针刺配合中药敷脐治疗中风并发呃逆临床观察

Clinical Observations on the Efficacy of Acupuncture plus Umbilical Application of Chinese Herbal Medicine in Treating Post-stroke Hiccups

目的观察针刺配合中药敷脐治疗中风并发呃逆的临床疗效。方法对50例经确诊为脑梗死或脑出血的患者,随机分成治疗组和对照组。治疗组在基础治疗(包括西医及康复训练等)上加用针刺及中药脐疗法,每日1次;对照组在基础治疗上加口服巴氯芬片。记录两组治疗前及治疗1、3、5、7 d后患者呃逆症状评分。结果治疗组总有效率为96.0%,对照组总有效率为48.0%,两组比较差异有统计学意义(P<0.01)。治疗组治疗3 d至治疗7 d呃逆症状评分明显改善,与对照组比较差异有统计学意义(P<0.01)。结论针刺配合中药敷脐治疗中风并发呃逆的疗效明显优于口服西药治疗。

Objective To investigate the clinical efficacy of acupuncture plus umbilical application of Chinese herbal medicine in treating post-stroke hiccups. Method Fifty patients with cerebral infarction or hemorrhage confirmed by cranial CT or MRI were randomly allocated to treatment and control groups. In addition to basic treatment, the treatment group received acupuncture plus umbilical application of Chinese herbal medicine and the control group took baclofen tablets orally. Hiccup symptoms were scored in the two groups before and at 1, 3, 5 and 7 days after the beginning of treatment. Result The total efficacy rate was 96.0% in the treatment group and 48.0% in the control group; there was a statistically significant difference between the two groups （P〈0.01）. The hiccups symptom score improved significantly in the treatment group after 3 to 7 days of treatment; there was a statistically significant difference compared with the control group （P〈0.01）. Conclusion Acupuncture plus umbilical application of Chinese herbal medicine is significantly more effective than oral baclofen in treating post-stroke hiccups.