| Objective This study aims to provide a reference for the clinical treatment of perineal swelling in female children undergoing Salter innominate osteotomy by observing and evaluating the clinical eff-icacy of Modified Taohong Siwu Decoction.The purpose is to enhance the clinical managem-ent of this condition and improve patient outcomes.MethodsFrom June 2021 to December 2022,a total of 40 children who met the inclusion criteria were recruited from the Department of Orthopedics and Traumatology,Zhangzhou Hospital of Traditional Chinese Medicine,Affiliated to Fujian University of Traditional Chinese Medicine.T-he experimental group was randomly divided into two groups,each consisting of 20 patients.The control group received routine postoperative care,preventive antibiotic treatment,and pe-rineal hygiene maintenance with wet compress of magnesium sulfate.The experimental grou-p received Modified Taohong Siwu Decoction in addition to the control group’s treatment sta-rting from the first day after surgery.Both groups were treated for one week.Daily observati-ons,recordings,and comparisons of perineal swelling were conducted during the first to seve-nth day after surgery,including the number of days required for the peak of swelling,the first regression of swelling,and the complete regression of swelling.The clinical efficacy was stat-istically analyzed using SPSS26.0 software.Results1.The two groups were comparable as there was no significant difference in age,height,weight,diseased side,surgical duration,and intraoperative bleeding(P>0.05).2.Wong Baker pain score: The Wong-Baker pain scores were compared within and between t-he two groups on the first,third,fifth,and seventh days after surgery.Within the group comp-arison showed a statistically significant difference(P>0.05)in both groups.However,betwee-ngroup comparison demonstrated a statistically significant difference(P>0.05)in the WongBaker pain scores on the first,third,fifth,and seventh days after surgery.3.Perineal swelling value: An intragroup comparison was conducted to assess the differences in perineal diameter between two groups at 24,48,72,96,and 120 hours post-surgery.The re-sults showed a statistically significant difference(P<0.05).However,no significant differenc-e was observed at 24 hours(P>0.05).The diameter of the pubic tail arc between the two grou-ps was also compared at the same intervals.A statistically significant difference was observe-d at 48,72,96,and 120 hours post-surgery(P<0.05),but not at 24 hours(P>0.05).Additiona-lly,the difference in diameter between the two groups of sciatic nodules was statistically sign-ificant at all intervals(P<0.05),except for 24 hours(P>0.05).These findings suggest that the two groups differed significantly in terms of perineal swelling,pubic tail arc diameter,and sc-iatic nodule diameter following surgery.4.Time for swelling to peak and time for swelling to subside: The duration for reaching the m-aximum swelling and for the initiation of the subsiding process,as well as the duration for co-mplete swelling resolution were compared between the two cohorts,and the observed discrep-ancies were deemed statistically significant(P<0.05).5.Postoperative hospitalization days: The postoperative hospitalization days of the two group-s were compared between the groups,and the difference was statistically significant(P<0.05).6.Total effective rate of treatment: Following a 7-day treatment period,the overall efficacy ra-te of the test group was 95%,whereas that of the control group was 75%.A significant statist-ical difference in the efficacy rate was observed between the two cohorts(P< 0.05).7.Adverse reaction analysis: In the control group,one child experienced intermittent symptoms of urinary pain on the third day post-surgery.Upon further examination,infection was rule-d out,and increased daily fluid intake was recommended.The child’s symptoms improved on the fifth day following surgery.ConclusionsThe administration of Modified Taohong Siwu Decoction can augment the therapeutic benefit-s of Salter innominate osteotomy in the management of perineal swelling symptoms in femal-e children.Furthermore,it can mitigate postoperative pain and discomfort,thereby facilitatin-g a reduction in the length of hospital stay. |
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