俞募配穴针刺治疗顽固性呃逆的临床研究

唐何勇; 申国明; 吴伟伟; 杨峰

俞募配穴针刺治疗顽固性呃逆的临床研究

1.
安徽中医药大学研究生院，安徽合肥 230038
2.
安徽中医药大学第二附属医院，安徽合肥 230038
3.
复旦大学附属中山医院，上海 200032

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出版历程
- 刊出日期: 2019-05-10

Clinical Research on the Different Acupuncture Prescriptions of Shu Mu Combined in the Treatment of Intractable Hiccup

1.
Graduate School, Anhui University of Chinese Medicine, Hefei, 230038, China
2.
The Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, 230038, China
3.
Zhongshan Hospital Affiliated to Fudan University, Shanghai, 200032, China

摘要

摘要: 目的观察俞募配穴不同用穴方案(单穴、配穴)针刺治疗顽固性呃逆的临床疗效。方法选取我院自2016年5月至2018年5月收治的90例顽固性呃逆患者，采取随机数字表法分为A组、B组及C组，每组各30例，A组取胃俞穴，B组取中脘穴，C组取胃俞募配穴，对3组患者分别进行20次的针刺治疗，对比治疗前后呃逆症状评分、临床疗效、胃动力学指标变化及生活质量评分。结果 A组、B组及C组治疗后与治疗前相比呃逆症状评分均降低（P<0.01），C组治疗后相比于A组、B组治疗后呃逆症状评分降低更加显著（P<0.01）。C组分别与A组、B组相比临床总有效率较高，差异具有统计学意义（P<0.01）。A组、B组及C组治疗后与治疗前相比胃收缩频率、收缩幅度及胃排空率均升高，C组治疗后分别与A组、B组治疗后相比胃收缩频率、收缩幅度及胃排空率升高较为显著，差异具有统计学意义（P<0.05）。C组治疗后分别与A组、B组治疗后相比精神状态、饮食及睡眠评分升高较为显著，差异具有统计学意义（P<0.05）。结论胃俞穴、中脘穴及胃俞募配穴针刺治疗顽固性呃逆虽均可获得一定的疗效，但胃俞募配穴针刺治疗更能够有效地缓解临床症状及体征，改善胃动力学指标，促进提高生活质量。
- 俞募配穴 /
- 用穴方案 /
- 针刺 /
- 顽固性呃逆 /
- 疗效
Abstract: OBJECTIVE To explore and analyze the clinical effect of different prescriptions of shu mu combined (single acupoint and adjunct acupoints) in the treatment of intractable hiccup. METHODS Ninety patients with intractable hiccup admitted to the Second Affiliated Hospital of Anhui University of Chinese Medicine from May 2016 to May 2018 were enrolled. According to random number table， they were randomly divided into three groups: group A with wei shu (BL12)， group B with zhong wan (RN12， aka wei mu points) and group C with shu mu combined (BL12 and RN12)， 30 cases for each group. Needling was done once a day and totally for 20 days. The scores of hiccup symptoms， clinical efficacy， changes of gastric kinetics index and quality of life were compared before and after treatment. RESULTS The score of hiccup symptoms in group A， group B and group C decreased after treatment compared with before treatment (P<0.01)， and the score of hiccup symptoms in group C decreased more significantly after treatment than that in the other two (P<0.01). The total effective rate of group C was higher than that of group A and group B， the difference was statistically significant (P<0.01). The gastric contraction frequency， amplitude and emptying rate in group A， B and C increased after treatment compared with before treatment， the difference was statistically significant (P<0.05). After treatment， the mental state， diet and sleep scores in group C improved significantly better than those in group A and group B， respectively， and the difference was statistically significant (P<0.05). CONCLUSION Needling at wei shu (BL12)， zhong wan (RN12) and shu mu combined (BL12 and RN12) can achieve certain therapeutic effects on intractable hiccups， but the treatment of shu mu combined (BL12 and RN12) can more effectively relieve clinical symptoms and signs， improve gastric kinetics index and promote the improvement of quality of life.
- shu mu combined /
- acupuncture prescriptions /
- needling /
- intractable hiccups /
- efficacy

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参考文献(16)

[1]	国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社，1994，24（5）：51-52.
[2]	杨敏.中西医结合治疗中枢性顽固性呃逆的临床观察[J].湖北中医杂志，2016，38（8）：45-46.
[3]	金晓仙，高旸．顽固性呃逆研究进展[J].河南中医，2014，34(5):987-989.
[4]	梁振强，裴明和，来怡农，等．针刺治疗重度颅脑外伤致顽固性呃逆 100 例[J].西部中医药，2014，27(8):113-114.
[5]	王永炎，严世芸.中医内科学[M].上海:上海科学技术出版社，2009:29-30.
[6]	裘沛然，陈汉平.新编中国针灸学[M].上海:上海科学技术出版社，1992:123-124.
[7]	杨昆鹏.针灸辨证治疗顽固性呃逆临床观察[J].实用中医药杂志，2017，33（8）：956-957.
[8]	黄蕤.中医针灸治疗顽固性呃逆临床疗效观察[J].中国卫生标准管理，2016，7(21):122-124.
[9]	蒋海燕.中医针灸治疗顽固性呃逆52例临床疗效观察[J].中医临床研究，2015，7（33）：116-117.
[10]	严萍.膈俞穴刺络拔罐治疗顽固性呃逆50例[J].中医外治杂志，2016，25（4）：17-18.
[11]	陈晓勇.中医针刺治疗顽固性呃逆的临床疗效[J].临床医学研究与实践，2017，2（16）：130-131.
[12]	王富春.精方妙术针灸丛书:腧穴类编[M].2版.上海:上海科技出版社，2009:56-57.
[13]	王家悦，王革生.针刺治疗中风后顽固性呃逆验案一则[J].中国当代医药，2017，24（9）：122-124.
[14]	王志杰，刘朝晖，汤永全，等.针刺奇穴为主治疗中枢性顽固性呃逆疗效观察[J].上海针灸杂志，2016，35（11）：1290-1291.
[15]	李康.针刺水沟穴治疗顽固性呃逆验案两则[J].中医临床研究，2016，8（1）：48-49.
[16]	朱心玮，招少枫，何怀，等.针刺疗法治疗脑卒中后顽固性呃逆的临床观察[J].中国中医急症杂志，2017，26（1）：98-100.