中药熏洗联合膏药外敷治疗儿童急性髋关节滑膜炎的临床观察

中国医药导刊 ›› 2020, Vol. 22 ›› Issue (7): 465-468.

中药熏洗联合膏药外敷治疗儿童急性髋关节滑膜炎的临床观察

张俊涛1，孙墨渊1，陈俊名2，刘又文1*

1. 河南省洛阳正骨医院（河南省骨科医院），河南洛阳 471002；
2. 福建中医药大学，福建福州 350122

收稿日期:2020-04-02 修回日期:2020-06-18 出版日期:2020-07-28 发布日期:2020-09-28
基金资助:
洛阳市医疗卫生科技计划项目（项目编号：1930001A；项目名称：基于“三柱理论”及“股循环理论”青壮年股骨头坏死保髋治疗方案的临床研究）

Clinical Observation of Traditional Chinese Medicine Fumigation and Washing Combined with External Application of Plaster in the Treatment of Children Acute Hip Synovitis

ZHANG Juntao1， SUN Moyuan1， CHEN Junming2， LIU Youwen1*

Received:2020-04-02 Revised:2020-06-18 Online:2020-07-28 Published:2020-09-28
Contact: you wenliu E-mail:liuyouwen543@sina.com

摘要/Abstract

摘要： 目的：观察中药熏洗联合膏药外敷治疗儿童急性髋关节滑膜炎的临床疗效。方法：选取髋关节滑膜炎患儿86例（86髋），按照随机数字表随机将其分为观察组和对照组，每组43例。对照组给予卧床休息、磁热疗法及口服小儿活血止痛颗粒；观察组在对照组的基础上加用中药熏洗和膏药外敷。两组均以7d为1疗程，连续治疗两个疗程，观察治疗结束时临床治疗效果及疼痛VAS评分，并进行为期6个月随访，记录不良反应及复发情况。结果：观察组临床痊愈29例，显效10例，好转4例，无效0例，总有效率为90.70%，对照组临床痊愈19例，显效12例，好转8例，无效5例，总有效率为72.09%，观察组有效率高于对照组（P＜0.05）；两组治疗后疼痛VAS评分相比治疗前均有改善（P＜0.05），且观察组优于对照组；随访的6个月内，对照组复发8例，观察组复发2例，观察组复发率低于对照组（P＜0.05），两组患儿在治疗及随访期间均无其他不良反应。结论：中药熏洗联合膏药外敷治疗儿童急性髋关节滑膜炎能够起到良好的治疗效果，且安全可靠，费用低。

关键词: font-size:medium, ">急性髋关节滑膜炎；中药熏洗；膏药外敷

Abstract: Objective： To observe the clinical efficacy of traditional Chinese medicine（TCM） fumigation and washing combined with external application of plaster in the treatment of acute transient synovitis of the hip（TSH） in children. Methods： 86 Patients (86 hips) with TSH were randomly divided into the observation group (n=43) and the control group (n=43). The control group was given bed rest， magnetic-heat therapy and oral Xiaoer Huoxue Zhitong granule， while the observation group was treated with TCM fumigation and washing and external application of plaster on the basis of the control group. Both groups were treated with 7 d as a course of treatment， and for two consecutive courses. The clinical therapeutic effect and pain VAS score were observed， and the adverse reactions and recurrence were recorded during the 6-month follow-up. Results： In the observation group， in 29 cases was clinically cured， in 10 cases markedly effective， in 4 cases improved， in 0 cases ineffective， and the total effective rate was 90.70%. In the control group， 19 cases were cured， 12 cases markedly effective， 8 cases improved and 5 cases ineffective， and the total effective rate was 72.09%. The total effective rate of the observation group was higher than that of the control group(P＜0.05). The pain VAS scores of the two groups were improved compared with those before treatment， and the observation group was better than the control group. The difference between the two groups was statistically significant (P＜0.05). Within 6 months of follow-up， there were 8 cases of recurrence in the control group and 2 cases in the observation group. The recurrence rate of the observation group was lower than that of the control group(P＜0.05). There were no other adverse reactions in both groups during the treatment and follow-up period. Conclusion： TCM fumigation and washing combined with external application of plaster can play good therapeutic effect in the treatment of TSH in children， and it is safe and reliable with low cost.

Key words: font-size:medium, ">Acute transient synovitis of the hip； Fumigation and washing with traditional Chinese medicine； External application of plaster

中图分类号:

张俊涛, 孙墨渊, 陈俊名, 刘又文. 中药熏洗联合膏药外敷治疗儿童急性髋关节滑膜炎的临床观察[J]. 中国医药导刊, 2020, 22(7): 465-468.

ZHANG Juntao, SUN Moyuan, CHEN Junming, LIU Youwen. Clinical Observation of Traditional Chinese Medicine Fumigation and Washing Combined with External Application of Plaster in the Treatment of Children Acute Hip Synovitis[J]. CHINESE JOURNAL OF MEDICINAL GUIDE, 2020, 22(7): 465-468.

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