章氏推伤药酒离子导入治疗瘀血阻络型儿童急性髋关节滑膜炎的临床疗效观察

章氏推伤药酒离子导入治疗瘀血阻络型儿童急性髋关节滑膜炎的临床疗效观察摘要：

目的：探讨章氏推伤药酒离子导入治疗瘀血阻络型儿童急性髋关节滑膜炎的临床疗效。

方法：选取2019年1月至2020年6月在我院就诊的30例儿童急性髋关节滑膜炎患者，按照随机数字表法将其分为观察组和对照组，每组15例。对照组采用常规治疗，观察组在常规治疗的基础上，加用章氏推伤药酒离子导入治疗。比较两组治疗前后的VAS评分、滑膜厚度、肝肾功能、白细胞计数和CRP水平。

结果：观察组治疗后，VAS评分、滑膜厚度、白细胞计数和CRP水平均较对照组有明显下降，差异有统计学意义（P<0.05）；而肝肾功能无明显变化。

结论：章氏推伤药酒离子导入治疗可有效改善瘀血阻络型儿童急性髋关节滑膜炎的临床疗效，且安全可靠。

关键词：章氏推伤药酒；离子导入；瘀血阻络型；儿童；髋关节滑膜炎

Abstract:

Objective:ToexploretheclinicalefficacyofZHANG'sPainReliefliquorionimporttherapyforchildrenwithacutehipsynovitiscausedbybloodstasis.

Methods:ThirtychildrenwithacutehipsynovitiswhowereadmittedtoourhospitalfromJanuary2019toJune2020wererandomlydividedintoanobservationgroup(15cases)andacontrolgroup(15cases).Thecontrolgroupwastreatedwithconventionaltherapy,andtheobservationgroupwasgivenZHANG'sPainReliefliquorionimporttherapyonthebasisofconventionaltherapy.TheVASscore,synovialthickness,liverandkidneyfunction,whitebloodcellcount,andCRPlevelbeforeandaftertreatmentwerecomparedbetweenthetwogroups.

Results:Aftertreatment,theVASscore,synovialthickness,whitebloodcellcount,andCRPlevelintheobservationgroupdecreasedsignificantlycomparedwiththoseinthecontrolgroup,andthedifferencewasstatisticallysignificant(P<0.05);however,therewasnosignificantdifferenceinliverandkidneyfunctionbetweenthetwogroups.

Conclusion:ZHANG'sPainReliefliquorionimporttherapycaneffectivelyimprovetheclinicalefficacyofchildrenwithacutehipsynovitiscausedbybloodstasis,anditissafeandreliable.

Keywords:ZHANG'sPainReliefliquor;ionimport;bloodstasistype;children;hipsynovitis。Discussion

Acutehipsynovitisisacommonconditioninchildren,especiallythosebetweentheagesof3and10years.Thediagnosisisusuallybasedonclinicalpresentationandimagingstudies,suchasX-rays,ultrasound,orMRI.Theconditionisusuallyself-limiting,andinmostcases,conservativemanagementincludingrest,paincontrol,andphysicaltherapyissufficienttoresolvethesymptoms.However,insomecases,particularlythosecausedbybloodstasis,thesymptomsmaypersist,leadingtodecreasedqualityoflife,andeventhepossibilityoflong-termcomplicationssuchashipjointdegeneration.

TraditionalChineseMedicine(TCM)hasbeenusedtotreatvariousmusculoskeletaldisorders,includingacutehipsynovitis.AccordingtoTCM,acutehipsynovitiscausedbybloodstasiscanbetreatedwithherbsorotherremediesthatpromotebloodcirculationandresolvestasis.ZHANG'sPainReliefliquorisaTCMformulathatcontainsseveralherbswithknownbloodcirculation-promotingandpain-relievingproperties.Theionimporttherapy,whichinvolvestheapplicationoftheliquortotheskin,isbelievedtoenhancetheabsorptionandefficacyoftheherbs.

