从肺-胃-耳论治顽固性呃逆31例

Treatment of 31 cases of intractable hiccup from lung-stomach-ear

目的观察依据肺-胃-耳理论体系处方遣穴治疗顽固性呃逆的临床效果。方法选取2017年9月至2018年10月我院收治的66例顽固性呃逆患者作为研究对象,按照随机数字表法将其分为治疗组和对照组,每组33例,治疗组中有2例因惧针无法继续完成本治疗,最终纳入31例。治疗组采用针刺加耳穴压籽治疗,对照组给予盐酸甲氧氯普胺治疗。比较两组治疗前、治疗5 d后及疗程结束后第5天的呃逆症状评分及临床疗效。结果治疗前,两组的呃逆症状评分比较,差异无统计学意义(P>0.05);治疗5 d后及疗程结束后第5天,治疗组的呃逆症状评分均低于对照组,差异具有统计学意义(P<0.05)。治疗组的治疗总有效率为93.55%,显著高于对照组的72.73%,差异具有统计学意义(P<0.05)。结论依据肺-胃-耳理论体系处方遣穴治疗顽固性呃逆的临床效果满意,可显著改善顽固性呃逆症状,且复发少,无副作用,耳穴治疗患者可自行操作,保证了治疗的延续性,且配穴治疗可在一定时间内维持疗效,值得临床推广和应用。

Objective To observe the clinical effect of acupoint dispatch on intractable hiccup according to the lung-stomach-ear theoretical system.Methods A total of 66 patients with intractable hiccup admitted in our hospital from September 2017 to October 2018 were selected as the research objects,and the patients were divided into treatment group and control group according to the random number table method,with 33 cases in each group,in the treatment group,2 cases could not continue to complete the treatment due to fear of acupuncture,and 31 cases were finally included.The treatment group was treated with acupuncture and ear point pressing seed,and the control group was treated with metoclopramide hydrochloride.The score of hiccup symptoms and clinical efficacy were compared between the two groups before treatment,after 5 d of treatment and 5th day after the course of treatment.Results Before treatment,there was no significant difference in the score of hiccup symptoms between the two groups(P>0.05);after 5 d of treatment and 5th day after the course of treatment,the scores of hiccup symptom in the treatment group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment of the treatment group was 93.55%,which was significantly higher than 72.73%of the control group,and the difference was statistically significant(P<0.05).Conclusion According to the lung-stomach-ear theoretical system,the point dispatch in the treatment of intractable hiccup has satisfactory clinical effect,it can significantly improve the symptoms of intractable hiccup,with less recurrence and no side effects.The patients treated with ear points can operate on their own,ensuring the continuity of the treatment,and the point allocation treatment can maintain the curative effect within a certain period of time,which is worthy of clinical promotion and application.