卒中后顽固性呃逆的中医药治疗进展
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摘要
通过计算机检索筛选近5年中医药治疗卒中后顽固性呃逆的临床文献,整理及归纳其研究成果以反映这一研究的新进展水平。研究发现中医药治疗卒中后顽固性呃逆具有起效快、疗效好、不良反应少等优点,尤其以针刺疗法应用最广。从中药、针刺、中医综合治疗3个方面对其中医治疗方法的研究进展进行综述,简要阐述各种疗法的应用及疗效,为今后临床治疗卒中后顽固性呃逆提供参考。鉴于当前研究存在诸多不足,期待今后完善中医对卒中后顽固性呃逆的机制研究,并确定统一的辨证分型体系,从而更科学系统地指导临床治疗。
By computer retrieval and screening,clinical literature on traditional Chinese medicine treatment of post-stroke intractable hiccups in the recent 5 years were sorted out and summarized, to demonstrate the research progress in this field. The results showed that the treatment of intractable hiccups after stroke by traditional Chinese medicine had the advantages of quick onset, good efficacy and few side effects,and acupuncture therapy was most widely used in particular. This paper reviews the research progress of traditional Chinese medicine treatment therapies from three aspects: Chinese materia medica, acupuncture and comprehensive treatment of traditional Chinese medicine, and briefly describes the application and efficacy of them, so as to provide a reference for the future clinical treatment of this disease. In view of the short comings of current researches, it is expected to improve the mechanism of traditional Chinese medicine research onthis disease in the future, and to determine a unified syndrome differentiation system, in order to guide clinical treatment more scientifically and systematically.
By computer retrieval and screening,clinical literature on traditional Chinese medicine treatment of post-stroke intractable hiccups in the recent 5 years were sorted out and summarized, to demonstrate the research progress in this field. The results showed that the treatment of intractable hiccups after stroke by traditional Chinese medicine had the advantages of quick onset, good efficacy and few side effects,and acupuncture therapy was most widely used in particular. This paper reviews the research progress of traditional Chinese medicine treatment therapies from three aspects: Chinese materia medica, acupuncture and comprehensive treatment of traditional Chinese medicine, and briefly describes the application and efficacy of them, so as to provide a reference for the future clinical treatment of this disease. In view of the short comings of current researches, it is expected to improve the mechanism of traditional Chinese medicine research onthis disease in the future, and to determine a unified syndrome differentiation system, in order to guide clinical treatment more scientifically and systematically.
引文
1吴勉华,王新月.中医内科学[M].北京:中国中医药出版社,2012.
2魏超博.独取涌泉治疗中风后呃逆[J].中国针灸,2015,35(3):220.
3周首邦,黄芳,张旺琼,等.自拟方结合针刺治疗中风后顽固性呃逆的临床观察[J].中国中医急症,2012,21(6):992.
4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.
5高志生,倪烨,肖晓,等.平肝固肾降逆法治疗中风后顽固性呃逆疗效观察[J].辽宁中医杂志,2015,42(1):98-99.
6刘晶晶,王玉才,张小建,等.柴胡桂枝汤加减治疗肝胃不和型中风后顽固性呃逆23例临床观察[J].河北中医,2015,37(6):879-880.
7杨军玉.疏肝健脾法治疗中风后顽固性呃逆23例临床观察[J].河北中医,2014,36(7):1010-1011.
8葛云霞,陶玉华.中药敷脐护理中风后顽固性呃逆30例疗效观察[J].云南中医中药杂志,2015,36(4):92.
9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.
10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.
11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.
12佟媛媛,吕建明,石学敏.醒脑调神针刺法治疗中风后顽固性呃逆46例[J].陕西中医,2014,35(2):219-220.
13魏倩,高旸.针药结合治疗中风后顽固性呃逆30例[J].浙江中医药大学学报,2014,38(1):82-83.
14齐建华,李兴山,韩宝杰,等.“调神和胃”针法治疗中风后顽固性呃逆临床观察[J].时珍国医国药,2018,29(2):371-373.
15陈玉其,尹真祯,杜月蓉,等.“疏肝健脾”针灸疗法治疗顽固性呃逆疗效观察[J].辽宁中医杂志,2014,41(7):1503-1505.
16范涛,赵奉茹,秦厚红.针药并用治疗中风后顽固性呃逆[J].吉林中医药,2017,37(12):1267-1268.
17杜伟,李澎.醒脑降逆活血法治疗脑卒中后顽固性呃逆[J].吉林中医药,2014,34(1):93-95.
18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.
19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病杂志,2014,12(9):1055-1056.
20刘效娟.针刺联合穴位注射在中风后呃逆治疗中应用的疗效观察[J].中国医药导刊,2015,17(1):42-43.
21王红.针刺水沟穴配合耳穴埋针治疗脑出血后顽固性呃逆疗效观察[J].湖北中医杂志,2018,40(3):46-48.
22章国英,苏琴.穴位经皮电刺激联合利他林注射治疗脑卒中后顽固性呃逆的效果观察[J].护理学报,2015,22(14):66-67.
2魏超博.独取涌泉治疗中风后呃逆[J].中国针灸,2015,35(3):220.
3周首邦,黄芳,张旺琼,等.自拟方结合针刺治疗中风后顽固性呃逆的临床观察[J].中国中医急症,2012,21(6):992.
4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.
5高志生,倪烨,肖晓,等.平肝固肾降逆法治疗中风后顽固性呃逆疗效观察[J].辽宁中医杂志,2015,42(1):98-99.
6刘晶晶,王玉才,张小建,等.柴胡桂枝汤加减治疗肝胃不和型中风后顽固性呃逆23例临床观察[J].河北中医,2015,37(6):879-880.
7杨军玉.疏肝健脾法治疗中风后顽固性呃逆23例临床观察[J].河北中医,2014,36(7):1010-1011.
8葛云霞,陶玉华.中药敷脐护理中风后顽固性呃逆30例疗效观察[J].云南中医中药杂志,2015,36(4):92.
9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.
10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.
11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.
12佟媛媛,吕建明,石学敏.醒脑调神针刺法治疗中风后顽固性呃逆46例[J].陕西中医,2014,35(2):219-220.
13魏倩,高旸.针药结合治疗中风后顽固性呃逆30例[J].浙江中医药大学学报,2014,38(1):82-83.
14齐建华,李兴山,韩宝杰,等.“调神和胃”针法治疗中风后顽固性呃逆临床观察[J].时珍国医国药,2018,29(2):371-373.
15陈玉其,尹真祯,杜月蓉,等.“疏肝健脾”针灸疗法治疗顽固性呃逆疗效观察[J].辽宁中医杂志,2014,41(7):1503-1505.
16范涛,赵奉茹,秦厚红.针药并用治疗中风后顽固性呃逆[J].吉林中医药,2017,37(12):1267-1268.
17杜伟,李澎.醒脑降逆活血法治疗脑卒中后顽固性呃逆[J].吉林中医药,2014,34(1):93-95.
18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.
19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病杂志,2014,12(9):1055-1056.
20刘效娟.针刺联合穴位注射在中风后呃逆治疗中应用的疗效观察[J].中国医药导刊,2015,17(1):42-43.
21王红.针刺水沟穴配合耳穴埋针治疗脑出血后顽固性呃逆疗效观察[J].湖北中医杂志,2018,40(3):46-48.
22章国英,苏琴.穴位经皮电刺激联合利他林注射治疗脑卒中后顽固性呃逆的效果观察[J].护理学报,2015,22(14):66-67.