[1]钟如春,刘 霞,卢 欣.理气和胃调神法针刺治疗中风后呃逆疗效研究[J].陕西中医,2019,(9):1288-1290.
　ZHONG Ruchun,LIU Xia,LU Xin..Clinical observation of treatment with Liqi Hewei Tiaoshen acupuncture on poststroke hiccup[J].,2019,(9):1288-1290.
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理气和胃调神法针刺治疗中风后呃逆疗效研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年9期
页码:
1288-1290
栏目:
针灸经络
出版日期:
2019-09-05

文章信息/Info

Title:
Clinical observation of treatment with Liqi Hewei Tiaoshen acupuncture on poststroke hiccup
文章编号:
DOI:10.3969/j.issn.10007369.2019.09.040
作者:
钟如春1; 刘 霞1; 卢 欣2
1.北京中医医院延庆医院（北京 102100）；2.北京香营社区卫生服务中心（北京 102100)
Author(s):
ZHONG Ruchun; LIU Xia; LU Xin.
Yanqing Hospital of Beijing Chinese Medicine Hospital（Beijing 102100）
关键词:
理气; 和胃; 调神; 针刺; 中风后呃逆; 临床观察
Keywords:
Key words Liqi; Hewei; Tiaoshen; Acupuncture; Poststroke hiccup; Clinical observation
分类号:
R255.2
文献标志码:
A
摘要:
摘 要 目的：比较理气和胃调神法针刺治疗与单纯西药治疗中风后呃逆的临床疗效差异。方法：将100例中风后呃逆患者按照随机数字表法分为试验组和对照组各50例,对照组患者给予口服巴氯芬片，口服10 mg/次，3次/d，试验组患者给予理气和胃调神法针刺治疗，疗程均为3 d。于治疗前后采用呃逆症状评分比较两组患者疗效，并分析治疗前后的总有效率、不良反应的发生情况。结果：治疗后试验组及对照组患者呃逆症状评分均较治疗前下降，两组患者在治疗即刻（P=0.001）、30 min（P=0.000）及第1天（P=0.000）的呃逆症状评分差异具有统计学意义，试验组评分均低于对照组。治疗组总有效率为92%，对照组总有效率为76%，两组差异有统计学意义（P=0.006），试验组总有效率高于对照组。结论：理气和胃调神法针刺治疗能够显著降低中风后呃逆患者治疗即刻、30min后及第1天的呃逆症状评分，提高总有效率，较常规西药具有明显优势。
Abstract:
Abstract Objective：To observe clinical therapeutic effect of Liqi Hewei Tiaoshen acupuncture on poststroke hiccup .Methods:100 patients with poststroke hiccups were randomly divided into the experimental group and the control group according to the random number table method.The patients in the control group were treated with baclofen tablets orally 10 mg each time,3 times/d,and the patients in the experimental group were given acupuncture treatment of Liqi Hewei Tiaoshen acupuncture.The course of treatment was 3 days.The curative effect of the two groups was compared before and after treatment,and the total effective rate and adverse reactions before and after treatment were analyzed.Results:After treatment,the scores of hiccup symptoms in the experimental group and the control group were lower than those before treatment.The difference in hiccup symptom scores between the two groups at the immediate（P=0.001）,30minute（P=0.000） and day 1（P=0.000）of treatment was statistically significant.The scores of the experimental group were lower than those of the control group.The total effective rate of the experimental group was 92%,and the control group was 76%.The difference in total effective rate after treatment was statistically significant（P=0.006）,and the total effective rate of the experimental group was higher than that of the control group.Conclusion:The acupuncture treatment of Liqi Hewei Tiaoshen acupuncture can significantly reduce the hiccup symptom scores of patients with poststroke hiccup,immediately and after 30 min and on the first day,and improve the total effective rate,which has obvious advantages over conventional western medicine.

参考文献/References:

[1] 李兰媛,赵 红.针药并用治疗脑卒中后顽固性呃逆32例临床观察[J] .天津中医药,2014,31（4）:220221.
[2] 陈桂珠,周松晶,刘朝晖,等.刺络放血、针刺联合平胃散综合治疗中风后顽固性呃逆疗效观察[J] .世界中西医结合杂志,2018,13(7):969972，976.
[3] 朱心玮,招少枫,何 怀,等.针刺疗法治疗脑卒中后顽固性呃逆的临床观察[J] .中国中医急症,2017,26(1):98100.
[4] 中华医学会脑血管病分会.各类脑血管疾病诊断要点[J] .中华神经科杂志,1996,22（6）:6061.
[5] 中华中医药学会.中医内科常见病诊疗指南[M] .北京：中国中医药出版社,2008.
[6] 国家中医药管理局．中医病症诊断疗效标准［M］．南京:南京大学出版社，1994.
[7] 董为伟.神经系统疾病治疗学[M] .北京：科学出版社,2013.
[8] 孙传兴.临床疾病诊断依据治愈好转标准[M] .第2版.北京:人民军医出版社.1998:319.
[9] 国家中医药管理局.中药新药临床研究指导原则[M] .北京：中国医药科技出版社,2002.
[10] 李文博,许军峰.石学敏调神降逆针刺法治疗中风后呃逆理论探析[J] .湖南中医杂志,2017,33(12):1920.
[11] 汪海飚,罗小军.针刺治疗呃逆疗效的系统评价[J] .中医临床研究,2011,22（17）:5052.
[12] 杨 洁,蔡文栋.针灸治疗脑卒中后顽固性呃逆49例[J] .陕西中医,2015,36(3):359360.
[13] 彭 巧,韩宝杰,王 元.中风后顽固性呃逆针刺论治角度概述[J] .中国疗养医学,2017,26(12):12461248.
[14] 齐宝云.针刺联合穴位贴敷疗法治疗中风后呃逆临床疗效观察[D] .北京：北京中医药大学,2016.
[15] 李文博,许军峰.石学敏调神降逆针刺法治疗中风后呃逆理论探析[J] .湖南中医杂志,2017,33(12):1920.
[16] 姚会艳.单刺内迎香治疗呃逆[J] .中国针灸,2012,32（6）:558.
[17] 张志艳，连学雷．按压攒竹穴治疗中枢性顽固性呃逆28例分析[J] .中医临床研究，2014，29（6）：4042.
[18] 陈桂珠,周松晶,刘朝晖,等.刺络放血、针刺联合平胃散综合治疗中风后顽固性呃逆疗效观察[J] .世界中西医结合杂志,2018,13(7):969972,976.
[19] 郑德松,赵 岩.针刺治疗中风后呃逆临床观察[J] .上海针灸杂志,2016,35(4):419420.
[20] 张树泉,刘 强.中风后呃逆中医治疗进展[J] .中西医结合心脑血管病杂志,2017,15(12):14641467.

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更新日期/Last Update: 2019-09-24