Đánh giá kết quả điều trị đau thắt lưng do thoái hóa cột sống bằng bài thuốc “thái bình hv” kết hợp điện châm=Assessing the effect of the “Thai Binh hv” remedy combine with galvanopuncture in the treatment of low back pain with degenerative spine

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hồng Phong Phạm, Đức Hữu Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.37-45

Bộ sưu tập: Báo, Tạp chí

ID: 477677

Thêm vào giỏ

Đánh giá tác dụng giảm đau và cải thiện vận động của bài thuốc “Thái bình HV” kết hợp điện châm trên bệnh nhân đau thắt lưng do thoái hóa cột sống thắt lưng. Theo dõi tác dụng không mong muốn của phương pháp. Đối tượng và phương pháp nghiên cứu: Thử nghiệm lâm sàng trên 60 bệnh nhân được chẩn đoán xác định đau thắt lưng do thoái hóa cột sống theo Y học hiện đại và Yêu thống thể phong hàn thấp kiêm can thận hư theo Y học cổ truyền, chia ngẫu nhiên thành 2 nhóm. Nhóm đối chứng (n=30) điều trị bằng điện châm kết hợp phác đồ nền gồm Meloxicam 7,5mg x 02 viên/ngày x 05 ngày, Myonal 50mg x 03 viên/ngày x 05 ngày. Nhóm nghiên cứu (n=30) điều trị bằng điện châm kết hợp uống 300ml nước sắc “Thái Bình HV” chia 2 lần/ngày. Liệu trình 21 ngày, so sánh kết quả trước - sau điều trị và so sánh với nhóm đối chứng. Kết quả: Bệnh nhân có tuổi trung bình là 64,92±12,25, tỷ lệ nam nhiều hơn nữ (58,3% so với 41,7%). Kết quả cho thấy ở cả hai nhóm đều giảm chỉ số điểm đau VAS, cải thiện tầm vận động cúi, ngửa, nghiêng, cải thiện độ giãn cột sống thắt lưng, cải thiện chức năng cột sống theo thang điểm ODI, kết quả điều trị chung sau 7 -14 - 21 ngày điều trị, trong đó sự thay đổi ở nhóm nghiên cứu là rõ rệt hơn với 86,7% bệnh nhân đạt kết quả tốt, 13,3% đạt kết quả khá. Sự khác biệt giữa có ý nghĩa thống kê với p<
0,05. Không ghi nhận bất kỳ tác dụng phụ nào của phương pháp trong suốt quá trình điều trị. Kết luận: Tác dụng của bài thuốc “Thái Bình HV” kết hợp điện châm: hiệu quả giảm đau, cải thiện tầm vận động, độ giãn, chức năng cột sống thắt lưng rõ rệt hơn nhóm đối chứng với p<
0,05. Theo dõi tác dụng không mong muốn: Nghiên cứu không ghi nhận bất kỳ tác dụng không mong muốn nào của phương pháp, là phương pháp an toàn, không có tác dụng phụ.To access the “Thai Binh HV” remedy’s pain relief effect combined with galvanopuncture on clinical and paraclinical. Evaluate some unexpected consequences of therapy. Subject and method: a 21-day course clinical trial on 60 patients with the diagnosis of low back pain due to spondylosis according to modern medicine and Damp-Cold combined with Liver and Kidney deficiency according to TCM, randomly divided into 2 groups. The control group (n=30) was treated with electro-acupuncture combined with the background procedure including Meloxicam 7.5mg x 02 tablets/day x 05 days, Myonal 50mg x 03 tablets/day x 05 days. The study group (n=30) was treated with electro-acupuncture combined with drinking 300ml of “Thai Binh HV” decoction 2 times a day. Compare results before - after treatment and compare with the control group. Result: The average age of patients was 64.92±12.25 years, the proportion of men was higher than that of women (58.3% compared to 41.7%). The results showed that in both groups, there was a decrease in VAS pain index, improved range of motion of bending, supine, tilting, improving lumbar spine stretch, improving spinal function according to ODI scale, the general results after 7-14-21 days of treatment, in which the change in the study group was more pronounced. The difference was statistically significant with p<
0.05. No side effects were noted during the treatment. Conclusion: The method of treating spondylosis induced low back pain with the remedy “Thai Binh HV” combined with electro-acupuncture is a safe method with no side effects. It showed effective in reducing pain, improving range of motion, stretching, and lumbar spine function more significantly than the control group with p<
0.05.

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