中药熏洗配合骨炎膏外敷治疗儿童急性髋关节滑膜炎的临床观察  

Clinical Observation on the Treatment of Transient Synovitis of the Hip in Children with Chinese Herbal Fumigating and Washing Combing External Application with Guyan Ointment(骨炎膏)

作　　者：李文龙[1] 范亚楠[1] 张蕾蕾[1] 马向浩 王会超[2] 刘又文[2] 

机构地区：[1]河南中医药大学,河南郑州450002 [2]河南省洛阳正骨医院,河南洛阳471002

出　　处：《中医药导报》2017年第10期86-88,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2015年度河南省中医药科学研究专项课题(2015ZY02069)

摘　　要：目的:观察中药熏洗配合骨炎膏外敷治疗儿童急性髋关节滑膜炎的临床疗效。方法:将126例儿童急性髋关节滑膜炎患者按照随机数字表随机分为治疗组及对照组,每组63例。对照组给予卧床休息、牵引制动及磁热疗法,治疗组在对照组治法的基础上加用中药熏洗及骨炎膏外敷,均以7 d为1个疗程,依据患儿恢复情况治疗1~2个疗程,评估临床疗效及疼痛VAS评分,随访观察病情复发及不良反应情况。结果:治疗组总有效率为95.24%,对照组总有效率为84.13%,两组比较,差异有统计学意义(P<0.05);两组治疗后VAS评分均有改善(P<0.05),且治疗组优于对照组(P<0.01);所有患儿均获随访,随访时间6~12个月,中位数8个月,治疗组未见病情复发,对照组复发4例;两组均未见明显不良反应。结论:中药熏洗配合骨炎膏外敷治疗儿童急性髋关节滑膜炎疗效显著,不易复发。Objective： To observe the clinical curative effect of Chinese herbal fumigating and washing ,combing external application with Guyan ointment in the treatment of transient synovitis of the hip in children （TSH）. Methods： The 126 cases of TSH were divided into treatment group and control group according to the random number table, each group has 63 cases. The control group was treated by bed rest, skin traction and magnetic heat therapy, while the treatment group was treated with Chinese herbal fumigating and washing combing external application with Guyan ointment based on the treatment of the control group, the two groups were treated for 1-2 courses （7 days for 1 course）, observing their clinical curative effect and VAS scores, relapse and adverse reaction were followed. Results： In the treatment group, the total effective rate was 95.24%, while in the control group, the total effective rate was 84,13%, the difference between the two groups was statistically significant （P〈0.05）; after treatment, the VAS scores of the two groups improved （P〈0.05）, and the treatment group was better than the control group （P〈0.01）. All of the patients were followed-up, the mean duration of follow-up was 8 months （range 6-12months）, there were no obvious adverse reactions in the two groups, and 4 cases in the control group recurred. No recurrence was found in the treatment group. Conclusion： Treating TSH with Chinese herbal fumigating and washing combing external application with Guyan ointment is effective, safe and reliable, uneasy to recur.

关 键 词：急性髋关节滑膜炎 中药熏洗 骨炎膏外敷 疗效观察 

分 类 号：R272[医药卫生—中医儿科学]