So sánh sự biến đổi ngưỡng đau giữa nam và nữ trong quá trình phục hồi chức năng cho bệnh nhân nhồi mãu não bằng điện châm

SO SANH sir BIEN odi NGU9NG DAU GIQA NAM VA NUT TRONG QUA TRINH

PHUC Hdl CHilrc NANG CHO BENH NHAN NHdl MAU NAO BANG DIEN CHAM

T6M TAT

So sanh su bien ddi ngudng dau giira hai gidi

binh nhin nhdi mau nao sau dieu tri bing phuang

phip diin cham duge dinh gii dua vao ket qua do

ngudng dau tren may Analgesymeter (Che tao tai

Ugobasile - Italia). Cic ddi tugng benh nhan nhdi

miu nao dugc chia thanh hai nhdm: Nhdm A cd 24

b&nh nhan nam; Nhdm B: cd 22 benh nhan nif. Ket

qua la: ngudng dau trung binh cua nam cd phan cao

han nif la 5,19g/s vi 0,038%. Sukhic biet cd y nghTa

thong ki (p<0.05).

Tdkhda: ngudng dau, nhdi miu nao, dien cham.

SUMMARY

Evaluation of Electric accupuncture was applis to

rehabilitate of analgesia function for 46 hemiplegic

patients caused by cerebral infarction. Pain threshold

were measured by Analgesymeter (Made in

Ugobasile - Italy). The patients were divided into two

groups: Groups A with 24 males, and groups B with

22 females.The results are as follow: Based on

degree of rehabilitation measured by means of pain

threshold: Pain threshold was signigicant declined

87.35% . The difference among male and emale is

statistically significant with P< 0.05.

Keywords: Electric acupuncture, analgesia,

Analgesymeter , ^„ , ,

OATVANOi

NgUdng cam giae dau la cUdngdp kfeh thfeh nhd

nhat cd the gay ra dupe cam giae dau. Cudng dp kfeh

thfeh do ed the do dupc oang nhieu each nhU dimg

kim chSm vao da vdi mot ap lUe nha't dinh (do dupc

ap suat) hoac diing nhiet ta z dpng vao da de do dupe

nhiet dp.

6 Viet Nam va The gidi da ed mpt sd cdng trinh

ciia tac gia cd de cap den su khac biet giOra nam va

nCrdudi anh hudng cua dien cham b nhieu khfa canh

khac nhau: TrUOng Viet Binh nghien eifu cham te

diing thudc hd trp trong phiu thuat phu khoa[1],

Tran PhUdng Dong nghien edXJ anh hudng dien

cnam ket hpp thudc hd trd len ngudng cam giae dau

trong phau thuat benh budu giap lan toa nhilm

(Joc[2], Bili My Hanh-Pham Thj Minh DUc[3], Hoang

Khanh Hang[4], Lund I va Lundeberg T.[6] nghien

ciru ngudng dau d ngUdi trudng thanh binh

thudng...NhUng ehua cd cong trinh nao nghien cifu

ve ngudng dau giCfa nam va nOr trong phuc hdi chife

ndng cho benh nhan nhdi mau nao bang phUdng

phap dien cham theo Y hpe ed truyen.

Chi'nh vi vay, mue tieu cua chung toi la: so sanh

SLf bien ddi ngUdng dau giOfa nam va nOr trong qua

trinh phuc hdi chile nang eho benh nhan di chimg

nhoi mau nao bang phuong ph-p dien cham.

Vl/ONG TH! KIM CHI

001 TUONG vA PHUONG PHA P NGHIEN CLfU.

*Ddi tupng nghien ciiru: Gdm 46 benh nhan da

dupc chan doan nhdi mau nao (Theo tieu chuan chan

doan eua TCYTTG nam 1992). Cae benh nhan nay

da dupe dieu trj giai doan cap bang eae thudc ndi

khoa tai Benh vien Trung Udng Quan dpi 108, tiep tue

dieu trj di chimg liet nifa ngudi bang phUdng phap

dien cham. Cac benh nhan bj nhdi mau nao trong hai

tuan dau eiia benh (dupe tfnh tU thdi gian khdi benh

de'n khi ap dung dieu trj theo phUdng phap nghien

cUu nay), cac benh nhan nhdi mau nao eo kem rdi

loan cam giae d eae mife dp theo de xuat eiia cae tae

gia Hoang Bao Chau, Nguyen Tai Thu(Theo[2]).

2. PhUdng phap nghien ciiru: Nghien cifu thep

mo hinh thif nghiem lam sang ngiu nhien eo ddi

chifng.

So sanh trudc va sau dieu trj, so sanh giUa hai

nhom.

2.1.Chia nhdm nghien cdu:

Gdm 46 ddi tupng benh nhan j j di chimg nhdi

mau nao, dupe nhan vao dieu trj tai Benf vien Trung

UPng Quan ddi 108 (nhU phan tuyen clij.i benh

nhan). 46 ddi tupng dupe chia thanh hai nhom: Nhdm

A CO 24 ber.h nhan nam; Nhdm B: eo 22 benh nhan

nOr. Ca hai nhdm deu dupc dieu trj bang phUdng phap

dieu trj bang phUdng phap dien cham.

2 2 Phuang phip ^gn chim:

Theo Nguyin Tai Thu trong dieu trj di chifng liet 1/2

ngUii do nhdi mau nao can phai kich thich dien cham.

- Kieh thich bing may dien cham: Cudng dd dong

dien, tan sd, thdi gian: tiiy theo phUdng phap bd (ta).

kich thich tuy theo nguOng benh nhan chju duhg dupc (Theo

[5]). Gdm hai kenh: Kenh ta (Ddi vdi the thuc), kenh bd

(Ddi vdi the HU).

- Chgn tu the benh nhan: nam ngifa la mpt tu the

thoai mai va tu nhien eho ngUdi benh bj liet nifa nguPi

va d l cham eae huyet b dau, mat, tay, chan.

*Phac do dieu tn: Liet d tay cham mpt sd huyet

nhu Kien ngung, Ty nhu, Thu tam ly, Khue tri, Hdp

cdc. Liet d chan nhu Tiic tam ly, Hoan khieu, Phong

thj, DUdng lang tuyen (Ben liet).

*Quy trinh dieu trj: Thdi gian mdt lan cham theo

bd phap la 25 phut, ta phap la 15 phiit. Mdi ngay cham

01 lan (Sang hoac chieu). Mot lieu trinh 20 ngay.

3. PhUdng tien nghien ciiru:

2.3.1.Miy do cam giic dau: Nguyen tac hoat

dpng eua may Cho mot life tac dpng tang dan theo ty

le hang djnh, life nay .ae dong lien tue len "con chay"

di dpng theo mot thudc thing gan vdi mot true hinh

ndn dau nhpn hudng xudng dudi. De xae dinh ngudng

cam giae dau, ngudi thao tac an ban dap "dong￾Y HOC THUC HANH (741) - SO 11/2010 123