中医药治疗中风后呃逆临床研究进展
|
摘要
中风后呃逆是常见并发症,经久不愈严重影响病人呼吸、睡眠、饮食等。笔者总结近10年文献,发现中医药治疗中风后呃逆占主导地位,尤其是在病机、治疗原则、临床治疗方法等方面。多疗法结合是近几年研究热点,中药灌肠结合穴位注射、中药结合针灸、电针结合温针灸、电针结合穴位注射、针刺结合艾灸、针刺结合穴位注射、针刺结合敷脐、头针结合腹针、穴位敷贴结合穴位按摩或隔姜灸等,丰富了中风后呃逆的临床治疗方法,疗效确切,副作用小,经济实用。
Hiccups after stroke is a common complication,which will seriously affect the breath,sleep,diet and other aspects of patients if unhealed for a long term. It was found that Chinese medicine dominated in the researches of hiccups after stroke,especially in terms of the pathogenesis,the treatment principles,the clinical treatment therapies and so on through a summarization of recent ten-year literature in this paper. The combination of multiple therapies has been a hotspot in recent years,such as the therapy of Chinese herbal enema combined with point injection,the therapy of Chinese herbal medicine combined with acupuncture and moxibustion,the therapy of electroacupuncture combined with warming acupuncture and moxibustion, the therapy of electroacupuncture combined with point injection, the therapy of acupuncture and moxibustion, the therapy of acupuncture combined with point injection, the therapy of acupuncture combined with the application on navel, the therapy of scalp acupuncture combined with abdominal acupuncture, the therapy of point application combined with point massage or ginger moxibustion, etc. These therapies enrich the clinical treatment methods of hiccups after stroke,have accurate curative effect with few side effects and are economically practical.
Hiccups after stroke is a common complication,which will seriously affect the breath,sleep,diet and other aspects of patients if unhealed for a long term. It was found that Chinese medicine dominated in the researches of hiccups after stroke,especially in terms of the pathogenesis,the treatment principles,the clinical treatment therapies and so on through a summarization of recent ten-year literature in this paper. The combination of multiple therapies has been a hotspot in recent years,such as the therapy of Chinese herbal enema combined with point injection,the therapy of Chinese herbal medicine combined with acupuncture and moxibustion,the therapy of electroacupuncture combined with warming acupuncture and moxibustion, the therapy of electroacupuncture combined with point injection, the therapy of acupuncture and moxibustion, the therapy of acupuncture combined with point injection, the therapy of acupuncture combined with the application on navel, the therapy of scalp acupuncture combined with abdominal acupuncture, the therapy of point application combined with point massage or ginger moxibustion, etc. These therapies enrich the clinical treatment methods of hiccups after stroke,have accurate curative effect with few side effects and are economically practical.
引文
[1]刘玉梅.不同方法治疗中风后呃逆患者的临床疗效观察[J].中国民康医学,2016,28(1):73-75.
[2]刘斌.电针配合穴位注射治疗中风后顽固性呃逆[J].山西中医,2014,30(9):35.
[3]张树泉,刘强.中风后呃逆病机探讨[J].中西医结合心脑血管病杂志,2017,15(19):2495-2496.
[4]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.
[5]李文博,许军峰.石学敏调神降逆针刺法治疗中风后呃逆理论探析[J].湖南中医杂志,2017,33(12):19-20.
[6]翟长皓.平肝固肾降逆法治疗中风后顽固性呃逆的价值[J].医学理论与实践,2016,29(22):3096-3097.
[7]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.
[8]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.
[9]杨军玉.疏肝健脾法治疗脑卒中后顽固性呃逆23例临床观察[J].河北中医,2014,36(7):1010-1011.
[10]曹洪涛.穴位注射合清热化痰通腑汤灌肠治疗中风后呃逆[J].光明中医,2017,32(6):811-814.
[11]苏连华.五磨饮子治疗中风后呃逆的临床观察[J].中国民康医学,2011,23(2):171-244.
[12]房玉峨,马红霞.补中益气汤治疗老年顽固性呃逆体会[J].中国社区医师,2008,24(23):33.
[13]王凤耀,王永强,李淑红,等.针灸配合旋覆代赭汤治疗中风后呃逆的临床观察[J].中华中医药学刊,2008,26(6):1340-1341.
[14]陈桂霞.丁香柿蒂汤配合针刺治疗脑卒中后呃逆临床体会[J].中国中医急症,2009,18(9):1512.
[15]熊军清.脑中风患者顽固性呃逆的中医治疗效果观察[J].世界最新医学信息文摘,2016,16(94):178.
[16]王同付.电针合并温针灸治疗中风后顽固性呃逆39例[J].当代医学,2010,16(21):84.
[17]姜海霞,刘双岭,高维滨.电针夹脊穴治疗中风后呃逆30例[J].上海针灸杂志,2010,29(6):393.
[18]李济宇,张立德.针刺配合中药内服治疗呃逆的疗效观察[J].辽宁中医杂志,2014,41(4):786-787.
[19]何川,王玲,肖川.针刺配合艾灸治疗中风后顽固性呃逆1例[J].实用中医药杂志,2017,33(10):12-18.
[20]王凯,韩宝杰,王元.针灸治疗中风后呃逆验案1则[J].湖南中医杂志,2018,34(7):131-132.
[21]张丽华,王艳君.针刺配合天灸治疗顽固性呃逆40例[J].陕西中医,2012,33(3):344-345.
[22]周庆杰,蒋正辉.针刺联合艾灸治疗中风后顽固性呃逆疗效观察[J].人民军医,2014,57(2):156-157.
