대한한방소아과학회지 (The Journal of Pediatrics of Korean Medicine)

  • 제32권1호
  • /
  • Pages.30-43
  • /
  • 2018
  • /
  • 1226-8038(pISSN)
  • /
  • 2287-9463(eISSN)
대한한방소아과학회 (The Association of Korean Oriental Pediatrics)
권호 표지
DOI QR코드

DOI QR Code

소아 골절의 한약 치료에 대한 최신 중의학 임상 연구 동향 -대조군 연구 논문을 중심으로-

Review of Clinical Research on Effect of Traditional Chinese Herb Medicine for Pediatric Fracture

  • 김상민 (경희대학교 대학원 소아과학교실) ;
  • 이진용 (경희대학교 대학원 소아과학교실) ;
  • 이선행 (경희대학교 대학원 소아과학교실)
  • Kim, Sang Min (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Lee, Jin Yong (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Lee, Sun Haeng (Department of Korean Pediatrics, Graduate School, Kyung Hee University)
  • 투고 : 2018.01.19
  • 심사 : 2018.02.05
  • 발행 : 2018.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives The purpose of this study is to analyze the clinical research literature of TCM (traditional Chinese medicine) which is applicable to pediatric fracture and to broaden the field about clinical application of Korean medicine treatment for pediatric fracture. Methods We searched randomized controlled trials about TCM treatment of pediatric fracture from the CNKI (China National Knowledge Infrastructure) January 2013 to December 2017. We searched the literature and analyzed the treatment methods and the results. Results 31 papers were selected from 63 studies. In most studies, the total effective rate of the treatment group was significantly higher than that of the control group, and the bone healing time of the treatment group was significantly lower than that of the control group. Methods of herb treatment include internal medicine (IM), fumigation (FG) and external application (EA). The most commonly used herb medicine were Angelicae Gigantis Radix (當歸), Carthami Flos (紅花), Drynaria Fortunei (骨碎補), Paeonia Lactiflora Pallas (芍藥), Persicae Semen (桃仁), Lycopodii Herba (伸筋草), Ligusticum Chuanxiong Hort (川芎), Olibanum (乳香), Salviae Miltiorrhizae Radix (丹蔘), and Panax Noto Ginseng (三七). Conclusions The use of herb medicine in pediatric fractures has resulted in faster and more effective restoration of fracture union than the Western medical therapy alone. Based on the results of this study, it is possible to widen the scope of Korean medicine if additional clinical studies on pediatric fracture were conducted.

키워드

참고문헌

  1. Orthopaedic Society of Korea. Orthopaedics. 7th ed. Seoul: Choisinuihaksa. 2013:1539-47.
  2. Landin LA. Fracture patterns in children: analysis of 8,682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950-1979. Acta Orthop Scand Suppl. 1983;202:1-109.
  3. Jonsson B, Bengner U, Redlund-Johnell I, Johnell O. Forearm fractures in Malmö, Sweden: changes in the incidence occurring during the 1950s, 1980s and 1990s. Acta Orthop Scand. 1999;70(2):129-32. https://doi.org/10.3109/17453679909011249
  4. Jones IE, Williams SM, Dow N, Goulding A. How many children remain fracture-free during growth? a longitudinal study of children and adolescents participating in the Dunedin multidisciplinary health and development study. Osteoporos Int. 2002;13(12):990-5. https://doi.org/10.1007/s001980200137
  5. Khosla S, Melton LJ III, Dekutoski MB, Achenbach SJ, Oberg AL, Riggs BL. Incidence of childhood distal forearm fractures over 30 years: a population-based study. JAMA. 2003;290(11):1479-85. https://doi.org/10.1001/jama.290.11.1479
  6. Kwon YW, Lee SH, Kim HW, Hwang JH. The pattern of occurrence of fractures in children and adolescents and its managements based on the database of the health insurance review and assessment service. J Korean Fract Soc. 2014;27(4):308-14. https://doi.org/10.12671/jkfs.2014.27.4.308
  7. Ann HS, Shin HY. Hongchangui Pediatrics. Seoul: Mirae N. 2016.
  8. Seo CH. Clinical study of maxillofacial injuries in children with report of 3 cases. Dongguk J Med. 1997;4(1):82-9.
  9. Baek H, Chang GT, Kim JH. A clinical study on pediatric patients with fracture that visited oriental medicine center. J Pediatr Korean Med. 2004;18(1):1-9.
  10. Li CP. A new medical trend in China. Am J Chin Med. 1975;3(3):213-21. https://doi.org/10.1142/S0192415X75000232
  11. Wang HM, Zhang DH. Clinical observation of Chinese medicine external application with gauze for limb swelling due to fracture in children: a study of 154 cases. J New Chin Med. 2017;49(4):72-4.
  12. Ding ZY. Clinical study on TCM orthopedics in treatment of closed pilon fracture in children. ACTA Chin Med. 2017;32(9):1799-801.
  13. Zhao B. Effects of fumigation-washing therapy with traditional Chinese medicine combined with minimally invasive fixation on inflammatory status and serum bone metabolism in children with tibial fibula fracture. Mod J Integr Tradit Chin West Med. 2017;26(22):2418-21.
  14. Lu GF, Ma FY, Liu JB, Wang DJ, Zhu HF, Gao YL, Liu GX. Clinical observation on treatment of children Galeazzi fracture with external fixation combined with internal and external TCM therapy. J Pract Gynecol Endocrinol. 2017;4(15):43-4.
  15. Zhu SH, Xu XY, Fang YK. Observation of Chinese medicine manipulation combined with Chinese medicine fumigation on elbow function recovery after operation in children with supracondylar fracture of humerus. J New Chin Med. 2017;49(2):75-7.
  16. Li XF. The clinical effect of Chinese manipulative reduction combined with traditional Chinese medicine in the treatment of humeral supracondylar fracture in children. Chin Community Doc. 2016;32(22):131-2.
  17. Luo W. Clinical observation on treatment of supracondylar humeral fracture in children with integrated traditional Chinese and western medicine. J Pract Tradit Chin Med. 2016;32(5):467.
  18. Yan W, Liu Y, Sun F. Magnet therapy combined with external application of Chinese medicine pack on supracondylar fracture of humerus in children after internal fixation in 18 cases. China Pharmaceuticals. 2016;25(16):95-7.
  19. Wei HQ. Observation of clinical effects about Huayutongluo lotion fumigation-washing to the function recovery of elbow joint after operation on supracondyle fracture of the humerus in children. Fujian Univ Tradit Chin Med. 2016:1-26.
  20. Wu QY, Wu F. Clinical observation on 41 cases of infantile capillary bronchitis treated with integrated traditional Chinese and western medicine. J Pediatr Tradit Chin Med. 2016;12(2):40-5.
  21. Yu HM, Sun YJ. Clinical study on external fixation by small splint and sequential stages of Chinese medicine treatment on distal epiphyseal fracture of radius of children. J Liaonin Univ Tradit Chin Med. 2016;18(3):148-50.
  22. Zhou YL, Chen H, Luo JJ. Therapeutic effect of Dangguihuoxue mixture combined with western medicine in treatment of supracondylar humeral fracture in children. Pract Clin J Integr Tradit Chin West Med. 2015;15(10):39-40.
  23. Li ZH, Xie YH, Peng XW, Tang Y. Randomized parallel group study of Chinese herbal fumigation treatment method combined with bone forearm fractures in children. J Pract Tradit Chin Int Med. 2015;29(2):134-6.
  24. Li Y, Cao YJ, Lian HJ. The clinical observation of herbal fumigating on the rehabilitation of children with humeral condyle fracture in children. Clin J Tradit Chin Med. 2015;27(12):1732-3.
