膈神经针刺刺激治疗颅内肿瘤术后顽固性呃逆的疗效观察
|
摘要
目的观察通过针刺扶突穴来刺激膈神经的方法治疗颅内肿瘤手术后出现顽固性呃逆的临床疗效。方法颅内肿瘤手术后出现顽固性呃逆的患者84例,按就诊顺序分为两组,每组42例,两组基础治疗相同,给予氟桂利嗪胶囊10 mg,每晚1次,治疗组在此基础上给予以扶突穴为主的针刺治疗,其中扶突穴通过针刺穴位来刺激膈神经,穴位留针30 min,每日治疗1次,共治疗2周,观察患者呃逆的变化。结果治疗组42例,治愈39例,治愈率92.86%,均在1周内治愈,总有效率97.62%;对照组治愈13例,治愈率33.33%,总有效率64.29%。治疗组疗效优于对照组(P<0.05),治疗组与对照组总有效率比较差异显著(P<0.01)。结论通过针刺扶突穴刺激膈神经来治疗颅脑肿瘤术后顽固性呃逆疗效确切,疗程短。
Objective To observe the clinical efficacy of acupuncture at Futu point stimulating phrenic nerve, in treating intractable tumor postoperative intractable hiccup. Methods According to the visiting sequence, 84 patients with intractable hiccup after intracranial tumor surgery were divided into two groups, with 42 cases in each group. The two groups accepted same basic treatments, and 10 mg of flunarizine capsules were given every night. The treatment group on the basis of them accepted acupuncture at Futu point, through which the phrenic nerve was stimulated. 30 minutes of acupuncture needle were conducted every day for a total of two weeks of treatment. The changes in patients with hiccup were observed. Results Among 42 cases of the treatment group, 39 cases were cured, and the cure rate was92.86%. They were cured in a week, and the total efficiency was 97.62%. In the control group, 13 cases were cured,and the cure rate was 33.33%, with the total efficiency of 64.29%. The efficacy of treatment group was superior to that of the control group(P<0.05), and the difference of the total efficiency of the treatment group and the control group was significant(P<0.01). Conclusion Acupuncture at Futu point to stimulate phrenic nerve in the treatment of intracranial tumor postoperative intractable hiccup has definite efficacy and short course.
Objective To observe the clinical efficacy of acupuncture at Futu point stimulating phrenic nerve, in treating intractable tumor postoperative intractable hiccup. Methods According to the visiting sequence, 84 patients with intractable hiccup after intracranial tumor surgery were divided into two groups, with 42 cases in each group. The two groups accepted same basic treatments, and 10 mg of flunarizine capsules were given every night. The treatment group on the basis of them accepted acupuncture at Futu point, through which the phrenic nerve was stimulated. 30 minutes of acupuncture needle were conducted every day for a total of two weeks of treatment. The changes in patients with hiccup were observed. Results Among 42 cases of the treatment group, 39 cases were cured, and the cure rate was92.86%. They were cured in a week, and the total efficiency was 97.62%. In the control group, 13 cases were cured,and the cure rate was 33.33%, with the total efficiency of 64.29%. The efficacy of treatment group was superior to that of the control group(P<0.05), and the difference of the total efficiency of the treatment group and the control group was significant(P<0.01). Conclusion Acupuncture at Futu point to stimulate phrenic nerve in the treatment of intracranial tumor postoperative intractable hiccup has definite efficacy and short course.
引文
[1]Kumar A,Dromerick AW.Intractable hiccups during stroke rehabilitation[J].Arch Phys Med Rehabil,1998,79:697-699.
[2]Amirjamshidi A.Hiccup and neurosurgeons:A report of 4rare dorsal medullary compressive pathologies and review of the literature[J].Surg Neurol,2007,67(4):395-402.
[3]周仲英.中医内科学[M].第2版.长沙:湖南科学技术出版社,2003:232.
[4]廖威,葛书翰.扶突穴治疗颅脑术后顽固性呃逆30例[J].辽宁中医杂志,2010,37(6):1120.
[5]朱丽凌,王卫星,郭小刚.针刺治疗脑卒中后呃逆疗效与安全性的系统评价[J].中国循证医学杂志,2011,11(3):325-328.
[6]Eisen’cher A,Spiske J.Persistent hiccups(singultus)as the presenting symptom of medullary cavernoma[J].Dtsch Arztebl lnt,2011,108(48):822-826.
[7]金晓仙,高旸.顽固性呃逆研究进展.河南中医[J].2014,34(5):987-989.
[8]滕国志,宋镭,李东群.脑卒中鼻饲患者顽固性呃逆与消化道出血相关性分析[J].中国医药导报,2008,5(13):43.
[9]陶文强,周德生,胡华.安脑平冲片治疗脑出血伴顽固性呃逆临床观察[J].新中医,2012,44(3):1173-1174.
[10]冯睿智,吕建琴,李宁.脑瘤术后顽固性呃逆验案及体会[J].中国中医急症,2014,23(1):181-182.
