Nghiên cứu tác dụng của điện châm trong điều trị hội chứng đau lưng thể phong hàn thấp

NGHIEN curu TAG DUNG CUA DIEN CHAM

^ TRONG DIEU TRI HOI CHUtJG DAU LUNG THE PHONG HAN THAP

TOMTAT.

De danh gia tac dung cua di0n cham trong dieu tri

chung dau lung the phong han thap, nghien ciiu duac

tien hanh tren 52 b^nh nhan tuoi tii 20 din 80 tuoi, ca

nam lin nU. Phuong phap: tien ciiu, thti nghi$m lam

sang theo chieu dgc, ngau nhien, so sanh tardc sau. Ket

qua: Trong 52 bfnh nhan dau lung the phong han thap

dugc dieu tn bang di$n cham cho kit qua: loai A la

80,77%,: loai B la 13,46%: loai C la 5,77%: khdng cd kit

qua lo$l D.

Tu khda: di$n cham, dau lung the phong han thap

SUMMARY

The effect of electric acupuncture in the treatment of

the syndrome of lumbar pain in the fonn of wind-cold-wet

This vertical random study was carried out

prospectively on 52 patients of two genders aged from

20 to 80 year old age in comparing before and after

perfonving. Electric acupuncture showed positive results

in 80% of A class of 52 patients of syndrome of lumbar

pain in"wind, cold, wet"forms:13.46% of B class, 5.77%

of C class and no D class result was showed.

Keywords: of electric acupuncture, lumbar pain

DAT VAN D 6

Dau lung la mpt chCrng benh lay sy dau vung that

lung la chinh, nguyen nhan gay benh va co chd benh

sinh rat phCrc tap, thudng gap tren lam sang d ca nam

lin nu, cac lua tudi khac nhau nhung gap nhieu d

nhCrng ngudi cd tudi. Benh khdng nguy hiem nhung anh

hudng Idn den sinh hoat va ddn nang suat lao ddng.

Theo quan diem cua y hpc hien dai, hpi chung dau

lung do cac nguyen nhan nhu: hep dng sdng, thieu nang

tuan hoan tuy, gai ddi cdt sdng, thoai hoa ddt sdng, gian

day chang, thoat vj dTa dem, trugt ddt sdng, u, lao cpt

sdng, chan thuong, thoai hda khdp... Benh dugc dieu tri

bang cac phuong phap dung thudc, vat ly tri lieu, phlu

thuat...

Theo quan diem cua y hpc cd truyen, dau lung thupc

pham vi chung yeu thdng cd nhidu nguyen nhan gay ra:

than hu (lung la phu cua than, mpi benh cua than deu

lien quan den lung va ngugc lai), do bit npi ngoai nhan,

do ngoai ta trcng dd cd ta khi la phong han thap. Benh

dugc dieu tri bang cac phuong phap dung thudc, xoa

bdp bam huyet, dien cham dgt dugc nhii'ng kit qua kha

tdt nhung viec danh gia kit qua cua phuang phap dien

cham cho tirng nhdm nguyen nhan benh cdn chua dugc

cy the nhu chpn phuc hgp huyet, che dp kich thich

huyet che tirng thl benh. Ol lam rd vin de tren ehung

tdi tiln hanh nghien cCru dilu tri chCrng benh dau lung

thl phong han thap va tiln hanh d l tai nham cac myc

tieu sau:

- Md ta mpt sd d?c dilm lam sang cua hpi chu'ng

dau lung the phong han thap.

- Danh gia tac dgng lam giam dau cua dien cham

trong dieu trj chung dau lung thl phong han thap tren

lam sang trudc va sau dilu tri.

NGUY§N B A QUANG

D 6 I TU'O'NG VA PHU-QNG PHAP NGHIEN CLfU

1. Ddi tugng nghien CLKU :

Gdm 52 benh nhan tir 20 din 80 tudi, ca nam va nii'.

* Tieu chuan chpn:

Chpn benh nhan thupc thl phong han thap ty; Dau

viing that lung, dau tang khi trdi lanh, am thap, reu luoi

day, chat ludi beu, thich an dd ndng am, dai tien nat,

tilu tien trong dai, mach hogt hoac tram hoat^

* Danh gia mu'c do bqnh theo thang diim:

- MCrc dp dau.

- Thu- nghiem Schober.

- ThCr nghiem Neri.

- Do tam van dpng cpt sdng that lung ngu'a -

nghieng - xoay.

- Co cCrng co canh sdng that lun^.

- Danh gia mCre dp hpi chCrng that lung chung theo

cac tieu chuan.

* Tieu chuan loai triK: NhCrng benh nhan cd kem

theo cac benh nhu: dau lung do lao, ung thu, thoat vj

dia dem cd chi dinh phau thuat; Benh nhan bd dd dieu

tri; Benh nhan tu diing them thudc hay cac phuong

phap dilu trj khac.

2. Phuo'ng phap nghien cu'u:

Thilt k l nghien cuu: Tiln cuu, thu' nghiem lam

sang theo chilu dpe, ngau nhien, so sanh trudc sau.

Quy trlnh nghien cu'u:

Benh nhan tdi benh vien dugc kham lam sang ti my,

toan dien, chup Xquang cpt sdng thing nghieng. Dugc

chan doan xac djnh dau lung do phong han thap, dugc

phan ngiu nhien va nhdm dilu tri bang phuong phap

dien cham. Theo doi cac chi sd lam sang va can lam

sang. Cac chi sd dugc danh gia vao cac thdi dilm trudc

sau dieu trj.

Tiln hanh nghien CLPU:

Ap dyng ky thuat dien cham Chpn huyet: theo ly luan

cua y hpc cd truyin va theo tilt doan than kinh.

Cham ta huy^t: Giap tich Li - Si; Trat bien xuyen

Hoan khieu; Uy trung; Duong lang tuyin.

Cham bo huy^t: Than du; Tam am giap.

Ky thuat cham: Cham kim vao huyet dap dugc thuc

hipn nhe nhang, dat "dac khi". Dp dai cua kim tuy theo

dp sau cua tifng huyet dao.

Kich thich huyqt: Su' dung may dipn cham M7:

Ta: Bang dgng xung da hai, F = 10Hz, Cudng dp I =

10 - 50|JA (tuy theo sCre chju dung cua ngudi benh); Bo:

Dang xung Blocking, F = 2Hz, cudng dp I = 10 - 30|iA

(tuy theo sCrc chju dung cua ngudi benh).

Lieu trinh dieu trj 30 phut/ lan, 1 lan/ ngay, dgt dilu

tri 10 ngay.

Cac chi tieu c4n nghien CLFU:

Ve lam sang va v l can lam sang

Tieu chuan danh gia kit qua:

2 diem trudc dilu tri - Z dilm sau dieu trj)/! diem

trudc dilu tri x 100%

Loai A: Kit qua dilu trj tdt, tdng diem sau dilu tri

Y HOC THU^C HANH (667) - SO 7/2009 13