| Objective To explore the clinical efficacy of Gegen Decoction in treatment of non-traumatic atlanto-axial subluxation of children,and provide the basis for the clinical application of internal treatment of Traditional Chinese Medicine in the further research of the disease.Methods:A total of 60 children with non-traumatic atlantoaxial subluxation who were meet the inclusion criteria and admitted to the orthopedics department of Zhangzhou Traditional Chinese Medicine Hospital from January 2019 to January 2020.They were randomly divided into the control group and the experimental group.The control group was treated with continuous occipito-jaw traction in the supine position,combined with children's psychological care and functional exercise.The experimental group was given Gegen Decoction orally on the basis of the control group.The children's Wong-Baker pain score,cervical spine ROM were recorded and measured before treatment,on 3 day,1 and 2 weeks of treatment.Varianee of Bilateral Lateral Atlanto-Dental Space,and Atlantodental Interva were recorded and measured before treatment,on 1 and 2 weeks of treatment.After 2 weeks of treatment,the effect was evaluated according to the efficacy evaluation criteria.Evaluation and recurrence of children were analyszed three months after the end of treatment.Perform statistical analysis and draw conclusions.Results:1?There was no statistically significant difference in general information such as age,gender,and disease duration between the two groups of children(P>0.05).2?There was no significant difference in Wong-Baker pain score,Varianee of Bilateral Lateral Atlanto-Dental Space,Atlantodental Interval,and cervical spinal motion between the two groups before treatment(P>0.05).3?Wong-Baker pain score:The Wong-Baker pain score in the test group,at 3 days,1week,and 2 weeks of treatment,was significantly lower than that in the control group(P<0.05);comparison within the group: 4 time points in the two groups Wong-Baker pain scores were compared in pairs,and the difference was statistically significant(P<0.05).4?Cervical spinal activity:The Cervical spinal activity in the test group,at 3 days,1week,and 2 weeks of treatment,was significantly higher in the test group than in the control group,the difference was statistically significant(P<0.05);comparison within the group: 4time points in the two groups Cervical spinal activity were compared in pairs,and the difference was statistically significant(P<0.05).5?Varianee of Bilateral Lateral Atlanto-Dental Space:Post-treatment: The Varianee of Bilateral Lateral Atlanto-Dental Space after treatment is lower than that before treatment,the difference was statistically significant(P < 0.05).Comparison between the group: The Varianee of Bilateral Lateral Atlanto-Dental Space in the test group is lower than that the control group,the difference was statistically significant(P<0.05).6?Atlantodental Interval:Post-treatment:TheAtlantodental Interval after treatment is lower than that before treatment,the difference was statistically significant(P < 0.05).Comparison between the group: The Atlantodental Interval after treatment in the two groups.There was no significant difference in the atlantodon interval(P>0.05).7?The total effective rate of clinical effect in the test group was 93.10%,and the total effective rate of the control group was 80.00%.The effect of the experimental group was significantly better than that of the control group,the difference was statistically significant(P<0.05).8?Follow-up 3 months after the end of treatment,no recurrence was seen in the two groups of children,and there was no recurrence of discomfort such as torticollis,neck pain,and restricted mobility.Conclusion:Gegen decoction combined with occipito maxillofacial traction can effectively relieve the pain and improve the clinical symptoms of children with non-traumatic atlantoaxial subluxation,which is better than the treatment of occipito maxillofacial traction alone. |
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