王国林+高彦平+邱海彦+王勇+樊培新

【摘 要】目的：探讨三七散外敷配合当归活血合剂口服治疗小儿髋关节滑膜炎的临床疗效。方法：将60例小儿髋关节滑膜炎患者随机分为治疗组和对照组，每组30例。2组患者均适当制动，病情较严重者皮肤牵引，绝对卧床休息。对照组给予常规布洛芬口服，治疗组给予三七散外敷及当归活血合剂口服。观察2组临床疗效。结果：治疗组显效25例，有效2例，无效3例，总有效率为90.00%；对照组显效18例，有效5例，无效7例，总有效率为76.67%。2组比较，差异有统计学意义（P < 0.05）。2组治疗期间均未发现不良反应。结论：三七散外敷配合当归活血合剂口服治疗小儿髋关节滑膜炎疗效确切，值得临床推广应用。

【关键词】 滑膜炎；髋关节；小儿；三七散；当归活血合剂

Observation on the Curative Effect Sanqi San（三七散）Combined with Danggui Huoxue Heji（当归活血合剂）in the Treatment of Pediatric Hip Joint Synovitis

WANG Guo-lin，GAO Yan-ping，QIU Hai-yan，WANG Yong，FAN Pei-xin

【ABSTRACT】Objective：To investigate the clinical effect of Sanqi San（三七散）combined with Danggui

Huoxue Heji（当归活血合剂）in the treatment of pediatric hip joint synovitis.Methods：Sixty cases of children with hip joint synovitis were randomly divided into a treatment group and a control group，30 cases in each.Patients in the two groups were required appropriate braking，skin traction（for more serious ones）and absolute bed rest.The control group was orally given ibuprofen，while the treatment group was treated with Sanqi San combined with Danggui Huoxue Heji，observing their clinical efficacy.Results：In the treatment group，25 cases were markedly effective，2 cases were effective，and 3 cases were invalid，the total effective rate being 90.00%，while in the control group，18 cases were markedly effective，5 cases were effective，and 7 cases were ineffective，the total effective rate being 76.67%.The difference between the two groups was statistically significant（P < 0.05）.No adverse reactions were found in the two groups during the treatment.Conclusion：Sanqi San combined with Danggui Huoxue Heji is effective in the treatment of hip synovitis in children，worthy of clinical application.

【Keywords】 synovitis；hip joint；children；Sanqi San（三七散）；Danggui Huoxue Heji（当归活血合剂）

小儿髋关节滑膜炎又称“髋关节骨缝伤筋”“髋骨吊”“胯骨骨错”等，属中医学“小儿髋关节错缝”范畴[1]，临床较为多见。本病病因不明，发病机理尚不清楚，男女比例约为6∶4，儿童期发病率约3%，复发率约为4%，处理不当可引发小儿股骨头骨骺缺血坏死，影响儿童的生长发育[2]。本病发病迅速，有时病情相对危重，应当引起注意。笔者采用平乐郭氏经验方三七散外敷配合当归活血合剂口服治疗小儿髋关节滑膜炎患者30例，现总结报告如下。

1 临床资料

1.1 一般资料 选取2013年3月至2015年12月在本院诊治的小儿髋关节滑膜炎患者60例，按照随机数字表法分为治疗组和对照组，每组30例。治疗组男23例，女7例；年龄4～11岁，平均（5.6±0.4）岁；病情较重者13例，占43.33%。对照组男21例，女9例；年龄4～12岁，平均（5.8±0.3）岁；病情较重者10例，占33.33%。

2组患者在性别、年龄、病情等方面比较，差异无统计学意义（P > 0.05），具有可比性。……