首页 | 本学科首页   官方微博 | 高级检索  
     

中医药为主治疗儿童髋关节滑膜炎研究概况
引用本文:韩飞,梁博程,董艳,范卫星,刘骏. 中医药为主治疗儿童髋关节滑膜炎研究概况[J]. 中华全科医学, 2020, 18(6): 1006-1009. DOI: 10.16766/j.cnki.issn.1674-4152.001414
作者姓名:韩飞  梁博程  董艳  范卫星  刘骏
作者单位:1. 长兴县中医院骨伤科, 浙江 湖州 313100;
基金项目:浙江省中医药科技计划(2018ZQ047)
摘    要:儿童髋关节滑膜炎(transient synovitis of the hip in children,TSH)是儿童常见病、多发病,是造成儿童髋关节疼痛、跛行的最常见病因。目前国内外对本病的发病原因尚未达成共识,在治疗方法上亦未形成统一标准。西医学认为本病的发病原因与细菌或病毒感染、髋关节外伤、过度疲劳、变态反应等诸多因素有关。治疗方法多采用抗生素或抗病毒类药物、皮肤牵引、物理疗法等。对于保守治疗无效者,可采用关节镜手术治疗。上述治疗方法临床疗效值得肯定,但其药物毒、副作用及手术风险等负面问题正逐渐受到学者的重视。中医学认为本病的发病原因在于儿童正气不足,复感外邪,痹阻于髋部而发病,属于中医“痹证”范畴。中医治疗本病的方法具有多样性,如中药内服、中药外用(中药熏蒸、膏药外敷、药膏涂擦等)或二者相结合进行治疗。笔者通过查阅近年相关有价值文献并进行筛选、总结。研究结论提示:中医药为主治疗儿童髋关节滑膜炎,效果显著、安全简便,在治疗方法和疗效方面有其独特优势。现从儿童髋关节滑膜炎的病因病机,诊断,中医内治为主治疗,中医外治为主治疗,中医药为主、内外兼治五个方面进行综述,以期为临床治疗提供参考。 

关 键 词:儿童   髋关节滑膜炎   中医药治疗
收稿时间:2019-02-05

General situation of Traditional Chinese Midicine treatment of transient synovitis of the hip in children
Affiliation:Department of Tramotology and Orthopedics, Zhejiang Changxing County Hospital of Traditional Chinese Medicine, Huzhou, Zhejiang 313100, China
Abstract:Transient synovitis of the hip in children(TSH) is common and frequently occurring diseases in children. It is the most common cause of hip pain and claudication in children. At present,there is no consensus on the cause of the disease at home and abroad,there is also no uniform standard of treatment. Western medicine believes that the cause of this disease is related to many factors such as bacterial or viral infection, hip joint trauma, fatigue and allergy reaction, the commonly used treatment methods are antibiotics or antiviral drugs, skin traction, physical therapy,etc. For patients to whom conservative treatment is in effective, arthroscopic surgery can be used. The clinical efficacy of the above treatment methods is worthy of affirmation, but the negative problems such as drug toxicity, side effects and surgical risks are gradually receiving the attention of scholars. Traditional Chinese Medicine(TCM) believes that the cause of this disease lies in the deficiency of healthy atmosphere of children, feeling external injuries influences,Bi-syndrome occurs in the hip. It belongs to the category of "Bi-syndrome" in TCM. TCM has a variety of methods for treating this disease, such as internal, external administration(Traditional Chinese medicine fumigation, Plaster topical, Ointment inunction, etc) or the combination of them. The author has checked and summarized the relevant valuable literature in recent years, the conclusion of the study suggests that TCM mainly treats children's hip synovitis with remarkable effect, safety and simplicity, and has unique advantages in treatment methods and curative effects. This article summarized from the etiology, pathogenesis and diagnosis of children's hip synovitis, the main treatment of TCM internal treatment, the treatment of TCM external treatment, the main aspects of traditional Chinese medicine, internal and external treatment in order to provide reference for clinical treatment. 
Keywords:
点击此处可从《中华全科医学》浏览原始摘要信息
点击此处可从《中华全科医学》下载免费的PDF全文
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号