针灸配合心理干预治疗顽固性中枢性呃逆

Treatment of refractory central hiccough by acupuncture combined with psychological intervention

目的:探讨针灸配合心理干预治疗顽固性中枢性呃逆的临床疗效。方法:顽固性中枢性呃逆患者73例随机分为2组,A组37例给予头针及体针治疗,B组36例加用放松训练及音乐治疗等心理干预。结果:治疗4d后,B组痊愈率及总有效率均明显高于A组(P<0.05);且B组1及2d的治愈率明显优于A组(P<0.05)。治疗4d后,2组SAS及SDS评分均较治疗前明显下降(P<0.05,0.01),且B组更低于A组(P<0.05)。结论:心理干预能改善患者焦虑抑郁情绪,与针灸配合能显著提高顽固性中枢性呃逆治疗的临床疗效。

Objective：To observe the therapeutic effects of acupuncture combined with psychological intervention for refractory central hiccough. Methods：Seventy-three patients with refractory central hiccough were divided into two groups randomly. The patients in group A（n = 37）and group B（n = 36）were treated by scalp and body acupunc- ture,and those in group B were given psychological intervention additionally,including relaxation training and music therapy. Results：After treatment for 4 days, the healing rate and total effective rate in group B were significantly higher than in group A（P〈0.05）. The one and two-day healing rate in group B was significantly higher than in group A（P〈0.05）. After treatment for 4 days, the scores of SAS and SDS in two groups were significantly reduced as compared with those before treatment（P〈0.05 ,P〈0.01） ,and those in group B were significantly lower than in group A（P〈0.05）. Conclusion：Psychological intervention can effectively alleviate the symptoms of anxiety and de- pression of the patients,and its combined use with acupuncture therapy can significantly increase the curative effect on refractory central hiccough.