针灸治疗急性脑血管病致中枢性呃逆的研究进展

A review on treating central hiccup from acute cerebrovascular disease

在急性后循环缺血的卒中患者中,呃逆常常为伴生症状,其主要的危害在于膈肌强烈痉挛容易引发应激性溃疡与食物返流,甚至导致上消化道出血,影响相关溶栓、抗凝、抗板等治疗的实施。因此,早期纠正呃逆对于预防应激性溃疡与卒中相关性吸入性肺炎的发生具有重要的临床意义。针灸作为治疗呃逆常见的一种方式,其优势在于无需经过口服药物进入胃肠道,杜绝口服药物吸收缓慢的弊端。本文现就针灸治疗呃逆的相关机制及临床治疗意义进行综述。这将为临床上使用针灸治疗急性脑血管病致中枢性呃逆提供指导。

In patients with ischemic stroke from acute posterior circulation,hiccup is often an associated symptom.The main hazard is that after strong spasms in the diaphragm,stress ulcer and food reflux are easy to suffer,even upper gastrointestinal bleeding is leaded,and the related implementation of treatments such as thrombolysis,anticoagulation and antiplate are affected.Therefore,early correction of hiccup has important clinical significance for preventing from stress ulcer and stroke-related aspiration pneumonia.Acupuncture is a common way to treat hiccups,with not need oral medicine.This article reviews the related mechanisms of treating hiccups by acupuncture,to provide guidance for the clinical application.