中药联合针刺治疗肿瘤相关性顽固性呃逆疗效观察

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1、中药联合针刺治疗肿瘤相关性顽固性呃逆疗效观察李东伦张永强?？(宜宾县人民医院四川宜宾644600)【摘要】目的：探讨中医药辩证论治联合针刺治疗肿瘤相关性顽固性呃逆的治疗效果。方法：选取经我科明确诊断为消化道各类恶性肿瘤且发生顽固性呃逆的80例患者。随机分为对照组与治疗组。对照组采取肌肉注射氯丙嗪、胃复安、氟哌啶醇治疗，治疗组采取中医药辨论治证联合穴位针刺治疗。结果：对照组和治疗组总有效率相比较，差异有显著性(P<0.05),治疗组总有效率明显高于对照组。中医药辩证论分型联合针刺治疗，胃寒证、脾胃阳虚证和气滞证有效率与对照组比较差异有显著性(P

2、<0.05),效果最好的是胃寒证，其次是脾胃阳虚证和气滞证。结论：中医药辩证论治联合针刺治疗肿瘤相关性顽固性呃逆效果好，值得推广。【关键词】中医药辩证论治；？针刺；？肿瘤?；顽固性呃逆【中图分类号】R242【文献标识码】A【文章编号】2095-1752(2015)27-0026-03Observationsonthe?Therapeutic?Effectof?Chinese?Dialectical?Medicine?plus?Acupuncture?Treatment?onlntractable?HiccupLiDongLun,ZhangYo

3、ngqiang.ThePPeople'sHospital?of?YibinCounty，?SichuanProvince,Yibin?644600?China【Abstract】Objective?To?investigate?thetherapeuticeffectof?Chinese?dialectical?medicine?plus?acupuncture?treatment?onintractable?hiccup.??Methods??Eighty?tumorwererandomlyallocaredto?acontrolgroupof4

4、0casesand?atreatment?group?of40cases,?Thecontrolgroup?wastreatedbyWesterndrugplaceboforantispasm,Andthetreatmentgroupwastreatedbycombineduseof?Chinese?dialectical?medicine?andacupuncture?.Results?Thecomparison??betweenthetwogroupsshowedthatthetotalefficacyratewasobviouslyhighe

5、rinthetreatmentgroupthaninthecontrolgroup,?therewasstatisticallysignificantdifferences(P<0.05).?ln?traditionalChinese?dialecticalmedicinetherapy,?theefficacyratewereobviouslyhigherin?thestomachcoldsyndrome,spleenYangdeficiencysyndrome,andqistagnationsyndrome?thanin?thecontr

6、olgroup,?therewerestatisticallysignificantdifferences(P<0.05)?comparedwithcontrolgroup,theeffectisthebesttothestomachcoldsyndrome,followedbythe?spleenYangdeficiency?syndrome?andqistagnationsyndrome.?Conclusion?Combined?treatment?of?Chinesedialecticalmedicine?plus?acupunctur

7、e?isaneffectivewaytotreat?intractablehiccups?in?tumorpatients.【Keywords?】？Chinese?dialectical?medicine;?Acupuncture;?Tumor;?lntractablehiccups呃逆，是由于膈肌、膈祌经、迷走神经或中枢神经受到刺激后引起一侧或双侧膈神经阵发性痉挛，伴有吸气期声门突然关闭，发生短促而响亮的声音。膈肌持续痉挛超过48小吋，称之为顽固性呃逆。顽固性呃逆严重者可导致食管及胃底粘膜撕裂出血、水电解质紊乱、抑郁、失眠等，可能加速原冇疾病的恶

8、化，严重影响人们的生活质量。呃逆古称“哕”，《素问·宣明五气》提出“胃为气逆为哕”。中医认为：胃气上逆动膈，