双侧C3-C5夹脊穴叩刺治疗中风后顽固性呃逆27例
|
摘要
目的观察梅花针叩刺双侧C3-C5夹脊穴治疗中风后顽固性呃逆的临床疗效。方法选取广东省第二中医院针灸康复科住院期间符合研究纳入标准的中风后顽固性呃逆患者54例,按照随机数字表法随机分为对照组及治疗组,每组各27例。对照组采用甲氧氯普胺注射液于一侧臀部深层肌肉肌注治疗,治疗组采用双侧C3-C5夹脊穴循行叩刺治疗,连续治疗7天后观察两组临床疗效差异,并比较两组治疗前、后呃逆症状评分、生活质量评分。结果经治疗后,两组呃逆症状评分均较前有所降低,且治疗组评分降低更明显,差异具有统计学意义(P <0. 05);两组患者在饮食、精神及睡眠方面的评分均较前明显增高,且治疗组各项评分增高程度均显著优于药物组,差异具有统计学意义(P <0. 05);两组临床疗效分布及平均秩次差异提示治疗组临床效果更佳,差异具有统计学意义(P <0. 05)。结论与甲氧氯普胺注射液肌注相比较,双侧C3-C5夹脊穴叩刺治疗中风后顽固性呃逆的临床效果更佳,在呃逆症状及生活质量改善上效果更明显。
Objective: To observe the clinical effect of pyonex tapping of bilateral C3-C5 Jiaji Point in the treatment of intractable hiccup after stroke. Method: 54 patients in the Department of Acupuncture and Moxibustion of the Second Affiliated Hospital of Guangdong with intractable hiccup after stroke who met the criteria included in the study were randomly divided into control group and treatment group with 27 cases in each according to random number table method. The control group was treated with metoclopramide injection into deep muscles of one side of the buttock. The treatment group was treated with bilateral C3-C5 Jiaji point tapping along the line. After 7 consecutive days of treatment,the difference of clinical efficacy between the two groups was observed,and the scores of hiccup symptoms and quality of life before and after treatment were compared between the two groups. Result: After treatment,the scores of hiccup symptoms in the two groups were lower than before,and the scores in the treatment group were significantly lower,with statistical significance( P < 0. 05); the scores of diet,spirit and sleep in the two groups were significantly higher than before,and the scores in the treatment group were significantly higher than those in the drug group,the difference was statistically significant( P < 0. 05). The clinical efficacy distribution and the average rank difference between the two groups suggest that the treatment group has better clinical results,and the difference was statistically significant( P < 0. 05). Conclusion: Compared with intramuscular injection of metoclopramide,the clinical effect of bilateral C3-C5 Jiaji point tapping on intractable hiccup after stroke is better,and the effect is more obvious in improving hiccup symptoms and quality of life.
Objective: To observe the clinical effect of pyonex tapping of bilateral C3-C5 Jiaji Point in the treatment of intractable hiccup after stroke. Method: 54 patients in the Department of Acupuncture and Moxibustion of the Second Affiliated Hospital of Guangdong with intractable hiccup after stroke who met the criteria included in the study were randomly divided into control group and treatment group with 27 cases in each according to random number table method. The control group was treated with metoclopramide injection into deep muscles of one side of the buttock. The treatment group was treated with bilateral C3-C5 Jiaji point tapping along the line. After 7 consecutive days of treatment,the difference of clinical efficacy between the two groups was observed,and the scores of hiccup symptoms and quality of life before and after treatment were compared between the two groups. Result: After treatment,the scores of hiccup symptoms in the two groups were lower than before,and the scores in the treatment group were significantly lower,with statistical significance( P < 0. 05); the scores of diet,spirit and sleep in the two groups were significantly higher than before,and the scores in the treatment group were significantly higher than those in the drug group,the difference was statistically significant( P < 0. 05). The clinical efficacy distribution and the average rank difference between the two groups suggest that the treatment group has better clinical results,and the difference was statistically significant( P < 0. 05). Conclusion: Compared with intramuscular injection of metoclopramide,the clinical effect of bilateral C3-C5 Jiaji point tapping on intractable hiccup after stroke is better,and the effect is more obvious in improving hiccup symptoms and quality of life.
引文
[1]Kim JS.Stroke in Asia:aglobal disaster[J].Stroke,2014,9(7):856-857.
[2]谢银光.中风后顽固性呃逆经平肝固肾降逆法治疗的临床观察[J].光明中医,2017,32(4)532-534.
[3]梁世雄,王浩然,王长月,等.针灸治疗中风后呃逆临床研究概况[J].针灸临床杂志,2016,32(9):96-99.
[4]辛善栋.针刺配合刺络疗法治疗中风后顽固性呃逆23例[J].中西医结合心脑血管杂志,2014,12(9):1055-1056.
[5]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[6]周仲瑛.中医内科学[M].北京:中国中医药出版社,2007:220-226.
