复方白茅根颗粒治疗湿热型儿童髋关节滑膜炎的疗效观察

发布时间：2018-06-20 23:24

本文选题：儿童 + 髋关节滑膜炎　；参考：《广州中医药大学》2012年硕士论文

【摘要】：目的：研究本院制剂复方白茅根颗粒治疗儿童髋关节滑膜炎的临床疗效,分析其有效性、减少儿童髋关节滑膜炎的复发频率的因素,为中西医结合治疗儿童髋关节滑膜炎提供一种临床方案。方法：本研究采用前瞻性研究方法,将100例湿热型儿童髋关节滑膜炎以临床症状为步态跛行和髋关节疼痛,患儿随机分为两组,其中治疗组A(基础治疗+复方白茅根颗粒组)和治疗组B(基础治疗+复方白茅根颗粒+头孢呋辛酯片)50例,对照组C(基础治疗)和对照组D(基础治疗+头孢呋辛酯片)50例。通过对两组患儿治疗过程的观察(1、2、4周)及随访,观察两组治疗第1、2、4周患儿髋部疼痛、关节活动度、ADL能力、复发率等指标,进行B超检查,按国家中医病症疗效评价标准评价有效率,将以上数据进行统计学方法分析。结果：治疗组与对照组髋部疼痛、关节活动度、ADL能力、B超检查结果、有效率比较有统计学意义(p0.05),治疗组优于对照组。观察结束6个月后,治疗组复发率2.1%,对照组复发率13.2%。治疗组复发率比对照组低,但有统计学意义。结论： ①复方白茅根颗粒治疗湿热型儿童髋关节滑膜炎疗效明确,能早期改善髋部疼痛、关节活动受限、减轻关节滑膜积液及肿胀。②复方白茅根颗粒治疗湿热型儿童髋关节滑膜炎,能明显减少复发率。
[Abstract]:Objective: to study the clinical effect of compound Baimaogan granule in the treatment of hip synovitis in children, and to analyze its effectiveness and reduce the recurrence frequency of hip synovitis in children. To provide a clinical scheme for the treatment of hip synovitis in children with integrated traditional Chinese and western medicine. Methods: 100 cases of hip synovitis with clinical symptoms as gait claudication and hip joint pain were randomly divided into two groups. There were 50 cases of cefuroxime tablets in treatment group A (basic treatment group) and B group (basic treatment group), 50 cases in control group C (basic treatment) and 50 cases in control group (basic treatment group). By observing the treatment process of the two groups and following up for 4 weeks, we observed hip pain, joint activity and ADL ability, recurrence rate and so on in the first and second week of treatment. According to the national criteria for evaluation of the effectiveness of TCM symptoms, the above data were statistically analyzed. Results: compared with the control group, the treatment group was superior to the control group in terms of hip pain, joint motion and ADL ability, B ultrasonic examination, and the effective rate was significantly higher than that in the control group. Six months after observation, the recurrence rate was 2.1 in the treatment group and 13.2in the control group. The recurrence rate in the treatment group was lower than that in the control group, but there was statistical significance. Conclusion: 1 the curative effect of compound Baimaogan granule in treating children hip synovitis with damp-heat type is clear, and it can improve hip pain early and restrict joint movement. Reducing synovial effusion and swelling .2 compound Baomaogan granule in treating synovitis of hip joint in children with damp-heat type can obviously reduce the recurrence rate.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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