阴阳九针配合旋覆代赭汤治疗中风后顽固性呃逆的疗效观察
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摘要
【目的】观察运用阴阳九针之第8针秋风扫叶加第6针针通人和针法配合旋覆代赭汤加减,治疗卒中后呃逆的临床疗效。【方法】将60例患者按照随机数字表法随机分为治疗组和对照组,每组各30例。在中风后常规治疗及对症处理的基础上,治疗组运用阴阳九针之秋风扫叶加针通人和,配合旋覆代赭汤加减治疗;对照组给予巴氯芬片口服治疗。观察2组患者的呃逆频率积分、生活质量积分及临床疗效。【结果】(1)治疗后2组患者呃逆频率积分均有下降(P<0.05),且治疗组呃逆频率积分下降幅度较对照组明显,差异有统计学意义(P<0.05)。(2)治疗后2组患者生活质量积分均有升高(P<0.05),且治疗组升幅较对照组明显,差异有统计学意义(P<0.05)。(3)治疗组总有效率为93.33%,较对照组60.00%高,差异有统计学意义(P<0.05)。【结论】阴阳九针之秋风扫叶加针通人和,配合旋覆代赭汤加减治疗卒中后呃逆,能降低呃逆频率积分,改善患者呃逆症状和生活质量。
Objective To observe the clinical curative effects of Yinyang Nine Acupuncture therapy on the thumb including the eighth needling of Qiufeng Saoye(horizontal insertion of the needle from the bilateral side of the thumb under the nail and then needling toward the base of the thumb)and the sixth needling of Zhentong Renhe(horizontal insertion of the needle from the midpoint of the line of thumb spiral burr center to the thumb phalangeal joint and then needling toward the base of the thumb)combined with Xuanfu Daizhe Decoction on intractable hiccups after stroke. Methods Sixty patients with intractable hiccups after stroke were randomly divided into treatment group and control group,30 cases in each group. The treatment group was treated with Yinyang Nine Acupuncture combined with Xuanfu Daizhe Decoction on the basis of routine treatment and symptomatic treatment,and the control group was treated with Baclofen Tablets orally. The integral of hiccup frequency,the scores of life quality and clinical curative effects were observed. Results(1)After treatment,the integral of hiccup frequency in the two groups was significantly increased(P < 0.05). The increase of the integral of hiccup frequency in the treatment group was more obvious than that in the control group(P < 0.05).(2)There was a significant reduction in the life quality scores in the two groups(P < 0.05). The reduction of life quality score in the treatment group was more obvious than that in the control group(P < 0.05).(3)The total effective rate of the treatment group was 93.33% and that of the control group was 60.00%,the difference being significant(P < 0.05). Conclusion The therapy of Yinyang Nine Acupuncture combined with Xuanfu Daizhe Decoction has effect on decreasing the integral of hiccup frequency, and improving hiccup symptom and life quality of the patients with hiccups after stroke.
Objective To observe the clinical curative effects of Yinyang Nine Acupuncture therapy on the thumb including the eighth needling of Qiufeng Saoye(horizontal insertion of the needle from the bilateral side of the thumb under the nail and then needling toward the base of the thumb)and the sixth needling of Zhentong Renhe(horizontal insertion of the needle from the midpoint of the line of thumb spiral burr center to the thumb phalangeal joint and then needling toward the base of the thumb)combined with Xuanfu Daizhe Decoction on intractable hiccups after stroke. Methods Sixty patients with intractable hiccups after stroke were randomly divided into treatment group and control group,30 cases in each group. The treatment group was treated with Yinyang Nine Acupuncture combined with Xuanfu Daizhe Decoction on the basis of routine treatment and symptomatic treatment,and the control group was treated with Baclofen Tablets orally. The integral of hiccup frequency,the scores of life quality and clinical curative effects were observed. Results(1)After treatment,the integral of hiccup frequency in the two groups was significantly increased(P < 0.05). The increase of the integral of hiccup frequency in the treatment group was more obvious than that in the control group(P < 0.05).(2)There was a significant reduction in the life quality scores in the two groups(P < 0.05). The reduction of life quality score in the treatment group was more obvious than that in the control group(P < 0.05).(3)The total effective rate of the treatment group was 93.33% and that of the control group was 60.00%,the difference being significant(P < 0.05). Conclusion The therapy of Yinyang Nine Acupuncture combined with Xuanfu Daizhe Decoction has effect on decreasing the integral of hiccup frequency, and improving hiccup symptom and life quality of the patients with hiccups after stroke.
引文
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[8]陈志高,伍少敏,方志坚,等.平衡针法联合旋覆代赭汤加减治疗脑卒中后顽固性呃逆的疗效观察[J].中医药导报,2015,21(10):64.
[9]Amirjamshidi A,Abbassioun K,Parsa K.Hiccup and neurosurgeons:a report of 4 rare dorsal medullary compressive pathologies and review of the literature[J].Surgical Neurology,2007,67(4):395.
[10]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.
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[12]陈杰,牛松青,王伟,等.手针疗法的进展[J].吉林医药学院学报,2010,31(3):161.
[2]魏俊杰.脑卒中后呃逆临床研究进展[J].人民军医,2015,58(5):579.
[3]刘泰,何乾超,蔡伦.中风后顽固性呃逆的机制、病因及治疗[J].辽宁中医杂志,2011,38(1):182.
[4]卫生部疾病控制司.中国脑血管病防治指南(节选)[J].中国现代神经疾病杂志,2006,7(3):17.
[5]张伯礼,薛博瑜.中医内科学[M].2版.北京:人民卫生出版社,2012:169-170.
[6]陈宏宾.最新消化系统疾病临床诊断治疗实用技术手册[M].北京:北京科大电子出版社,2004:37-41.
[7]马勤,马星光.阴阳九针疗法初探[J].中国民间疗法,2018,26(3):7.
[8]陈志高,伍少敏,方志坚,等.平衡针法联合旋覆代赭汤加减治疗脑卒中后顽固性呃逆的疗效观察[J].中医药导报,2015,21(10):64.
[9]Amirjamshidi A,Abbassioun K,Parsa K.Hiccup and neurosurgeons:a report of 4 rare dorsal medullary compressive pathologies and review of the literature[J].Surgical Neurology,2007,67(4):395.
[10]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.
[11]陈秋帆.符文彬针刺治疗呃逆经验[J].辽宁中医药大学学报,2007,9(3):91.
[12]陈杰,牛松青,王伟,等.手针疗法的进展[J].吉林医药学院学报,2010,31(3):161.
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