Inthisstudy,weinvestigatedtheefficacyandsafetyofZHANG'sPainReliefliquorionimporttherapyinchildrenwithacutehipsynovitiscausedbybloodstasis.Ourresultsshowedthatthetreatmentgrouphadasignificantlyhigherrateofsymptomreliefcomparedtothecontrolgroup.Thetreatmentwaswell-tolerated,withnosignificantadverseeffectsreported.

Interestingly,wedidnotobserveanysignificantchangesinliverorkidneyfunctionbetweenthetreatmentandcontrolgroups.Thisisreassuring,assomeherbaltreatmentsandremedieshavebeenassociatedwithliverandkidneytoxicity.However,giventhesmallsamplesizeandshortdurationofourstudy,furtherresearchisneededtoconfirmthesafetyprofileofZHANG'sPainReliefliquorionimporttherapy.

Conclusion

Insummary,ourstudysuggeststhatZHANG'sPainReliefliquorionimporttherapymaybeaneffectiveandsafetreatmentoptionforchildrenwithacutehipsynovitiscausedbybloodstasis.Furtherresearchisneededtodeterminetheoptimaldosageanddurationoftreatment,aswellasthelong-termoutcomesandsafetyprofile.Nonetheless,ourfindingsprovidepreliminarysupportfortheuseofTCMinthemanagementofmusculoskeletaldisordersinchildren。Inadditiontoitspotentialapplicationinthetreatmentofacutehipsynovitis,TCMmayofferalternativetreatmentsforothermusculoskeletaldisordersinchildren.Forexample,acupuncturehasbeenusedtotreatjuvenilerheumatoidarthritis,withpromisingresultsinreducingpainandimprovingfunctionaloutcome(Liuetal.,2017).Herbalmedicineandmassagetherapyhavealsobeenproposedasnon-pharmacologicaltreatmentsforchildrenwithchronicmusculoskeletalpain(Tsaoetal.,2016).

TheintegrationofTCMintoconventionalmedicalpracticecanofferamoreholisticapproachtothemanagementofmusculoskeletaldisordersinchildren.TheuseofTCMmaypotentiallyreducetherelianceonmedications,aswellastheriskofadverseeffectsassociatedwithlong-termuse.However,morerigorousresearchisneededtoestablishthesafetyandefficacyofTCM,andtodevelopstandardprotocolsforitsuseinpediatricpatients.

Overall,ourstudyprovidespreliminaryevidencefortheuseofZHANG'sPainReliefliquorionimporttherapyinthetreatmentofacutehipsynovitiscausedbybloodstasisinchildren.FurtherresearchisneededtoconfirmthesefindingsandtoexplorethepotentialbenefitsofTCMforothermusculoskeletaldisordersinthispopulation。Inadditiontoacutehipsynovitis,TCMhasbeenusedtotreatawiderangeofconditionsinpediatricpatients,suchasrespiratoryinfections,digestiveissues,andneurologicaldisorders.However,thelackofstandardizationandregulationofTCMproductsandpractices,aswellasthelimitedknowledgeandtrainingofhealthcareprovidersinTCM,posesignificantchallengestotheintegrationofTCMintomainstreamhealthcare.

Toaddressthesechallenges,severalinitiativeshavebeenundertakeninrecentyears.Forinstance,theWorldHealthOrganization(WHO)hasdevelopedguidelinesfortheregulationofherbalmedicinesandacupuncture,andhaslaunchedprogramstopromotetheintegrationofTCMintonationalhealthsystems.InChina,TCMeducationandresearchhavebeenfosteredthroughtheestablishmentofspecializedinstitutionsandtheallocationofsignificantfunding.

Moreover,collaborativeeffortsbetweenTCMandWesternmedicinehavebeenincreasinglyrecognizedasapromisingapproachtoimprovepatientoutcomes.Forinstance,studieshaveshownthatthecombinationofacupunctureandanalgesicmedicationcanenhancepainreliefandreducesideeffectsinchildrenwithcancer-relatedpain.Similarly,arandomizedcontrolledtrialhasdemonstratedthatacombinationofTCMandWesternmedicineismoreeffectivethanWesternmedicinealoneinthetreatmentofpediatricnocturnalenuresis.

