TÌNH HÌNH SỬ DỤNG CÁC PHƯƠNG PHÁP ĐIỀU TRỊ Y HỌC CỔ TRUYỀN TRÊN NGƯỜI BỆNH THOÁI HOÁ CỘT SỐNG CỔ

Abstract

Objective: To investigate the utilization of traditional medicine methods in treating cervical spondylosis patients according to traditional medicine clinical patterns. Subjects and Methods: A cross-sectional observational study was conducted. 401 medical records of inpatients was collected  with cervical spondylosis at the Ho Chi Minh City’s Traditional Medicine Hospital in 2022. The study analyzed the utilization rates of traditional medicine methods based on clinical patterns. Results: The majority of patients (99,50%) used medication-based methods, including herbal decoctions (60,85%), finished pharmaceuticals (91,27%). The prescription methods also differed among clinical patterns, with 41,80% involving symptoms-analysed-based prescription, 27,46% formula modification, and 30,74% using the complete formula (the difference was not statistically significant with P>0,05). Non-medication methods were used by 100% of patients. Nine traditional non-medication methods were employed in treating cervical spondylosis, including electroacupuncture (96,76%), acupuncture-point injection (48,38%), catgut embedding (34,41%), herbal wrapping (11,04%), massage-acupressure (8,98%), herbal compress (7,98%), moxibustion (5,99%), acupuncture (2,49%), warm-acupuncture (0,25%). The majority of patients used a combination of medication-based and non-medication-based methods, accounting for 52,37%, combining treatment methods according to clinical patterns had statistically significant differences (P<0,05). The treatment results showed that 96,75% of patients experienced symptom reduction, 3,34% exhibited no change, and a significant difference was observed among clinical patterns (P<0,05). Conclusion: The most frequently utilized methods were finished pharmaceuticals in medication-based approaches and electroacupuncture in non-medication-based methods. The majority of patients were prescribed treatment with the combination of medication-based and non-medication-based methods, resulting in a high treatment effectiveness.