CAJ | 학술논문

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。
목적：관찰중약훈세배합중약외부치료관관절활막염적림상료효。방법：장48례관관절활막염환자안조수궤수자표법분위치료조화대조조，매조24례。대조조급여와상휴식、자열요법급구복새래석포효낭급소인활혈지통과립치료，치료조재대조조치료적기출상가용중약훈세배합중약외부，량조균이7 d위1개료정，련속치료2개료정，수방6개월관찰기림상료효급VAS평분。결과：치료조림상전유18례，현효4례，호전2례，무효0례，총유효솔위91.67%；대조조림상전유14례，현효3례，호전5례，무효1례，총유효솔위70.83%。량조비교，차이유통계학의의（P <0.05）。치료후，량조VAS평분균유개선（P <0.05），차치료조우우대조조（P <0.05）。치료후화수방6개월내，량조환자균미견명현불량반응，대조조수방기내복발4례，치료조무복발。결론：중약훈세배합중약외부치료관관절활막염，안전가고，료정단，비용저렴，림상효과만의。
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 Granule(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 signiifcant (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 found 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.