针药联合治疗顽固性呃逆临床疗效观察

摘要

Objective To observe the efficacy of scalp acupuncture combined with oral administration of Enì Tāng (呃逆汤, Hiccup Decoction) for treatment of intractable hiccup.Methods One hundred patients with intractable hiccup were divided into treatment group (acupuncture combined with herb decoction group) and control group (western medicine group) according to the random number table method with 50 patients in each group.In treatment group,scalp acupuncture was conducted in the gastric area and thoracic area of patients,and Hiccup Decoction was taken orally.In control group,anisodamine (654-2) was injected intramuscularly in the dosage of I0 mg.The treatment was conducted for once a day in each group,and treatment for three consecutive times was needed.The number of times and the frequency of hiccup were observed after each treatment,and the results were compared.The standard of therapeutic effectiveness was evaluated by the number of hiccups decreased.Results In treatment group,the total cure rate was 54％,and the total effective rate was 84％,in control group,the total cure rate was 32％,and the total effective rate was 66％.According to the comparison between the two groups in the cure rate and total effective rate,the differences were statistically significant (both P＜0.05).After the first treatment,there was no statistical difference according to the comparison between the two groups in the cure rate and total effective rate (both P＞0.05),after the second treatment,the differences were statistically significant according to the comparison between the two groups in the cure rate and total effective rate (both P＜0.05),and the efficacy in treatment group was obviously superior to that in control group,after the third treatment,there was no statistical difference according to the comparison between the two groups in the cure rate and total effective rate (both P＞0.05).Conclusion In the one course of treatment,the efficacy of acupuncture combined with herb decoction for treatment of intractable hiccup was obviously superior to that of intramuscular injection with anisodamine.The therapeutic effect of intramuscular injection with anisodamine for treatment of intractable hiccup was the best at the first treatment,and the therapeutic effect of acupuncture combined with herb decoction was the best at the second treatment.%目的:观察头针结合口服呃逆汤治疗顽固性呃逆的疗效.方法:将100例顽固性呃逆患者采用 随机数字表法随机分为治疗组(针药联合组)和对照组(西药组),每组50例.治疗组采用头针胃区和胸腔区,同时口服呃逆汤;对照组采用予山莨菪碱(654-2) 10 mg肌肉注射,两组治疗均每日1次,连续治疗3次,每次治疗后观察患者的呃逆次数及频率并进行比较,以呃逆发作的次数减少作为疗效判定标准.结果:治疗组总痊愈率为54％,总有效率为84％,对照组总痊愈率为32％,总有效率为66％,治疗组痊愈率与总有效率与对照组比较均有统计学差异(均P＜0.05).第1次治疗结束后,两组痊愈率与总有效率对比均无统计学差异(均P＞0.05);第2次治疗结束后,两组痊愈率与总有效率对比均有统计学差异(均P＜0.05),治疗组明显优于对照组;第3次治疗结束后,两组痊愈率与总有效率对比均无统计学差异(均P＞0.05)结论:针药联合治疗顽固性呃逆效果明显优于肌肉注射山莨菪碱.肌肉注射山莨菪碱治疗顽固性呃逆第1次治疗效果最佳,而针药联合治疗以2次治疗效果最佳.