Despitetheseadvancements,theintegrationofTCMintomainstreamhealthcarestillfacessignificantbarriers,suchasthelackofstandardizedassessmenttoolsandoutcomemeasures,thelimitedevidencebase,andtheculturalandideologicaldifferencesbetweenTCMandWesternmedicine.Addressingthesebarrierswillrequiremultidisciplinarycollaborationsamonghealthcareproviders,researchers,regulators,andpolicymakers,aswellasincreasedpublicawarenessandeducationonthepotentialbenefitsandrisksofTCM.

Inconclusion,TCMoffersacomplementaryapproachtothetreatmentofacutehipsynovitisandothermusculoskeletaldisordersinpediatricpatients.WhilefurtherresearchisneededtoestablishthesafetyandefficacyofTCM,thegrowinginterestandinvestmentinTCMeducation,research,andregulationprovideapromisingoutlookfortheintegrationofTCMintomainstreamhealthcare.Ashealthcareproviders,wehavearesponsibilitytostayinformedandopen-mindedaboutalternativetherapies,andtoworktowardsapatient-centeredandevidence-basedapproachtohealthcare。AnotherareawhereTCMhasdemonstratedpotentialisinthetreatmentofmentalhealthdisorders.TraditionalChinesemedicalpracticesdrawontheconceptofQi,orlifeenergy,whichflowsthroughoutthebodyandcanbeblockedorlackingincertainareas.Psychiatricdisorders,suchasanxietyanddepression,havebeenlinkedtodisruptionsintheflowofQi,andTCMpracticesaimtorestorebalanceandharmonytothebody'senergysystems.

SeveralstudieshavesuggestedthatTCMmaybeahelpfuladjuncttherapyformentalhealthdisorders.Inonestudy,acupuncturewasfoundtobeeffectiveinreducingsymptomsofanxietyanddepressioninpatientswithpost-traumaticstressdisorder(PTSD)(Hollifieldetal.,2007).Anotherstudyfoundthatherbalmedicinewaseffectiveinreducingsymptomsofdepressioninelderlypatients(Liuetal.,2016).Whiletheseresultsarepromising,moreresearchisneededtoestablishthesafetyandefficacyofTCMinthetreatmentofmentalhealthdisorders,andtodeterminehowbesttointegrateTCMpracticesintoconventionalmentalhealthcare.

InadditiontothepotentialbenefitsofTCMforspecifichealthconditions,theoverallphilosophyandapproachoftraditionalChinesemedicinemayoffervaluablelessonsforimprovinghealthcaremorebroadly.Forexample,TCMplacesastrongemphasisonpreventionandholisticwellness,encouragingpatientstotakeanactiveroleinmaintainingtheirownhealththroughlifestylechanges,suchasdietandexercise.ThisapproachalignswithagrowingfocusonpreventativemedicineinWesternhealthcare,andTCMpracticesmayoffervaluableinsightsandtechniquesforpromotinghealthybehaviorsandpreventingdisease.

Furthermore,TCM'sfocusonindividualizedcareandattentiontothewholepersonratherthanjusttheirsymptomsmayalsoofferimportantlessonsforhealthcareproviders.Bytakingamorepatient-centeredapproach,providerscanbetterunderstandthecomplexneedsandconcernsoftheirpatients,andworkcollaborativelywiththemtodeveloppersonalizedtreatmentplansthataddressnotjusttheirphysicalhealth,butalsotheiremotionalandsocialwellbeing.

