign paroxysmal torticollis, infant, rehabilitation