[23]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.
[24]魏超博.独取涌泉治疗中风后呃逆[J].中国针灸,2015,35(3):220.
[25]李艳.针刺联合穴位注射盐酸甲氧氯普胺治疗中风后呃逆的临床效果观察[J].实用中西医结合临床,2016,16(11):20-21.
[26]赵玉娟,晏凤莲,付焕香.交替应用维生素B1B6B12穴位注射治疗顽固性呃逆的效果观察[J].山西医药杂志,2016,45(3):338-339.
[27]姚黄.针刺配合穴位注射治疗中风后顽固性呃逆疗效观察[J].中医临床研究,2014,6(34):39-40.
[28]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.
[29]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.
[30]陈志刚,徐春仙,吴立红,等.针刺配合中药敷脐治疗中风并发呃逆临床观察[J].上海针灸杂志,2013,32(12):996-997.
[31]陈桂珠,周松晶,刘朝晖,等.刺络放血、针刺联合平胃散综合治疗中风后顽固性呃逆疗效观察[J].世界中西医结合杂志,2018,13(7):969-976.
[32]苏清芳.穴位按摩对中风后呃逆临床疗效的影响[J].河北中医药学报,2017,32(2):57-59.
[33]孙世伟,陆岸英.穴位隔姜灸联合中药贴敷治疗中风后呃逆31例[J].广西中医药,2017,40(1):66-67.
[2]刘斌.电针配合穴位注射治疗中风后顽固性呃逆[J].山西中医,2014,30(9):35.
[3]张树泉,刘强.中风后呃逆病机探讨[J].中西医结合心脑血管病杂志,2017,15(19):2495-2496.
[4]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.
[5]李文博,许军峰.石学敏调神降逆针刺法治疗中风后呃逆理论探析[J].湖南中医杂志,2017,33(12):19-20.
[6]翟长皓.平肝固肾降逆法治疗中风后顽固性呃逆的价值[J].医学理论与实践,2016,29(22):3096-3097.
[7]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.
[8]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.
[9]杨军玉.疏肝健脾法治疗脑卒中后顽固性呃逆23例临床观察[J].河北中医,2014,36(7):1010-1011.
[10]曹洪涛.穴位注射合清热化痰通腑汤灌肠治疗中风后呃逆[J].光明中医,2017,32(6):811-814.
[11]苏连华.五磨饮子治疗中风后呃逆的临床观察[J].中国民康医学,2011,23(2):171-244.
[12]房玉峨,马红霞.补中益气汤治疗老年顽固性呃逆体会[J].中国社区医师,2008,24(23):33.
[13]王凤耀,王永强,李淑红,等.针灸配合旋覆代赭汤治疗中风后呃逆的临床观察[J].中华中医药学刊,2008,26(6):1340-1341.
[14]陈桂霞.丁香柿蒂汤配合针刺治疗脑卒中后呃逆临床体会[J].中国中医急症,2009,18(9):1512.
[15]熊军清.脑中风患者顽固性呃逆的中医治疗效果观察[J].世界最新医学信息文摘,2016,16(94):178.
[16]王同付.电针合并温针灸治疗中风后顽固性呃逆39例[J].当代医学,2010,16(21):84.
[17]姜海霞,刘双岭,高维滨.电针夹脊穴治疗中风后呃逆30例[J].上海针灸杂志,2010,29(6):393.
[18]李济宇,张立德.针刺配合中药内服治疗呃逆的疗效观察[J].辽宁中医杂志,2014,41(4):786-787.
[19]何川,王玲,肖川.针刺配合艾灸治疗中风后顽固性呃逆1例[J].实用中医药杂志,2017,33(10):12-18.
[20]王凯,韩宝杰,王元.针灸治疗中风后呃逆验案1则[J].湖南中医杂志,2018,34(7):131-132.
[21]张丽华,王艳君.针刺配合天灸治疗顽固性呃逆40例[J].陕西中医,2012,33(3):344-345.
[22]周庆杰,蒋正辉.针刺联合艾灸治疗中风后顽固性呃逆疗效观察[J].人民军医,2014,57(2):156-157.
[23]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.
[24]魏超博.独取涌泉治疗中风后呃逆[J].中国针灸,2015,35(3):220.
[25]李艳.针刺联合穴位注射盐酸甲氧氯普胺治疗中风后呃逆的临床效果观察[J].实用中西医结合临床,2016,16(11):20-21.
[26]赵玉娟,晏凤莲,付焕香.交替应用维生素B1B6B12穴位注射治疗顽固性呃逆的效果观察[J].山西医药杂志,2016,45(3):338-339.
[27]姚黄.针刺配合穴位注射治疗中风后顽固性呃逆疗效观察[J].中医临床研究,2014,6(34):39-40.
[28]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.
[29]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.
[30]陈志刚,徐春仙,吴立红,等.针刺配合中药敷脐治疗中风并发呃逆临床观察[J].上海针灸杂志,2013,32(12):996-997.
[31]陈桂珠,周松晶,刘朝晖,等.刺络放血、针刺联合平胃散综合治疗中风后顽固性呃逆疗效观察[J].世界中西医结合杂志,2018,13(7):969-976.
[32]苏清芳.穴位按摩对中风后呃逆临床疗效的影响[J].河北中医药学报,2017,32(2):57-59.
[33]孙世伟,陆岸英.穴位隔姜灸联合中药贴敷治疗中风后呃逆31例[J].广西中医药,2017,40(1):66-67.