建瓴汤结合胃复安治疗脑卒中后顽固性呃逆的疗效观察

Clinical Observation of Combining Metoclopramide Treatment Stroke of Intractable Hiccups

目的:观察中西医结合治疗脑卒中后顽固性呃逆的临床疗效。方法:对脑卒中后顽固性呃逆患者,肌肉注射胃复安,加用中药建瓴汤水煎服,每日1剂,并配合针刺攒竹穴等每日1次。结果:治疗组有效率96.78%,对照组有效率23.33%,两组比较,差异有显著性(P<0.05),有统计学意义。结论:胃复安抑制延脑的催吐化学感受器,具有较强的镇吐作用,伍用重镇、降逆止呕的中药建瓴汤、配合针刺攒竹穴抑制膈神经及腹腔迷走神经的兴奋,治疗脑卒中顽固性呃逆疗效确切,有互补作用,且见效快,疗效比较巩固。

Objective：To observe the clinical curative effect of combine traditional Chinese and western medicine treatment intractable hiccups after stroke.Methods：Patients with intractable hiccups after stroke,muscle injection intramuscularty,add with Chinese traditional medicine jianLing fluids daily 1 agent,and cooperate with acupuncture saving caves bamboo once a day.Results：Total effectiveness of treatment group was 96.78%,total effectiveness of control group was 23.33%,comparisons of two groups have significant difference（P0.05）,it has a statistical significance.Conclusion：Metoclopramide inhibit the chemical sensors of medulla oblongata,with strongly stopping vomit,and suppresses the rebellious qi to stop vomiting function of traditional Chinese medicine jianling soup,adding acupuncture bamboo point to inhibit diaphragmatic nerve and abdominal vagus nerve excitement,the effect of stroke intractable hiccups symptoms was quick e,more consolidate curative.