ĐÁNH GIÁ HIỆU QUẢ LÂM SÀNG CỦA PHÁC ĐỒ ĐÔNG DƯỢC, ĐIỆN CHÂM, TẬP VẬN ĐỘNG TRÊN NGƯỜI BỆNH SAU ĐỘT QUỴ DO NHỒI MÁU NÃO TẠI BỆNH VIỆN ĐA KHOA TỈNH ĐỒNG THÁP NĂM 2024-2025

Abstract

Background: Stroke is one of the common diseases caused by many different reasons. The disease can cause rapid death or if the patient survives, there will be many serious sequelae and the cost of treatment is increasing day by day. In Dong Thap provincial General Hospital, about 300 stroke patients admitted for treatment per month and there has been no research on stroke combined with multimodal treatment. Objectives: Evaluate the clinical effectiveness of oriental medicine, electroacupuncture, and exercise on patients after stroke due to cerebral infarction. Materials and methods: Non-controlled clinical intervention study design on 75 patients with post-infarction cerebral infarction with gas and blood stasis, still having motor deficits, who were hospitalized at the Department of Traditional Medicine, Dong Thap General Hospital from July 2024 to March 2025. Using the research protocol and evaluating the results based on the Barthel and Rankin scales after 10 days of treatment. Results: Before treatment, 100% of patients had a poor Barthel score. After treatment, all patients had improved symptoms, 30.67% were classified as good, 38.67% were classified as fair, and 24.0% were classified as average. The average Barthel score before treatment was 26.6+10.72, after treatment was 70.73+18.15, increasing to 44.13±7.43 (p<0.001). Before treatment, 100% of patients had levels 4 and 5 according to Rankin, after treatment, the rate of levels 3 or lower reached 93.34% % (p<0.001). Conclusions: The study protocol helps improve the patients' motor function and daily living ability.