[7]中华医学会神经科学会.各类脑血管疾病的诊断要点[J].中华神经科杂志,1996,29(6):379.
[8]郑筱萸.中药新药临床研究指导原则(试行)[S].北京:中国医药科技出版社,2002:54-61.
[9]王家晓,荣震,薛庭新.健脾益气中药对晚期肿瘤脾虚病人生活质量的影响[J].医临床杂志,2004,16(1):33-35.
[10]周灵芳,江毅卿,余玲萍.急性脑卒中继发顽固性呃逆73例原因分析[J].心脑血管病防治,2010,10(4):314-315.
[11]丁维超.头针结合体针治疗中枢性呃逆41例[J].现代中医药,2014,34(5):48-49.
[12]沈雪勇.经络腧穴学[M].北京:中国中医药出版社,2007.
[13]柏树令.系统解剖学[M].6版.北京:北京人民卫生出版社,2005:395.
[14]张鸿.针药联合治疗中风后顽固性呃逆38例疗效观察[J].河北中医,2012,34(7):1041-1042.
[15]刘蓉.针刺颈部夹脊穴治疗顽固性呃逆[J].中国针灸,2011,31(4):370.
[16]庄晟坚,叶佳瑜,方剑乔.方剑乔教授针药结合治疗顽固性膈肌痉挛经验[J].陕西中医学院学报,2015,38(4):25-27.
[17]Seo OW,Kim JH,Lee KS,et al.Kurarinone promotes TRAIL-induced apoptosis by x0007 inhibiting NF-κB-dependent c FLIP expression in He La cells[J].Exp Mol Med,2012,44(11):653-664.
[18]王建福,苗丰盈,岑淑国,等.脑血管病并发呃逆治疗进展[J].河北医学,2008,14(4):485-486.
[19]孙钦然,朱中书,高敏,等,针刺颈夹脊穴合天突穴治疗顽固性呃逆23例[J].江西中医药,2014,45(8):64-65.
[20]陈越峰,茅敏,李运.针刺颈3-5夹脊穴配合氯丙嗪肌肉注射治疗中枢性呢逆40例疗效观察[J].新中医,2009,41(3):89-90.
[2]谢银光.中风后顽固性呃逆经平肝固肾降逆法治疗的临床观察[J].光明中医,2017,32(4)532-534.
[3]梁世雄,王浩然,王长月,等.针灸治疗中风后呃逆临床研究概况[J].针灸临床杂志,2016,32(9):96-99.
[4]辛善栋.针刺配合刺络疗法治疗中风后顽固性呃逆23例[J].中西医结合心脑血管杂志,2014,12(9):1055-1056.
[5]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[6]周仲瑛.中医内科学[M].北京:中国中医药出版社,2007:220-226.
[7]中华医学会神经科学会.各类脑血管疾病的诊断要点[J].中华神经科杂志,1996,29(6):379.
[8]郑筱萸.中药新药临床研究指导原则(试行)[S].北京:中国医药科技出版社,2002:54-61.
[9]王家晓,荣震,薛庭新.健脾益气中药对晚期肿瘤脾虚病人生活质量的影响[J].医临床杂志,2004,16(1):33-35.
[10]周灵芳,江毅卿,余玲萍.急性脑卒中继发顽固性呃逆73例原因分析[J].心脑血管病防治,2010,10(4):314-315.
[11]丁维超.头针结合体针治疗中枢性呃逆41例[J].现代中医药,2014,34(5):48-49.
[12]沈雪勇.经络腧穴学[M].北京:中国中医药出版社,2007.
[13]柏树令.系统解剖学[M].6版.北京:北京人民卫生出版社,2005:395.
[14]张鸿.针药联合治疗中风后顽固性呃逆38例疗效观察[J].河北中医,2012,34(7):1041-1042.
[15]刘蓉.针刺颈部夹脊穴治疗顽固性呃逆[J].中国针灸,2011,31(4):370.
[16]庄晟坚,叶佳瑜,方剑乔.方剑乔教授针药结合治疗顽固性膈肌痉挛经验[J].陕西中医学院学报,2015,38(4):25-27.
[17]Seo OW,Kim JH,Lee KS,et al.Kurarinone promotes TRAIL-induced apoptosis by x0007 inhibiting NF-κB-dependent c FLIP expression in He La cells[J].Exp Mol Med,2012,44(11):653-664.
[18]王建福,苗丰盈,岑淑国,等.脑血管病并发呃逆治疗进展[J].河北医学,2008,14(4):485-486.
[19]孙钦然,朱中书,高敏,等,针刺颈夹脊穴合天突穴治疗顽固性呃逆23例[J].江西中医药,2014,45(8):64-65.
[20]陈越峰,茅敏,李运.针刺颈3-5夹脊穴配合氯丙嗪肌肉注射治疗中枢性呢逆40例疗效观察[J].新中医,2009,41(3):89-90.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |