Đánh giá hiệu quả cải thiện hội chứng rễ thần kinh của phác đồ thuốc thang, điện châm, kéo giãn cột sống trên bệnh nhân có hội chứng chèn ép rễ thần kinh điều trị nội trú tại Bệnh viện Y học cổ truyền Cần Thơ=Evaluating the effectiveness of improving nerve root syndrome of the regimen decoction, acupuncture, spinal manipulation above patients with lumbar nerve root compression syndrome treatment residency at Can Tho traditional medicine hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Minh Hoàng Lê, Thị Bích Tiên Nguyễn, Văn Bộ Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y dược học Cần Thơ, 2024

Mô tả vật lý: tr.68-75

Bộ sưu tập: Metadata

ID: 245117

Thêm vào giỏ

Đau và các triệu chứng trong hội chứng rễ thần kinh như tê, giảm cảm giác xuất hiện trong các bệnh lý cơ xương khớp làm ảnh hưởng đến vận động, sinh hoạt và nặng hơn là lại các di chứng nặng nề như: teo cơ, rối loạn tiểu tiện, tàn phế suốt đời,... trở thành gánh nặng cho cá nhân và xã hội. "Hoàng kỳ quế chi ngũ vật thang" là một bài thuốc cổ phương của nền y học phương Đông được đánh giá có tác dụng giảm đau, cải thiện hội chứng rễ thần kinh hiệu quả đối với những bệnh lý này. Mục tiêu nghiên cứu: Mô tả một số đặc điểm chung và đánh giá hiệu quả cải thiện hội chứng rễ thần kinh của phác đồ bài thuốc Hoàng kỳ quế chi ngũ vật thang kết hợp Độc hoạt tang ký sinh và điện châm, kéo giãn cột sống trên bệnh nhân có hội chứng chèn ép rễ thần kinh điều trị nội trú tại Bệnh viện Y học cổ truyền Cần Thơ. Đối tượng và phương pháp nghiên cứu: Gồm 44 bệnh nhân được chẩn đoán có hội chứng chèn ép rễ thần kinh được điều trị nội trú tại Bệnh viện Y học cổ truyền thành phố Cần Thơ. Nghiên cứu được thiết kế theo phương pháp nghiên cứu can thiệp lâm sàng không nhóm chứng, đánh giá kết quả trước và sau điều trị. Kết quả: Bệnh nhân 40-49 tuổi chiếm đa số, tỉ lệ nam mắc bệnh cao hơn nữ. Thang điểm VAS giảm từ 7,43 ± 0,818 xuống 2,43 ± 0,846, nghiệm pháp Lasègue, mức độ rối loạn cảm giác, dấu ấn chuông, cải thiện rõ rệt sau 14 ngày điều trị. Kết luận: Phác đồ bài thuốc Hoàng kỳ quế chi ngũ vật thang kết hợp Độc hoạt tang ký sinh, điện châm và kéo nắn cột sống giúp cải thiện hội chứng chèn ép rễ thần kinh trên bệnh nhân thoái hóa cột sống và thoát vị đĩa đệm cột sống thắt lưng.Pain and symptoms of nerve root syndrome such as numbness and decreased sensation in musculoskeletal diseases affect movement and daily life and can leave serious sequelae such as muscle atrophy, urinary disorders, lifelong disability,... are a burden on individuals and society. “Huangqi guizhi wuwu decoction” is a traditional remedy of Oriental medicine that is considered effective in relieving pain and improving lumbar nerve root compression effectively for these diseases. Objectives: To evaluate the effectiveness of improving nerve root syndrome of the medicinal regimen Huangqi guizhi wuwu decoction combined with Duhuo Jisheng and accupuncture and spinal stretching in patients with compression syndrome lumbar nerve root compression for inpatient treatment at Can Tho Traditional Medicine Hospital. Materials and methods: Including 44 patients diagnosed with lumbar nerve root compression syndrome treated inpatient at Can Tho City Traditional Medicine Hospital. Clinical intervention research method without control group, evaluating results before and after treatment. Results: Patients aged 40-49 years accounted for the majority, the proportion of men with the disease was higher than that of women. The VAS score decreased from 7.43 ± 0.818 to 2.43 ± 0.846, Lasègue test, the level of sensory disturbances, and bell imprint improved significantly after 14 days of treatment. Conclusions: The medicinal regimen of Huangqi guizhi wuwu decoction combined with Duhuo Jisheng, accupuncture and spinal manipulation helps improve lumbar nerve root compression syndrome in patients with spine degeneration and disc herniation lumbar.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR