ĐÁNH GIÁ TÁC DỤNG CỦA PHƯƠNG PHÁP KẾT HỢP BÀI TẬP DƯỠNG SINH, ĐIỆN CHÂM VÀ BÀI ĐỘC HOẠT KÝ SINH THANG TRONG ĐIỀU TRỊ THOÁI HÓA KHỚP GỐI

Abstract

Objectives: Evaluation of the effect of the method of combining nourishing exercises, electro-acupuncture and “Doc hoat ky sinh thang” remedy in the treatment of primary knee osteoarthritisand monitor some unwanted effects of the method. Methods: A randomized clinical intervention study, comparing before and after and comparing with the control group on 60 patients with a confirmed diagnosis of knee osteoarthritis, met the selection criteria and did not violate the exclusion criteria for examination and treatment at Me Linh General Hospital, Hanoi from January 2021 to the end of October 2021. The patients were divided into 2 groups: the research group with 30 patients receiving electro-acupuncture + “Doc hoat ky sinh thang” remedy for 15 days and nourishing exercises for 30 days; The control group with 30 patients received electro-acupuncture + antiparasitic activity for 15 days. Study results were evaluated at 4-time points: before treatment (D₀), day 7 (D₇), day 15 (D₁₅), and after treatment (D₃₀). Evaluation scales include: VAS (Visual Analog Scale) pain, knee mobility according to the WOMAC (Western Ontario and McMaster Universities) scale, knee range of motion, and overall effectiveness. Collected data were processed using SPSS 20.0 software. Results: After 30 days of treatment, 56.7% achieved Good, 26.7% achieved Good, 10% Average, and 6.6% were not effective. VAS pain score reduction, before treatment, was 5.24 reduced to only 2.25 points. 100% of patients have only mild pain or no pain. Improve knee range of motion with the following movements: Fold from 121.9 points to 136.18 points; Stretched from 9.14 to 2.43. WOMAC score reduction (including WOMAC pain, stiffness, mobility, and total) after treatment. No undesirable effects were noted during treatment.