俞募配穴针刺治疗顽固性呃逆的临床研究

Clinical Research on the Different Acupuncture Prescriptions of Shu Mu Combined in the Treatment of Intractable Hiccup

目的 观察俞募配穴不同用穴方案(单穴、配穴)针刺治疗顽固性呃逆的临床疗效。方法 选取我院自2016年5月至2018年5月收治的90例顽固性呃逆患者,采取随机数字表法分为A组、B组及C组,每组各30例,A组取胃俞穴,B组取中脘穴,C组取胃俞募配穴,对3组患者分别进行20次的针刺治疗,对比治疗前后呃逆症状评分、临床疗效、胃动力学指标变化及生活质量评分。结果 A组、B组及C组治疗后与治疗前相比呃逆症状评分均降低(P<0.01),C组治疗后相比于A组、B组治疗后呃逆症状评分降低更加显著(P<0.01)。C组分别与A组、B组相比临床总有效率较高,差异具有统计学意义(P<0.01)。A组、B组及C组治疗后与治疗前相比胃收缩频率、收缩幅度及胃排空率均升高,C组治疗后分别与A组、B组治疗后相比胃收缩频率、收缩幅度及胃排空率升高较为显著,差异具有统计学意义(P<0.05)。C组治疗后分别与A组、B组治疗后相比精神状态、饮食及睡眠评分升高较为显著,差异具有统计学意义(P<0.05)。结论 胃俞穴、中脘穴及胃俞募配穴针刺治疗顽固性呃逆虽均可获得一定的疗效,但胃俞募配穴针刺治疗更能够有效地缓解临床症状及体征,改善胃动力学指标,促进提高生活质量。

OBJECTIVE To explore and analyze the clinical effect of different prescriptions of shu mu combined (single acupoint and adjunct acupoints) in the treatment of intractable hiccup. METHODS Ninety patients with intractable hiccup admitted to the Second Affiliated Hospital of Anhui University of Chinese Medicine from May 2016 to May 2018 were enrolled. According to random number table,they were randomly divided into three groups: group A with wei shu (BL12),group B with zhong wan (RN12,aka wei mu points) and group C with shu mu combined (BL12 and RN12),30 cases for each group. Needling was done once a day and totally for 20 days. The scores of hiccup symptoms,clinical efficacy,changes of gastric kinetics index and quality of life were compared before and after treatment. RESULTS The score of hiccup symptoms in group A,group B and group C decreased after treatment compared with before treatment ( P < 0.01 ),and the score of hiccup symptoms in group C decreased more significantly after treatment than that in the other two ( P < 0.01 ). The total effective rate of group C was higher than that of group A and group B,the difference was statistically significant ( P < 0.01 ). The gastric contraction frequency,amplitude and emptying rate in group A,B and C increased after treatment compared with before treatment,the difference was statistically significant ( P < 0.05 ). After treatment,the mental state,diet and sleep scores in group C improved significantly better than those in group A and group B,respectively,and the difference was statistically significant ( P < 0.05 ). CONCLUSION Needling at wei shu (BL12),zhong wan (RN12) and shu mu combined (BL12 and RN12) can achieve certain therapeutic effects on intractable hiccups,but the treatment of shu mu combined (BL12 and RN12) can more effectively relieve clinical symptoms and signs,improve gastric kinetics index and promote the improvement of quality of life.