Clinical Observation Of Simiaosan In The Treatment Of Acute Transient Synovitis Of Hip Joint In Children With Dampness-heat Blockage Type

Objective This topic intends to observe the clinical efficacy of Simiaosan in the treatment of acute transient synovitis of the hip(ATSH)in children with damp-heat obstruction,and to provide reference for clinical treatment of this disease.MethodsFrom January 2022 to October 2022,Sixty patients who met the inclusion criteria were selected from the Department of Orthopedics and Traumatology of Zhangzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine.The children were divided into control group and experimental group by random number table method,30 cases in each group.Control group : bed rest and limb skin traction treatment.Experimental group : on the basis of the control group + oral Simiao powder.Both groups were treated for 2 weeks.The changes of the anterior femoral neck space difference,synovial thickness and joint effusion volume of the two groups of children under B-ultrasound examination before treatment and on the 3 rd,7 th and 14 th day after treatment were statistically analyzed.The evaluation method and clinical efficacy evaluation criteria were evaluated,and the efficacy of the two groups was compared,and the recurrence of the two groups after 2 months of treatment was compared.The observed data were collected and statistically analyzed.Results1.1.There was no significant difference in gender,hip location,age and course of disease between the two groups(P > 0.05).2.There was no significant difference between the two groups before treatment(P > 0.05).3.There was no significant difference in the difference of anterior femoral neck space,synovial thickness and hip joint effusion between the two groups before treatment(P >0.05).4.On the 3rd,7th and 14 th days after treatment,the difference of the anterior femoral neck gap,synovial thickness and hip joint effusion of the two hip joints were compared with those before treatment,and the difference was statistically significant(P < 0.05).5.On the 3rd,7th and 14 th day after treatment,the difference of the anterior femoral neck space of the two hip joints,the thickness of the synovial membrane and the amount of hip joint effusion were compared between the two groups,and the difference was statistically significant(P < 0.05).6.There was a statistically significant difference between the two groups before treatment and on the 3rd,7th and 14 th day of treatment(P < 0.05).7.Clinical efficacy : On the 14 th day after treatment,the efficacy of the two groups was evaluated according to the ’ TCM disease diagnosis and efficacy standard ’ promulgated by the State Administration of Traditional Chinese Medicine.The effective rates of the experimental group and the control group were 73.3 % and 93.3 %,respectively.The difference was statistically significant(P < 0.05).8.The recurrence rate of the two groups at 2 months after treatment was 2 cases in the control group and 1 case in the experimental group.The difference was not statistically significant(P > 0.05).Conclusion:Oral Simiaosan combined with skin traction and simple skin traction can effectively improve the clinical symptoms of hip synovitis of damp-heat blocking collaterals,including reducing the anterior cervical space,reducing synovial edema,promoting the absorption of joint effusion,reducing pain and improving hip joint function.However,the clinical efficacy of oral Simiao Powder combined with skin traction is better than that of simple skin traction.