  25. Huang HS, Hu YH, Zhao JX. Clinical observation of surgical elastic nail technique combined with Bushenhuoxue decoction in the treatment of Monteggia fracture surgery in children. Chin Med Mod Dist Educ China. 2015;13(23):47-8.
  26. Chen Q. The clinical effect analysis of herbal fumigation and manual therapy for children humerus fracture surgery on the elbow functional recovery. Chin Community Doc. 2015;31(15):85-6.
  27. Yuan GB, Song ZH, Han DW. Clinical observation on treating 73 cases of pediatric supracondylar fractures in the integrative medicine. Clin J Chin Med. 2015;7(4):83-4.
  28. Lim BR. Treatment of 23 cases of supracondylar fracture of humerus by reduction and cooperation with traditional Chinese medicine. Chin J Ethnomed Ethnopharm. 2014;24:69.
  29. Ha W. Clinical analysis of reduction of humeral supracondylar fractures in children with manual reduction and traditional Chinese medicine. Shenzhen J Integr Tradit Chin West Med. 2014;24(9):56-7.
  30. Xu JF, Zhang B. Fumigated Chinese herb medicine with external applying in trauma bone for treatment of pediatric fracture. Health for all. 2014;8(24):48.
  31. Wu DH. Clinic observation of Taohongsiwu decoction assistment in the treatment of 42 cases after supracondylar fracture of humerus in children. J Pediatr Tradit Chin Med. 2014;10(5):28-30.
  32. Yuan GW, Wu SZ, Zhu CX, Zhang JY. Efficacy observation of traditional Chinese medicine fumigation washing after manipulative reduction combined with limited internal fixation in treatment of humeral supracondylar fractures II and III (Gartland typing) in children. China Med Pharm. 2014;4(11):86-8.
  33. Hu B. Effect evaluation on treating supracondylar fracture of humerus in children by manual reduction and splint fixation plus TCM medicine. Clin J Chin Med. 2014;6(13):93-5.
  34. Wei DY. Manipulative reduction and external application of traditional Chinese medicine combined with external splints for the treatment of forearm fractures in children. Chin J Trauma Disabil Med. 2014;22(8):35.
  35. Gong HT, Wang CX. Treatment of 64 cases of supracondylar fracture of humerus by integrative Chinese and western medicine. Guangming J Chin Med. 2014;29(4):795-6.
  36. Xu HH. Therapeutic effect of combined Chinese herbal fumigation and washing therapy on functional recovery of elbow joint in children with supracondylar fracture of humerus. J Med Forum. 2014;35(2):130-1.
  37. Liu XW. Reduction with traditional Chinese medicine treatment of children with forearm fracture cases. Shenzhen J Integr Tradit Chin West Med. 2014;24(1):68-9.
  38. Liu LZ, Chen YP. Observation on the efficacy of external application of traditional Chinese medicine gauze in treating pediatric limbs fracture. Guangming J Chin Med. 2014;29(1):86-7.
  39. Wang XG. Clinical analysis of the treatment of supracondylar humeral fracture in children by applying the method of traditional Chinese medicine. Mod Diagn Treat. 2013;24(14):3185.
  40. Xu JG. Clinical analysis of reduction and cooperation of traditional Chinese medicine in the treatment of supracondylar fractures in children. Tradit Chin Med. 2013;9:276-7.
  41. Ma HJ. Clinical observation of percutaneous K-wire cross fixation combined with traditional Chinese medicine in the treatment of supracondylar femoral fracture in children. Lishizhen Med Mater Med Res. 2013;24(2):495-6.
  42. Society of Oriental Rehabilitation Medicine. Hanbangjaehwaleuihak. Seoul: Koonja Publishing Co. 2012.
  43. Kim SS, Kim HJ, Kim HH, Seok SY, Jung SY. The changes in patient pattern for pediatric supracondylar and lateral condylar humeral fractures. J Korean Orthop Assoc. 2015;50(2):132-6. https://doi.org/10.4055/jkoa.2015.50.2.132
  44. Kim JR, Song KH. Factors influencing premature physeal closure following physeal injury of the ankle in children. J Korean Orthop Assoc. 2008;43(6):672-6. https://doi.org/10.4055/jkoa.2008.43.6.672
  45. Yim CB, Kim YJ, Oh MS. The oriental and western medical study of fracture. J Daejeon Univ Korean Med. 2007;16(1):157-66.
  46. Cai XY. Therapeutic effect of reduction and external application of traditional Chinese medicine on supracondylar fracture of humerus in children. Asia Pac Tradit Med. 2016;12(17):112-3.
  47. Huang H. Fixation of 40 cases of supracondylar fractures of humerus in children treated with internal fixation of TCM and plywood. Hunan J Tradit Chin Med. 2013;29(6):55-6.
  48. Guo QG. Clinical observation on treatment of 128 cases of children femoral shaft fractures with integrated Chinese and western medicine. Chin J Trauma Disabil Med. 2014;22(4):97-8.
  49. Wang Z. Treatment of 30 cases of pediatric supracondylar fractures of humerus by external manipulation and splints by manipulative methods. Med Pharm Yunnan. 2012;33(6):40-1.