摘要
目的:观察中药熏洗配合中药外敷治疗髋关节滑膜炎的临床疗效。方法:将48例髋关节滑膜炎患者按照随机数字表法分为治疗组和对照组,每组24例。对照组给予卧床休息、磁热疗法及口服塞来昔布胶囊及小儿活血止痛颗粒治疗,治疗组在对照组治疗的基础上加用中药熏洗配合中药外敷,两组均以7 d为1个疗程,连续治疗2个疗程,随访6个月观察其临床疗效及VAS评分。结果:治疗组临床痊愈18例,显效4例,好转2例,无效0例,总有效率为91.67%;对照组临床痊愈14例,显效3例,好转5例,无效1例,总有效率为70.83%。两组比较,差异有统计学意义(P<0.05)。治疗后,两组VAS评分均有改善(P<0.05),且治疗组优于对照组(P<0.05)。治疗后和随访6个月内,两组患者均未见明显不良反应,对照组随访期内复发4例,治疗组无复发。结论:中药熏洗配合中药外敷治疗髋关节滑膜炎,安全可靠,疗程短,费用低廉,临床效果满意。
Objective：To observe the clinical curative effect of Chinese herbal fumigating and washing combing external application of traditional Chinese medicine （ TCM ） in the treatment of hip synovitis.Methods：48 cases of hip synovitis were randomly divided into a treatment group and a control group,24 cases in each.The control group was treated by bed rest,magnetic heat therapy and taking orally celecoxib capsule and Xiaoer Huoxue Zhitong Cn＇anule （ 小儿活血止痛颗粒） ,while the treatment group was treated with Chinese herbal fumigating and washing combing external application of TCM based on the treatment of the control group.The two groups were treated for 2 courses （ 7 days for 1 course ） and followed up for 6 months,observing their clinical curative effect and VAS scores. Results：In the treatment group,18 cases were cured,4 cases were markedly effective,2 cases were improved,and no cases were ineffective,the total effective rate being 91.67%;while in the control group,14 cases were cured,3 cases were markedly effective,5 cases were improved,and 1 case was ineffective,the total effective rate being 70.83%.The difference between the two groups was statistically significant （ P 〈 0.05 ） .After treatment,the VAS scores of the two groups were improved （ P 〈 0.05 ） ,and the treatment group was better than the control group （ P 〈 0.05 ） .After treatment and during 6-month follow up,there were no obvious adverse reactions in the two groups,and 4 cases in the control group recurred.No recurrence was fotmd in the treatment group.Conclusion：Treating hip synovitis with Chinese herbal fumigating and washing combing external application of TCM is safe and reliable,with short course of treatment,low cost,and satisfactory curative effect.
出处
《风湿病与关节炎》
2015年第10期27-29,69,共4页
Rheumatism and Arthritis
关键词
髋关节
滑膜炎
中药熏洗
中药外敷
临床疗效
hip joint
synovitis
Chinese herbal fumigating and washing
external application with traditional Chinese medicine
clinical curative effect
