二联疗法治疗顽固性呃逆的临床研究

Clinical studies of obstinate bivalent therapy

目的探讨二联疗法即双侧足三里穴位注射盐酸氯丙嗪加中药代茶饮治疗顽固性呃逆的有效性。方法选取河北医科大学第一医院就诊的70例呃逆患者按照随机数字表法分为治疗组和对照组,治疗组给予盐酸氯丙嗪注射液25mg分双侧足三里穴位注射,同时配合山萸肉、柿蒂各10g,五味子5g泡水,代茶饮。对照组给予肌注胃复安10mg,并予以普通针刺治疗。穴取足三里、内关、丰隆、中、下脘、天枢、大横、印堂及耳部膈区。结果治疗组35例中,治愈28例(80.0%),好转5例(14.28%),总有效率为94.28%;对照组35例中,治愈17例(48.57%),好转9例(25.71%),总有效率为74.28%;两组治疗方法均有效,但治疗组疗效更加优于对照组,两组比较差异有统计学意义(P<0.05)。结论二联疗法治疗顽固性呃逆优于常规治疗。

Objective To investigate the effectiveness of the two joint therapy for intractable hiccups.Methods 70 patients were randomly divided according to treatment and control groups,the treatment group received 25 mg chlorpromazine hydrochloride injection points bilateral Zusanli injection;control group were given intramuscular metoclopramide,and be ordinary acupuncture treatment.Points to take the full three years,Hong Leong,middle and lower abdominal and ear diaphragm area.Results 35 cases of the treatment group were cured 28 cases,accounting for 80%,improved in 5 case,accounting for 14.28,the total effective rate was 94.28%;35 cases in the control group were cured 17 cases,accounting for 48.57%,improved 9 cases,accounting for 25.71%,the total effective rate was 74.28%;two treatment methods are effective,but the treatment group more than the control group between the two groups was statistically significant(P<0.05).Conclusion The two linked therapy is superior to conventional treatment of intractable hiccups.