Efficacy observation of chiropractic plus foot bath with Chinese medicine for transient synovitis of the hip in children  

整脊手法加中药足浴治疗小儿暂时性髋关节滑膜炎疗效观察

作　　者：Li Zhi-xing Pan Bao-hua Zhang Rui-xi Xu Yu-yu Chen Xiao-zhuan 李知行;潘宝华;张睿西;许玉宇;陈小砖(Shenzhen Traditional Chinese Medicine Hospital,Guangdong Province,Shenzhen 518033,China)

机构地区：[1]Shenzhen Traditional Chinese Medicine Hospital,Guangdong Province,Shenzhen 518033,China

出　　处：《Journal of Acupuncture and Tuina Science》2021年第1期37-42,共6页针灸推拿医学（英文版）

基　　金：广东省中医药局科研项目,No.20192084。

摘　　要：Objective:To compare the efficacy of different treatment protocols in treating transient synovitis of the hip(TSH)in children and to optimize the clinical treatment strategy for this condition.Methods:Ninety kids with TSH were divided into a control group,a chiropractic group and a chiropractic plus foot bath group using the random number table method,with 30 cases in each group.The control group was treated with conventional traction;the chiropractic group was given chiropractic treatment based on the control group;the chiropractic plus foot bath group was given Chinese medicine foot bath based on the chiropractic group.Traction and foot bath were conducted once daily while chiropractic was done once every other day,all with 14 d as a treatment course for a total of two courses.Changes in the visual analog scale(VAS)score and range of motion(ROM)of the hip joint in the three groups were observed,and the efficacy was compared.Results:The total effective rate was 93.3%in the chiropractic plus foot bath group,versus 76.7%in the chiropractic group and 66.7%in the control group,and the total effective rate was notably higher in the chiropractic plus foot bath group than in the other two groups(both P<0.05).Respectively after the first and second treatment course,the VAS score decreased significantly in each of the three groups compared with that before treatment(all P<0.01),and the ROM of the hip joint in flexion increased significantly(all P<0.01).After two treatment courses,the VAS score was lower in the chiropractic plus foot bath group than in the other two groups(both P<0.05),and its ROM of the hip joint in flexion was larger than that in the other two groups(both P<0.05).Conclusion:Based on traction,chiropractic plus Chinese medicine foot bath can effectively reduce pain and improve motor function of the hip joint in treating TSH.目的:比较不同治疗方案治疗小儿暂时性髋关节滑膜炎的疗效差异,以优化该病的临床治疗策略.方法:将90例暂时性髋关节滑膜炎患儿利用随机数字表法分为对照组、整脊组和整脊加足浴组,每组30例.对照组予以常规牵引;整脊组在对照组基础上加用整脊手法治疗;整脊加足浴组在整脊组基础上加用中药足浴.牵引和足浴均每日1次,整脊治疗隔日1次,14 d为1个疗程,共治疗2个疗程.观察3组患者视觉模拟量表(VAS)评分和髋关节活动度(ROM)变化,并比较3组疗效.结果:整脊加足浴组总有效率为93.3%,整脊组总有效率为76.7%,对照组总有效率为66.7%,整脊加足浴组总有效率明显高于其余两组(均P<0.05).治疗1个疗程及2个疗程后,3组VAS评分均较本组治疗前明显下降(均P<0.01),髋关节屈曲ROM均较本组治疗前升高(均P<0.01).治疗2个疗程后,整脊加足浴组VAS评分低于其余2组(均P<0.05),髋关节屈曲ROM高于其余2组(均P<0.05).结论:牵引基础上加用整脊手法及中药足浴治疗暂时性髋关节滑膜炎能有效缓解疼痛,改善髋关节的活动功能.

关 键 词：Chinese Therapeutic Massage(Tuina) MASSAGE CHIROPRACTIC SYNOVITIS Steaming Washing Therapy 

分 类 号：R244.1[医药卫生—针灸推拿学]