焦氏头针胃区针刺配合橘皮竹茹汤治疗脑卒中后顽固性呃逆的疗效观察

Observation on the Curative Effect of JIAO’s Scalp Acupuncture on Gastric Area Combined with Jupi Zhuru Decoction for the Treatment of Post-stroke Intractable Hiccups

【目的】观察焦氏头针胃区针刺配合橘皮竹茹汤治疗脑卒中后顽固性呃逆的临床疗效。【方法】将60例脑卒中后顽固性呃逆患者随机分为治疗组和对照组,每组各30例。在中风后常规治疗的基础上,对照组给予巴氯芬片口服或鼻饲治疗,治疗组给予焦氏头针胃区针刺配合橘皮竹茹汤治疗,疗程为7 d。观察2组患者治疗前后呃逆频率评分和生活质量评分的变化情况,并评价2组患者的临床疗效。【结果】(1)研究过程中,2组患者均无脱落病例,治疗组剔除1例患者,对照组无剔除病例,最终共纳入59例患者,其中,治疗组29例,对照组30例。(2)治疗7 d后,治疗组的总有效率为89.7%(26/29),对照组为60.0%(18/30),组间比较,治疗组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的呃逆频率评分均较治疗前下降(P<0.05),且治疗组的下降作用明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的睡眠、精神状态、胃纳等各项生活质量评分均较治疗前升高(P<0.05),且治疗组的升高作用均明显优于对照组,差异均有统计学意义(P<0.05)。【结论】焦氏头针胃区针刺配合橘皮竹茹汤治疗脑卒中后顽固性呃逆疗效确切,能有效降低呃逆频率评分,改善患者呃逆症状和生活质量。

Objective To observe the clinical efficacy of JIAO’s scalp acupuncture on the gastric area combined with Jupi Zhuru Decoction in the treatment of post-stroke intractable hiccups.Methods Sixty patients with poststroke intractable hiccups were randomly divided into treatment group and control group,with 30 cases in each group.On the basis of conventional post-stroke treatment,the control group was treated with oral use or nasogastric feeding of Baclofen Tablets,while the treatment group was treated with JIAO’s scalp acupuncture on the gastric area combined with Jupi Zhuru Decoction orally.The course of treatment for the two groups lasted for7 days.The changes of hiccup frequency scores and quality of life(QOL)scores in the two groups were observed before and after treatment,and the clinical efficacy was also evaluated.Results(1)During the trial,there were no fell-off cases in the two groups,one case was excluded from the treatment group while none was excluded from the control group.A total of 59 patients were eventually included,of which 29 were in the treatment group and30 were in the control group.(2)After 7 days of treatment,the overall effective rate of the treatment group was89.7%(26/29)and that of the control group was 60.0%(18/30).The intergroup comparison showed that the efficacy of the treatment group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).(3)After treatment,the hiccup frequency scores of patients in both groups were decreased compared with those before treatment(P<0.05),and the effect on lowering the hiccup frequency scores in the treatment group was significantly superior to that in the control group,the difference being statistically significant(P<0.05).(4)After treatment,the QOL scores of sleep,mental status and appetite in both groups were increased compared with those before treatment(P<0.05),and the effect on increasing the QOL scores of sleep,mental status and appetite in the treatment group was significantly superior to that in the control group,and the difference being statistically significant(P<0.05).Conclusion JIAO’s scalp acupuncture on the gastric area combined with Jupi Zhuru Decoction exerts certain effect in treating post-stroke hiccups,which can effectively reduce hiccup frequency scores and can improve the hiccup symptoms and QOL of the patients.