小针刀疗法治疗顽固性呃逆的疗效观察

详细信息    查看全文 | 推荐本文 |

英文篇名：Observation on therapeutic effect of small needle scalpel therapy on intractable hiccup 作者：周伟 ; 雷华 ; 景福权 ; 周钰 英文作者：ZHOU Wei;LEI Hua;JING Fuquan;ZHOU Yu;Department of Acupuncture and Massage,the First Affiliated Hospital of Xinjiang Medical University; 关键词：小针刀 ; 呃逆 ; 针灸 ; 临床疗效 英文关键词：small needle knife;;hiccup;;acupuncture and moxibustion;;clinical efficacy 中文刊名：XJYY 英文刊名：Journal of Xinjiang Medical University 机构：新疆医科大学第一附属医院针灸推拿科; 出版日期：2019-01-15 出版单位：新疆医科大学学报 年：2019 期：v.42 基金：新疆维吾尔自治区卫生与健康适宜技术推广项目(SYTG-201872) 语种：中文; 页：XJYY201901027 页数：3 CN：01 ISSN：65-1204/R 分类号：126-128

摘要

目的探究小针刀疗法治疗顽固性呃逆的疗效。方法收集2016年4月～2018年3月在新疆医科大学第一附属医院针灸推拿科收治的38例顽固性呃逆患者为研究对象,按就诊的先后顺序随机分为对照组(治疗方法),实验组(治疗方法),每组19例。治疗组患者选取茎突前缘及颈3～5横突后结节为治疗点实施小针刀松解治疗,5d为1疗程,治疗2个疗程;对照组患者取攒竹(双侧)、膻中、天突、中脘、足三里(双侧)、内关(双侧)穴针灸治疗,5d为1疗程,治疗2个疗程,进行疗效评价。结果与对照组(57.89%)比较,治疗组患者(89.48%)有效率升高,差异有统计学意义(P <0.05)。结论小针刀治疗顽固性呃逆安全有效,术后不良反应小,适用于临床治疗。
        Objective To explore the effect of small needle scalpel therapy in the treatment of intractable hiccup.Methods From April 2016 to March 2018,38 patients with intractable hiccup were randomly divided into control group(treatment method)and experimental group(treatment method),19 cases in each group.The patients in the treatment group were treated with small needle scalpel release at the anterior edge of styloid process and the posterior tubercle of cervical 3-5transverse process for two courses with 5days in a course.The patients in the control group were treated with Acupuncture and Moxibustion at Cuanzhu(bilateral),Shanzhong,Tiantuo,Zhongwan,Zusanli(bilateral)and Neiguan(bilateral)points,and for two courses with 5days in a course.The curative effect was evaluated.Results Compared with the control group(57.89%),the effective rate of the treatment group(89.48%)was higher,and the difference was statistically significant(P <0.05).Conclusion Small needle scalpel therapy is safe and effective in the treatment of intractable hiccup with less adverse reaction after operation,which is suitable for clinical treatment.

引文

[1]公维军,朱剑文.小针刀疗法的临床应用[J].上海中医药杂志,2001,471(7):38-39.
    [2]王吉耀.内科学[M].北京:人民卫生出版社,2002:253-268.
    [3]甄世锐,李蕾,韦玲.针刺配合穴位注射治疗中风后呃逆36例[J].中西医结合心脑血管病杂志,2013,11(7):830-831.
    [4]刘杰.针灸联合穴位注射治疗顽固性呃逆疗效观察[J].实用中医药杂志,2016,32(7):698-699.
    [5]陈协辉,吴贤仁.脊舒治疗顽固性呃逆[J].中国新药杂志,2000,9(5):333-335.
    [6]杨延辉,周清毅,赵开祝.电针治疗呃逆的临床研究[J].针灸临床杂志,2004,20(3):30-31.
    [7]李艳,樊水平,胡以明.针药并用治疗颅脑手术后顽固性呃逆40例[J].辽宁中医杂志,2002,29(9):537-538.
    [8]王稼祥.涌泉穴治疗脑占位病变术后呃逆7例[J].中国针灸,2003,23(5):281-284.
    [9]吴金钻.针刺治疗脑梗死后呃逆28例[J].上海针灸杂志,2007,26(6):10-12.
    [10]牛相来,周伟,周钰,等.针灸配合穴位注射规范化治疗顽固性呃逆的临床探讨[J].中国中西医结合急救杂志,2014,21(6):419-422.
    [11]邹劲林,李振东,袁琦文.大承气汤联合针灸治疗对腹部手术后肠道功能恢复的影响[J].中国中西医结合急救杂志,2011,18(2):152-154.
    [12]胡森,王磊,宋琪,等.电针足三里兴奋胆碱能通路对烫伤大鼠胃肠黏膜血流量和肠动力的影响[J].中国中西医结合急救杂志,2009,16(2):79-81.
    [13]杨开强,田斌,周德甫,等.大黄对肾综合征出血热患者胃肠功能保护作用的疗效观察[J].中国中西医结合急救杂志,2001,8(3):177-178.
    [14]林超群,苟祯学.针刺治疗胃癌腹胀1例[J].川北医学院学报,2002,17(2):117-118.
    [15]郭莉娜.针刺治疗呃逆临床观察[J].吉林中医药,2011,31(8):784-786.
    [16]王波,李国安.针刺治疗呃逆的临床探析[J].医学信息,2011,24(2):679-680.
    [17]崔永杰,李志东.指压攒竹穴治疗呃逆[J].河北中医,2011,33(2):173-175.
    [18]林清福.针刺结合耳穴贴压辨证治疗呃逆临床观察[J].中医药导报,2010,16(10):59-60.