腹针治疗药源性顽固性呃逆的临床研究

Clinical study of abdominal acupuncture in the treatment of drug-induced intractable hiccup

目的探讨腹针治疗药源性顽固性呃逆的临床疗效。方法选取2015年2月至2020年3月本院收治的76例药源性顽固性呃逆患者作为研究对象,按随机数字表法分为西药组(n=25)、中药组(n=25)与腹针组(n=26)。3组均予以常规对症治疗,西药组采用氯丙嗪治疗,中药组采用半夏厚朴汤治疗,腹针组采用腹针治疗。比较3组治疗前后中医证候评分、呃逆发作频率及呃逆持续时间。结果治疗后,3组呃逆连声、胸胁满闷评分均低于治疗前,且腹针组呃逆连声、胸胁满闷评分均低于西药组、中药组,中药组低于西药组,差异有统计学意义(P<0.05)。治疗后,3组呃逆发作频率均低于治疗前,呃逆持续时间均短于治疗前,且腹针组呃逆发作频率低于西药组、中药组,呃逆持续时间短于西药组、中药组,中药组呃逆发作频率低于西药组,呃逆持续时间短于西药组,差异有统计学意义(P<0.05)。结论腹针治疗药源性顽固性呃逆效果较好,能降低患者呃逆发作频率,缩短呃逆持续时间,减轻其临床症状。

Objective To investigate the clinical efficacy of abdominal acupuncture in the treatment of drug-induced intractable hiccup.Methods 76 patients with drug-induced intractable hiccup admitted to our hospital from February 2015 to March 2020 were selected as the research subjects,and they were divided into the Western medicine group(n=25),the Traditional Chinese Medicine(TCM)group(n=25)and the abdominal acupuncture group(n=26)according to random number table method.The three groups were treated with conventional symptomatic treatment,the western medicine group was treated with chlorpromazine,the TCM group was treated with Pinellia Magnolia decoction,and the abdominal acupuncture group was treated with abdominal acupuncture.The TCM syndrome score,attack frequency and duration of hiccup before and after treatment were compared among the three groups.Results After treatment,the scores of hiccup and thoracic and lateral tightness in the three groups were lower than before treatment,and the scores of hiccup and thoracic and lateral tightness in the abdominal acupuncture group were lower than those in the western medicine group and the TCM group,and the TCM group was lower than the western medicine group,and the differences were statistically significant(P<0.05).After treatment,the attack frequency of hiccup in the three groups were lower than before treatment,the duration of hiccup was shorter than before treatment,and the attack frequency of hiccup in the abdominal acupuncture group was lower than that in theWestern medicine group and the TCMgroup,and the duration of hiccup was shorter than that in the Western medicine group and the TCM group,and the attack frequency of hiccup in the TCM group was lower than that in the Western medicine group,and the duration of hiccup was shorter than that in the western medicine group,and the differences were statistically significant(P<0.05).Conclusion Abdominal acupuncture is effective in the treatment of drug-induced intractable hiccup,which can reduce the attack frequency of hiccup,shorten the duration of hiccup and relieve its clinical symptoms.