Đánh giá tác dụng của phương pháp giác hơi kết hợp điện châm điều trị hội chứng cổ vai cánh tay tại Bệnh viện Đại học Y Hải Phòng năm 2021 – 2023=Evaluation of the effects of the cupping method combined with electroacupuncture in treating cervical scapulohumeral syndrome at Hai Phong Medical University Hospital in 2021

Đánh giá tác dụng của phương pháp giác hơi kết hợp điện châm điều trị hội chứng cổ vai cánh tay tại Bệnh viện Đại học Y Hải Phòng năm 2021 – 2023=Evaluation of the effects of the cupping method combined with electroacupuncture in treating cervical scapulohumeral syndrome at Hai Phong Medical University Hospital in 2021 – 2023

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Tác giả: Thị Song Hương Khúc

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Sức khỏe, 2024

Mô tả vật lý: tr.45

Bộ sưu tập: Metadata

ID: 480781

Thêm vào giỏ

Mục tiêu: 1. Mô tả đặc điểm lâm sàng, cận lâm sàng của bệnh nhân mắc hội chứng cổ vai cánh tay (CVCT) tại Bệnh viện Đại học Y Hải Phòng năm 2021 – 2023. 2. Nhận xét tác dụng điều trị và tác dụng không mong muốn của phương pháp giác hơi kết hợp điện châm đối với nhóm bệnh nhân nghiên cứu. Đối tượng và phương pháp nghiên cứu: 58 bệnh nhân từ 18 tuổi, được chẩn đoán Hội chứng CVCT theo tiêu chuẩn Bộ Y tế (2014), ại Khoa Y học cổ truyền Bệnh viện Đại học Y Hải Phòng, từ 12/2021 đến 11/2023. Phương pháp nghiên cứu mô tả một loạt ca bệnh, so sánh trước – sau điều trị 12 ngày. Kết quả: Phần lớn các BN trong nhóm tuổi ≥ 60 tuổi (53.4%). Tỷ lệ BN nữ giới cao hơn nam giới (72.4% và 27.6%). Có 44.1% bệnh nhân thừa cân, 12.1% béo phì. Trên phim MRI cột sống cổ 94.8% bệnh nhân có hình ảnh giảm đường cong sinh lý, trên 89% bệnh nhân có tổn thương đĩa đệm đa tầng từ vị trí đốt sống cổ 4 đến 7. Sau 12 ngày điều trị bằng phương pháp trên, bệnh nhân có cải thiện tầm vận động cột sống cổ, giảm đau (theo thang điểm VAS), và cải thiện chức năng sinh hoạt hàng ngày (theo thang điểm NPQ) có ý nghĩa thống kê. Một số tác dụng không mong muốn đã được ghi nhận như đỏ da, rát da, liên quan đến mức độ nhiệt và thời gian lưu ống giác. Sau khi điều chỉnh lại thì không còn tác dụng phụ nào xuất hiện. Kết luận: Phương pháp giác hơi kết hợp điện châm là phương pháp điều trị không dùng thuốc đơn giản, dễ áp dụng và có hiệu quả tốt trong điều trị hội chứng CVCT. Kiến nghị nhân viên y tế cần trải qua đào tạo tay nghề và thận trọng trong thực hành giác hơi kết hợp điện châm.Objectives: Description of clinical and subclinical characteristics of patients with cervical scapulohumeral syndrome at Hospital of Hai Phong Medical University in 2021 – 2023, comment on the effects of cupping method combined electroacupuncture in treating cervical scapulohumeral syndrome patients. Subject and methods: 58 patients were diagnosed with cervical scapulohumeral syndrome according to guidelines of Ministry Heath (2014), at the Faculty of Traditional Medicine, Hospital of Hai Phong Medical University, from November 2021 to December 2023. Clinical study, comparing before and after 12 days of treatment. Results: The group of patients over 60 years old accounted for the most (53.4%), females are more than males (72.4% and 27.6%), 44.1% overweight, and 12.1% obesity. There are 94.8% reduced physiology curve and over 89% multilevel disc herniation from C4 to C7 on cervical spine MRI. After 12 days of treatment with the above method, the patient improved cervical spine range of motion, reduced pain (VAS score), and improved daily living functions (NPQ score) statistically significantly. Some unwanted effects have been recorded such as skin redness and burning, related to the level of heat and the duration of the cupping tube. After adjustment, no side effects appeared. Conclusion: The cupping method combined with electroacupuncture is a simple, easy-to-apply, and effective non-drug treatment method that can be applied to treatment of the cervical scapulohumeral syndrome. It is recommended that medical staff undergo skill training and be cautious in practicing cupping combined with electroacupuncture.

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