TÌNH HÌNH SỬ DỤNG CÁC PHƯƠNG PHÁP ĐIỀU TRỊ Y HỌC CỔ TRUYỀN TRÊN NGƯỜI BỆNH ĐAU THẦN KINH TỌA

Abstract

Objective: To investigate the utilization of traditional medicine methods in the treatment of sciatica patients based on traditional clinical patterns. Subjects and Research Methods: A retrospective cross-sectional observational study was conducted. Data was collected from 1213 medical records of sciatica patients who received inpatient treatment at the Ho Chi Minh City’s Traditional Medicine Hospital in 2022. The study involved the statistical analysis of the utilization rates of traditional medicine methods in the treatment of sciatica according to clinical patterns. Results: Traditional medicine methods that involved medication accounted for a utilization rate of 98.68%. This category included the use of herbal medicine (58.94%), finished pharmaceutical products (85.57%), and external applications (19.79%). There was variation in the prescription methods for herbal medicine among different clinical patterns, including symptoms-analysed-based prescription (42.27%), formula modification (32.59%), and using the complete formula (20.14%). Combining two traditional medicine methods for treatment was seen in 47.53% of cases, while three methods were used in 9.06% of cases. Non-medication methods had a utilization rate of 95.71%. Ten traditional medicine methods were used in the treatment of sciatica at the hospital. These methods included acupuncture (1.73%), electroacupuncture (91.26%), catgut embedding (10.47%), auricular acupuncture (0.08%), acupuncture-point injection (46.66%), moxibustion (0.16%), herbal compress (13.69%), herbal wrapping (6.10%), massage-acupressure (33.97%), and yangsheng (0.08%). On average, patients used two non-medication methods. The most commonly combined methods were electroacupuncture with acupuncture-point injection (46.26%) and electroacupuncture with massage-acupressure (32.94%). A majority of patients (94.56%) used a combination of both medication-based and non-medication-based methods. The treatment results showed that 98.93% of patients experienced symptom reduction, 0.82% showed no change, 0.25% worsened. There was no significant difference among clinical patterns. Conclusion: The most commonly used method among medication-based treatments was finished pharmaceutical products, while among non-medication-based treatments, electroacupuncture was the most frequently used method. Most patients utilized a combination of medication-based and non-medication-based methods, resulting in a high treatment effectiveness with a 98.93% reduction in symptoms.