ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA BỆNH NHÂN ĐAU THẦN KINH TỌA TẠI BỆNH VIỆN Y HỌC CỔ TRUYỀN BỘ CÔNG AN

Abstract

Objective: The study aimed to investigate sciatica patients' clinical and paraclinical characteristics at the Department of Internal Medicine IV, Traditional Medicine Hospital, Ministry of Public Security. Subjects and methods: A prospective cross-sectional study was conducted on 170 patients using a convenient sampling method from February 2022 to February 2023. Results: The mean age of participants was 61.53 ± 14.19 years. The female/male ratio is 1.15. The average values before treatment were as follows: VAS score (4.92 ± 1.31), lumbar spine extension (2.72 ± 0.94 cm), Lasègue (56.94 ± 11.33 degrees), limited range of motion in 83.53% of patients, and ODI score (9.79 ± 2.88). Symptoms of traditional medicine include 100% of patients with back pain, 72.94% of patients with insomnia, 52.94% of patients with nocturia, and 54.71% of patients with signs of blood stasis in the tongue. Paraclinical results showed that X-ray images showed bone spurs in 71.18% of cases and joint space narrowing in 31.76%. MRI scans conducted on 67 patients showed disc herniation in 80.60% of cases, of which 53.70% occurred at the L4-L5 level.