NGHIÊN CỨU MỘT SỐ YẾU TỐ LIÊN QUAN ẢNH HƯỞNG ĐẾN HIỆU QUẢ ĐIỀU TRỊ ĐAU THẦN KINH TỌA DO THOÁI HÓA CỘT SỐNG THẮT LƯNG CỦA SIÊU ÂM TRỊ LIỆU KẾT HỢP THUỐC THẤP KHỚP HOÀN P/H VÀ CHÂM CỨU

Abstract

Objective: Survey of some clinical characteristics of patients with sciatica due to lumbar spine spondylosis. Evaluate some factors related to the treatment results of sciatica due to lumbar spine degeneration by ultrasound therapy combined with “Thap khop hoan P/H” and acupuncture. Methods: A prospective study, clinical intervention, comparison before and after treatment was conducted on 40 patients diagnosed with sciatica due to spinal degeneration according to modern medicine and liver-kidney deficiency combined with wind-cold-dampness at Nghe An Traditional Medicine Hospital. Patients were treated with Thap khop hoan P/H combined with electroacupuncture and ultrasound therapy. Results: The average age of the study subjects was 66.33 ± 12.67 years old, the youngest was 40, the oldest was 94. The proportion of patients ≥ 60 years old accounted for the majority of the study, 62.5%. The proportion of female patients accounted for 65%. The proportion of patients with the disease for more than 6 months was the highest, accounting for 32.5%. Patients who were manual workers accounted for 65%. The main injury of the patients was in the lateral popliteal nerve. Patients mainly had moderate pain according to the VAS scale. The factor noted to have a positive effect on the treatment effect was a short duration of the disease with p<0.05. Conclusion: Patients with the disease are mainly over 60 years old, female, have had the disease for over 6 months, do manual labor, have moderate pain according to VAS scale, and have damage to the lateral popliteal nerve. Short disease duration brings better treatment results than other groups.