[11]曾金.中枢性顽固性呃逆的病因及其治疗进展[J].医学综述,2008,14(3):365-367.
[12]陈静雅,潘华山,冯毅翀,等.针灸治疗顽固性呃逆的临床随机对照研究.南京医科大学学报(自然科学版)[J].2013,33(4):532-534.
[13]浩育盈,李娟妮,杨琨.中医治疗与护理在脑出血患者顽固性呃逆中的价值分析[J].中国中医急症,2012,21(9):1537-1538.
[14]徐晓卿,夏蕾,黄延芹.中西医对肿瘤所致顽固性呃逆的认识和治疗[J].辽宁中医药大学学报,2011,13(5):156-158.
[15]温塘芳,陈云飞,刘凤梅,等.小剂量氟哌利多内关穴注射治疗术后顽固性呃逆临床观察[J].临床合理用药杂志,2009,2(5):16-17.
[16]王莉,冯晶,赵晓宇,等.颅脑损伤后顽固性呃逆住院期间的集束化管理[J].西北国防医学杂志,2013,34(1):92-93.
[17]魏涛.顽固性呃逆的临床药物治疗现状[J].中国医药科学,2012,2(4):46-48.
[18]杨永智,张世龙.膈神经阻滞治疗顽固性呃逆5例[J].中国医学工程,2011,19(12):167.
[19]冯海燕,刘云峰,王立峰.肌电图定位膈神经电刺激治疗脑卒中后顽固性呃逆的临床观察[J].中国康复医学杂志,2014,29(3):274-275.
[20]梁振强,裴明和,来怡农,等.针刺治疗重度颅脑外伤致顽固性呃逆100例[J].西部中医药,2014,27(8):113-114.
[2]Amirjamshidi A.Hiccup and neurosurgeons:A report of 4rare dorsal medullary compressive pathologies and review of the literature[J].Surg Neurol,2007,67(4):395-402.
[3]周仲英.中医内科学[M].第2版.长沙:湖南科学技术出版社,2003:232.
[4]廖威,葛书翰.扶突穴治疗颅脑术后顽固性呃逆30例[J].辽宁中医杂志,2010,37(6):1120.
[5]朱丽凌,王卫星,郭小刚.针刺治疗脑卒中后呃逆疗效与安全性的系统评价[J].中国循证医学杂志,2011,11(3):325-328.
[6]Eisen’cher A,Spiske J.Persistent hiccups(singultus)as the presenting symptom of medullary cavernoma[J].Dtsch Arztebl lnt,2011,108(48):822-826.
[7]金晓仙,高旸.顽固性呃逆研究进展.河南中医[J].2014,34(5):987-989.
[8]滕国志,宋镭,李东群.脑卒中鼻饲患者顽固性呃逆与消化道出血相关性分析[J].中国医药导报,2008,5(13):43.
[9]陶文强,周德生,胡华.安脑平冲片治疗脑出血伴顽固性呃逆临床观察[J].新中医,2012,44(3):1173-1174.
[10]冯睿智,吕建琴,李宁.脑瘤术后顽固性呃逆验案及体会[J].中国中医急症,2014,23(1):181-182.
[11]曾金.中枢性顽固性呃逆的病因及其治疗进展[J].医学综述,2008,14(3):365-367.
[12]陈静雅,潘华山,冯毅翀,等.针灸治疗顽固性呃逆的临床随机对照研究.南京医科大学学报(自然科学版)[J].2013,33(4):532-534.
[13]浩育盈,李娟妮,杨琨.中医治疗与护理在脑出血患者顽固性呃逆中的价值分析[J].中国中医急症,2012,21(9):1537-1538.
[14]徐晓卿,夏蕾,黄延芹.中西医对肿瘤所致顽固性呃逆的认识和治疗[J].辽宁中医药大学学报,2011,13(5):156-158.
[15]温塘芳,陈云飞,刘凤梅,等.小剂量氟哌利多内关穴注射治疗术后顽固性呃逆临床观察[J].临床合理用药杂志,2009,2(5):16-17.
[16]王莉,冯晶,赵晓宇,等.颅脑损伤后顽固性呃逆住院期间的集束化管理[J].西北国防医学杂志,2013,34(1):92-93.
[17]魏涛.顽固性呃逆的临床药物治疗现状[J].中国医药科学,2012,2(4):46-48.
[18]杨永智,张世龙.膈神经阻滞治疗顽固性呃逆5例[J].中国医学工程,2011,19(12):167.
[19]冯海燕,刘云峰,王立峰.肌电图定位膈神经电刺激治疗脑卒中后顽固性呃逆的临床观察[J].中国康复医学杂志,2014,29(3):274-275.
[20]梁振强,裴明和,来怡农,等.针刺治疗重度颅脑外伤致顽固性呃逆100例[J].西部中医药,2014,27(8):113-114.