Clinical Observation And Analysis Of Huanghuang Jinhuang Ointment In The Treatment Of Hip Synovitis In Children

Objective: Simple synovitis of the hip joint in children is a common immunological disease in clinic.The disease often presents as hip pain and mobility disorder,and even affects the quality of life of the children,which brings some troubles to many families.In order to be effective and safe to improve the clinical manifestations of the simple synovitis of the hip in children,this research combine traditional Chinese and western medicine therapy in the treatment of children’s simple synovitis of the hip in the clinical observation,it is concluded that using the golden cream topical synovitis of the hip in children with skin traction treatment in accelerating synovitis of the hip in children’s clinical curative effect,shorten the treatment cycle,relieve the clinical symptoms,enhance security,in such aspects as improving synovitis of the hip in children cure rate has significant curative effect,and to provide theoretical and data support the effectiveness of the proposed formula.At the same time,it provides theoretical basis for the treatment of simple synovitis of the hip joint in children with Traditional Chinese medicine.Methods: In this study,90 pediatric patients with synovitis of the hip joint admitted and hospitalized in our department from April 2019 to June 2020 were selected as research objects and randomly divided into traction and braking group(n=30),Traditional Chinese medicine group(n=30)and treatment group(n=30).In the traction group,patients with the inclusion criteria were treated with skin traction and braking after admission.In this group,children were required to do no weight-bearing activities on the ground,to achieve the purpose of braking by skin traction in bed,and the changes of the condition were regularly observed.The traditional Chinese medicine group treated the hospitalized patients with a single golden plasters under bedbraking with the affected areas;The treatment group will be admitted to the hospital children under the skin traction brake treatment,give golden plasterers applied to the affected area.Treatment to observe and compare the three groups of children in 3 days,1 week after treatment,the cure period condition change,through to the hip pain(VAS score),of motion(ROM)score(range),hip outreach,hip joint effusion volume change(before and after treatment respectively by MRI and ultrasound imaging to observe the thickness of the hip joint effusion);Treatment effect,pain relief time,activity disorder relief time,length of hospitalization course;The difference of treatment course of children in the three groups was counted.Statistical analysis was performed using SPSS20.0.Results:1.Comparison of the severity of hip pain in the three groups: VAS score of the pain in the three groups before treatment was not significantly different(P > 0.05);On the third day of treatment,VAS score difference in pain of children in the treatment group was statistically significant compared with that in the traction group and the Chinese medicine group(P > 0.05).The VAS scores of the children in the three groups at the first and healing stages were significantly different(P < 0.05),and the VAS scores of the treatment group at the first week of treatment were significantly lower than those of the traction group and the Chinese medicine group,with statistically significant differences(P < 0.05).2.Comparison of the content of effusion in the three groups of children with coxal ultrasound before and after treatment: before treatment,there was no significant difference in the thickness of effusion in the three groups(P >0.05);After treatment,color ultrasound examination on the third day showed that there was no significant difference in the changes of hip effusion among the three groups.When the thickness of hip effusion was compared among thethree groups at the first week,the difference between the treatment group and the traction group and the Chinese medicine group was statistically significant(P < 0.05).4.Comparison of the range of motion of the joints among the three groups:before treatment,there was no significant difference in ROM scores among the three groups(P > 0.05);After treatment,the difference in ROM scores of the three groups was still not significant at 3 days after treatment,showing no statistical significance(P > 0.05).When the three groups of children in the first week after treatment,THE ROM score(hip joint activity range)significantly increased,the difference was statistically significant(P <0.05),among which,the treatment group from the treatment to the first week,the cure period ROM score was higher than the traction group,the Chinese medicine group,the difference was statistically significant(P < 0.05).5.Comparison of pain relief,range of motion and joint effusion reduction in the three groups: improvement of synovitis of the hip joint.Comparison of treatment duration showed that the treatment time in the treatment group was significantly shorter and the data in the treatment group was significantly lower than that in the traction group and the Traditional Chinese medicine group.Treatment group(average days)< Traditional Chinese medicine group(average days)< traction group(average days);There were statistically significant differences among the three groups(P < 0.05).Conclusion: The application of Golden yellow ointment with skin traction in the treatment of children’s synovitis of the hip joint can enhance the therapeutic effect,effectively relieve the clinical symptoms,reduce the pain of the hip joint,improve the thickness of hip joint effusion,improve the range of motion of the hip joint and shorten the treatment period.