中药熏洗配合理筋的手法治疗髋关节滑膜炎临床观察.docVIP

中药熏洗配合理筋的手法治疗髋关节滑膜炎临床观察 　　【摘 要】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。 　　【关键词】 髋关节滑膜炎；中药熏洗；理筋手法 　　【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 afflicted 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 significant 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.Durin