头针强刺激治疗顽固性呃逆疗效观察

摘要

目的 观察头针强刺激联合口服呃逆汤治疗顽固性呃逆的临床疗效.方法 将100例顽固性呃逆患者采用随机数字表法分为治疗组和对照组,每组50例.两组患者在口服呃逆汤基础上,治疗组采用头针胃区和胸腔区,进行强刺激;对照组采用电针治疗.观察对比两组患者的起效时间以及症状频率评分.结果 1个疗程结束后,治疗组痊愈率为42％,愈显率为66％,总有效率为78％;对照组痊愈率为24％,愈显率为40％,总有效率为68％,两组痊愈率与愈显率比较差异均有统计学意义(P<0.05),两组总有效率比较差异无统计学意义(P>0.05).2个疗程结束后,治疗组痊愈率为68％,愈显率为78％,总有效率为88％;对照组痊愈率为40％,愈显率为60％,总有效率为74％,两组痊愈率比较差异有统计学意义(P<0.05),两组愈显率和总有效率比较差异无统计学意义(P>0.05).1个疗程后和2个疗程后,治疗组呃逆症状频率评分与对照组比较差异有统计学意义(P<0.05),治疗组起效时间为2～5 h,对照组起效时间5～8 h.结论 头针强刺激治疗顽固性呃逆总有效率与电针治疗无明显差异,但痊愈率明显优于电针治疗,起效快,可以减少呃逆次数,缓解呃逆伴随症状.%Objective To investigate the efficacy of scalp acupuncture with strong stimulation plus oral hiccup decoction in treating intractable hiccup. Method One hundred patients with intractable hiccup were allocated, using a random number table, to treatment and control groups, 50 cases each. In addition to oral hiccup decoction in the two groups, the treatment group received scalp acupuncture with strong stimulation at the stomach and chest areas and the control group, electroacupuncture, for two courses of treatment. The times to produce the effect and the symptom frequency scores were compared between the two groups. Result After one course of treatment, the cure rate, the cure and marked efficacy rate and the total efficacy rate were 42％, 66％ and 78％, respectively, in the treatment group and 24％, 40％ and 68％, respectively, in the control group. There were statistically significant difference in the cure rate and the cure and marked efficacy rate (P<0.05) but no in the total efficacy rate (P>0.05) between the two groups. After two courses of treatment, the cure rate, the cure and marked efficacy rate and the total efficacy rate were 68％, 78％ and 88％, respectively, in the treatment group and 40％, 60％ and 74％, respectively, in the control group. There were statistically significant difference in the cure rate (P<0.05) but no in the cure and marked efficacy rate and the total efficacy rate (P>0.05) between the two groups. After one and two courses of treatment, there was a statistically significant difference in the hiccup frequency score between the treatment and control groups (P<0.05). The time to produce the effect was 2-5 hrs in the treatment group and 5-8 hrs in the control group. Conclusion The total efficacy rate of scalp acupuncture with strong stimulation for intractable hiccup is not significantly different from that of electroacupuncture, but the cure rate of the former was significantly higher than that of the latter. Scalp acupuncture with strong stimulation can produce a quick effect, reduce the frequency of hiccups and relieve symptoms accompanying hiccup.