中药熏洗配合理筋手法治疗髋关节滑膜炎临床观察

摘要

[ABSTRACT]Objective:To observe the clinical curative effect of Chinese-medicine fumigation and washing combining tendon-soothing manipulation in the treatment of hip synovitis.Methods:Fifty-eight cases of hip synovitis were randomly divided into a treatment group and a control group,29 cases in each.The control group was treated with oral administration of celecoxib capsule,local irradiation of infrared light,and application of Voltaren ointment on the aflficted part;while the treatment group was treated with Chinese-medicine fumigation and washing combining tendon-soothing manipulation.Patients were required to take a bed rest and avoid weight-bearing.After two-week treatment and six-month follow-up,the two groups were observed on the aspects of clinical efficacy,VAS score,half-year recurrence and adverse reactions.Results:In the treatment group,20 cases were cured,6 cases were markedly effective,3 cases were improved,and no case was ineffective,the total effective rate being 89.66%;while in the control group,15 cases were cured,8 cases were markedly effective,5 cases were improved,and 1 case was ineffective,the total effective rate being 79.31%.The difference was statistically signiifcant between the two groups(P< 0.05).After treatment,the VAS scores of the two groups were improved than those before treatment(P< 0.05),and the treatment group was better than the control group(P< 0.05). No adverse reactions were observed in the two groups one-month after treatment.During the follow-up period,6 cases in the control group and 1 case in the treatment group had recurrence.Conclusion:Chinese-medicine fumigation and washing combining is characterized by safety,good clinical feasibility,low recurrence rate,less cost and good curative effect in the treatment of hip synovitis,worthy of application and promotion.%目的：观察中药熏洗配合理筋手法治疗髋关节滑膜炎的临床疗效。方法：将58例髋关节滑膜炎患者随机分为治疗组和对照组，每组29例。对照组给予口服塞来昔布胶囊，红外线理疗灯局部照射，配合扶他林软膏涂抹患处治疗；治疗组采用中药熏洗配合理筋手法治疗。2组患者严格卧床休息，限制负重。2组均连续治疗2周，随访6个月。观察2组临床疗效、VAS评分、不良反应和半年后复发情况。结果：治疗组临床痊愈20例，显效6例，好转3例，无效0例，总有效率为89.66%；对照组临床痊愈15例，显效8例，好转5例，无效1例，总有效率为79.31%。2组比较，差异有统计学意义（P <0.05）。治疗后，2组VAS评分较治疗前均有改善（P <0.05），且治疗组优于对照组（P <0.05）。2组患者治疗后1个月内未见明显不良反应。随访期内，对照组复发6例，治疗组复发1例。结论：中药熏洗配合理筋手法治疗髋关节滑膜炎，具有安全性高，临床可行性强，操作方便，复发率低，费用低廉，疗效显著等优点，值得借鉴和推广。