Overall,whilemoreresearchisneededtofullyunderstandthepotentialbenefitsandlimitationsofTCM,thegrowinginterestandinvestmentinTCMeducation,research,andregulationprovideapromisingoutlookfortheintegrationofTCMintomainstreamhealthcare.Ashealthcareproviders,wehavearesponsibilitytostayinformedaboutalternativetherapieslikeTCM,toapproachthemwithanopenandevidence-basedmindset,andtoworktowardsapatient-centeredapproachtocarethatincorporatesthebestofbothWesternandtraditionalmedicalpractices。DespitethegrowinginterestandinvestmentinTCM,therearestilllimitationsandchallengesthatneedtobeaddressed.OnemajorissueisthelackofstandardizationandregulationofTCMproductsandpractices,whichcanleadtovariabilityinthequalityandsafetyoftreatments.Inaddition,thereisaneedformorerigorousresearchtoestablishtheefficacyandsafetyofTCMtreatmentsandtoidentifypotentialinteractionswithWesternmedications.

Anotherchallengeisthelanguagebarrierandculturaldifferencesintheapproachtohealthandillness.TCMpractitionersmayusedifferentterminologyanddiagnosticmethodsthatcanbeunfamiliartoWesternhealthcareprovidersandpatients.Inaddition,theremaybedifferencesintheperceptionandmanagementofsymptomsanddiseasesbetweenEasternandWesternmedicine,whichcanleadtomisunderstandingsandconflicts.

Despitethesechallenges,theintegrationofTCMintomainstreamhealthcarehasthepotentialtoprovideamoreholisticandpersonalizedapproachtocareforpatients.BycombiningthestrengthsofbothWesternandtraditionalmedicalpractices,healthcareproviderscanofferawiderrangeoftreatmentoptionsandworktowardsamorepatient-centeredapproachtocare.Thiscanhelptoaddressthecomplexandmultifactorialnatureofmanyhealthconditions,particularlychronicanddifficult-to-treatconditions.

Inconclusion,theincreasinginterestandinvestmentinTCMeducation,research,andregulationprovidesapromisingoutlookfortheintegrationofTCMintomainstreamhealthcare.Ashealthcareproviders,wehavearesponsibilitytostayinformedaboutalternativetherapieslikeTCM,toapproachthemwithanopenandevidence-basedmindset,andtoworktowardsapatient-centeredapproachtocarethatincorporatesthebestofbothWesternandtraditionalmedicalpractices.Whiletherearestillchallengesandlimitationstobeaddressed,thepotentialbenefitsofincorporatingTCMintomainstreamhealthcaremakeitanimportantareaforfurtherexplorationanddevelopment。IncorporatingTCMintomainstreamhealthcareisanimportantsteptowardsprovidingpatientswithamoreholisticapproachtocare.Thisentailsnotjustintegratingalternativetherapiesintoexistinghealthcaresystems,butalsodevelopinganunderstandingandappreciationforTCMamongWesternmedicalpractitionersandresearchers.

OneofthechallengesofintegratingTCMintoWesternmedicineisthelackofstandardizedtrainingandcertificationforTCMpractitioners.Inaddition,thereisaneedformorerigorousresearchintotheefficacyandsafetyofTCMpractices.AsTCMbecomesmorewidelyacceptedintheWest,itisimportantthatweestablishmorerigorousstandardsforeducationandpractice,andworktowardsthestandardizationofTCMtreatments.

InordertofullyunderstandthebenefitsofTCM,wemustalsolookbeyondthetraditionalWesternscientificparadigmofevidence-basedmedicine.WhileWesternmedicinefocusesonquantifiableoutcomesandcontrolledstudies,TCMemphasizesthemoresubjectiveexperienceofthepatient.Itisimportanttorecognizethatbothapproachescanhavevalueinpatientcare,andtoworktowardsatrulypatient-centeredmodelofhealthcarethatcanincorporateelementsofboth.

AnotherchallengeistheculturaldividebetweenWesternmedicineandTCM.Westernmedicinetendstoemphasizeamoreindividualisticapproach,whileTCMfocusesmoreontheenvironmentandtheinterconnectednessofdifferentsyste