1 GENERAL OBJECTIVE
- Injuries to the cervical spine are common in traffic and work accidents. Depending on the location and extent of the injury, the patient may reduce or lose active movement of the extremities completely, often accompanied by sensory disturbances and disturbances. circular muscle disorder.
According to Traditional Chinese Medicine, trauma causes blockage of meridians, stagnation of blood, and paralysis.
2 SMALL INDICATIONS
- Spinal trauma after the acute stage without surgical indication.
After spine surgery, patients have indications for functional rehabilitation.
3 CONTRAINDICATIONS
- patients in the acute phase, spinal shock
- Patients with surgical indications.
4 PREPARATION
4.1. Executor: Doctors and medical practitioners trained in the specialty of traditional medicine shall be granted practice certificates in accordance with the law on medical examination and treatment.
4.2. Vehicle
- Acupuncture needles are sterile, 5 - 10 cm long, for individual use
– Two-frequency magnifying machine, description.
– Enamel tray, cotton, alcohol 70 degrees, clip with clip.
4.3. Patient
- To be examined and make medical records according to regulations
- The patient's position is prone or lying on the side
5 PROCESSING STEPS
5.1. Diagram of acupoints
– Lie on the upper limb, describe the acupoints
+ Neck armor where cervical vertebrae are injured + Great hammer + Perseverance
+ Extreme purity + Perseverance + Ty Nhu + Khuc Tri
+ Tam Ly + Foreign Quan + Chi sentence + Eight evils
+ Hop cup + Labor bow
– Lower extremities, describe the acupoints
+ Armor L2 – S1 + Displacement + Complete Dance + An Mon
+ Thua Phu + Central Committee + Duong Lang Tuyen + Khai Khe
+ Thai pulse + Earth Five Assembly + stitching + Bat Phong
– circular muscle disorder, acupuncture points
+ Key piece + Dai Long du + Bang du
+ strong field + Guan Yuan + Qi sea
– Acupuncture the acupoints
+ Tam Yin Giao + Trung Do + Blood Sea
+ Yin Liem + Shen Yu + Tu Tam Ly
5.2. Tips
– Step 1 Identify and disinfect the skin of the acupoint
– Step 2 Insert the needle into the acupoint according to the following tenses
– Then 1. The left hand uses the thumb and index finger to press and stretch the skin of the acupoint; The right hand inserts the needle quickly through the skin of the acupoint.
– Then 2. Push the needle slowly to the acupoint, stimulate the needle until it reaches “Dac qi” (the patient has a feeling of tension, ie, moderate weight, no pain in the acupuncture point just inserted, the doctor feels the needle. suck tightly at the acupoint).
– Step 3. Stimulating acupoints by electroacupuncture Connect the pair of wires of the electroacupuncture machine with the needle inserted into the acupoint according to the complementary frequency of the electroacupuncture machine.
– Frequency (set frequency fixed) Description frequency from 5 to 10Hz, Tuning frequency from 1 to 3Hz.
– The intensity gradually increases from 0 to 150 microAmpere (depending on the patient's tolerance level).
+ Time of 20 - 30 minutes for an electrocautery.
– Step 4. Withdraw the needle, disinfect the skin of the acupuncture point just inserted.
5.3. Treatment course
– Electrostimulation once a day
– A course of treatment from 30 to 40 times of electroacupuncture.
6 TRACKING AND TREATMENT OF HAZARDS
6.1. Follow up: Full Status
6.2.Treatment of accidents
– Vocabulary
Symptoms: The patient is dizzy, dizzy, sweating, rapid pulse, pale face.
– Treatment: Turn off the electrocautery, remove the needle immediately, wipe the sweat, keep warm, drink hot sugar tea, rest in place. Day acupressure points Taiyang, Neiguan. Monitor pulse and blood pressure.
– Bleeding when withdrawing the needle: Use sterile dry cotton to press on the spot, do not rub
