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中药熏洗作为一种补充替代疗法对儿童髋关节发育不良后关节功能恢复的影响:系统评价和荟萃分析方案。

The effect of traditional Chinese medicine fumigation and washing as a complementary and alternative therapy on the recovery of joint function after development dysplasia of the hip in children: A protocol for systematic review and meta-analysis.

机构信息

Department of Orthopaedics.

Department of Emergency Surgery, Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University), No. 19, Xiuhua Road, Xiuying District, Haikou City 570100, Hainan Province, PR China.

出版信息

Medicine (Baltimore). 2021 Apr 30;100(17):e25686. doi: 10.1097/MD.0000000000025686.

Abstract

BACKGROUND

Development dysplasia of the hip (DDH) is a common childhood orthopedic disease in clinic. The cause of DDH is not yet clear. If DDH is not treated promptly or correctly, it will seriously affect the life quality of the child. At present, surgery is the main means of treating older DDH, but it is easy to appear development dysplasia of the hip after surgery, and the joint movement is limited after surgery. For modern medicine, it has not many treatments to solve this problem. As one of the commonly used treatment methods, but the effect of routine functional exercise is not ideal. Traditional Chinese medicine fumigation and washing belongs to the category of Chinese medicine external treatment, which can directly act on the focus. It has the functions of relaxing muscles and tendons and removing obstruction from meridians, activating blood to eliminate stagnation. It has achieved good effects in relieving joint disorders, but it is lack of the high-quality evidence support, so there is controversy about the clinical application of traditional Chinese medicine fumigation and washing. This study will conduct a systematic review to compare the application effect and safety of traditional Chinese medicine fumigation and washing as a complementary and alternative therapy and traditional rehabilitation training in the treatment of postoperative joint function recovery after development dysplasia of the hip in children. The research results will provide evidence-based medical evidence to support the choice of treatment for the disease.

METHODS

Using computer to retrieve PubMed, ScienceDirect, Web of Science, EMBase, Cochrane Library, WANFANG Database, CNKI, and VIP Database, CBM, and using the method of combining mesh words with item words to retrieve the Chinese and English databases, to retrieve the randomized controlled study on the application of traditional Chinese medicine fumigation and washing on the recovery of joint function after development dysplasia of the hip in children. The retrieval time is from January 1990 to January 2021. Two researchers screen and evaluate the quality of the retrieved literatures according to the inclusion and exclusion criteria. In the event of a disagreement, a third researcher will join the discussion to resolve the disagreement. Using Revman 5.3 software to conduct meta-analysis.

RESULTS

This study will compare the application effect and safety of traditional Chinese medicine fumigation and washing as a complementary and alternative therapy and traditional rehabilitation training in the treatment of postoperative joint function recovery after development dysplasia of the hip in children.

CONCLUSION

The results of this study will be published in an internationally influential academic journal to provide evidence-based medical evidence for the selection of supplement and alternative therapies on the recovery of joint function after development dysplasia of the hip in children.

ETHICS AND DISSEMINATION

This study does not involve specific patients, and all research data comes from publicly available professional literature, so an ethics committee is not required to conduct an ethical review and approval of this study.

OSF REGISTRATION

DOI 10.17605/OSF.IO/RUHK5.

摘要

背景

发育性髋关节发育不良(DDH)是临床常见的儿童矫形科疾病。DDH 的病因尚不清楚。如果 DDH 不能及时或正确地治疗,会严重影响儿童的生活质量。目前,手术是治疗大龄 DDH 的主要手段,但术后容易出现髋关节发育不良,关节活动受限。对于现代医学来说,解决这个问题的方法并不多。中药熏洗作为常用的治疗方法之一,但常规功能锻炼的效果并不理想。中医熏洗属于中医外治法范畴,可直接作用于病灶,具有舒筋活络、通络止痛的作用。在缓解关节障碍方面取得了良好的效果,但缺乏高质量的证据支持,因此中医熏洗的临床应用存在争议。本研究将进行系统评价,比较中药熏洗作为一种补充和替代疗法与传统康复训练在儿童发育性髋关节发育不良术后关节功能恢复中的应用效果和安全性。研究结果将为该疾病的治疗选择提供循证医学证据。

方法

计算机检索 PubMed、ScienceDirect、Web of Science、EMBase、Cochrane Library、万方数据库、中国知网、维普数据库、中国生物医学文献数据库,采用主题词与自由词相结合的方法检索中英文数据库,检索时间为 1990 年 1 月至 2021 年 1 月。由两名研究人员根据纳入和排除标准筛选和评价检索文献的质量。在意见不一致的情况下,第三名研究人员将加入讨论以解决分歧。使用 RevMan 5.3 软件进行荟萃分析。

结果

本研究将比较中药熏洗作为一种补充和替代疗法与传统康复训练在儿童发育性髋关节发育不良术后关节功能恢复中的应用效果和安全性。

结论

本研究结果将发表在国际有影响力的学术期刊上,为儿童发育性髋关节发育不良术后关节功能恢复选择补充和替代疗法提供循证医学证据。

伦理与传播

本研究不涉及具体患者,所有研究数据均来自公开可用的专业文献,因此不需要伦理委员会对本研究进行伦理审查和批准。

OSF 注册:DOI 10.17605/OSF.IO/RUHK5.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/8084091/4cc379a56a8d/medi-100-e25686-g001.jpg

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