資源描述：
《中藥聯(lián)合針刺治療腫瘤相關(guān)性頑固性呃逆療效觀察》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、中藥聯(lián)合針刺治療腫瘤相關(guān)性頑固性呃逆療效觀察李東倫張永強(qiáng)?？(宜賓縣人民醫(yī)院四川宜賓644600)【摘要】目的：探討中醫(yī)藥辯證論治聯(lián)合針刺治療腫瘤相關(guān)性頑固性呃逆的治療效果。方法：選取經(jīng)我科明確診斷為消化道各類惡性腫瘤且發(fā)生頑固性呃逆的80例患者。隨機(jī)分為對照組與治療組。對照組采取肌肉注射氯丙嗪、胃復(fù)安、氟哌啶醇治療，治療組采取中醫(yī)藥辨論治證聯(lián)合穴位針刺治療。結(jié)果：對照組和治療組總有效率相比較，差異有顯著性(P<0.05),治療組總有效率明顯高于對照組。中醫(yī)藥辯證論分型聯(lián)合針刺治療，胃寒證、脾胃陽虛證和氣滯證有效率與對照組比較差異有顯著性(P
2、<0.05),效果最好的是胃寒證，其次是脾胃陽虛證和氣滯證。結(jié)論：中醫(yī)藥辯證論治聯(lián)合針刺治療腫瘤相關(guān)性頑固性呃逆效果好，值得推廣?！娟P(guān)鍵詞】中醫(yī)藥辯證論治；？針刺；？腫瘤?；頑固性呃逆【中圖分類號】R242【文獻(xiàn)標(biāo)識碼】A【文章編號】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、膈祌經(jīng)、迷走神經(jīng)或中樞神經(jīng)受到刺激后引起一側(cè)或雙側(cè)膈神經(jīng)陣發(fā)性痙攣，伴有吸氣期聲門突然關(guān)閉，發(fā)生短促而響亮的聲音。膈肌持續(xù)痙攣超過48小吋，稱之為頑固性呃逆。頑固性呃逆嚴(yán)重者可導(dǎo)致食管及胃底粘膜撕裂出血、水電解質(zhì)紊亂、抑郁、失眠等，可能加速原冇疾病的惡
8、化，嚴(yán)重影響人們的生活質(zhì)量。呃逆古稱“噦”，《素問·宣明五氣》提出“胃為氣逆為噦”。中醫(yī)認(rèn)為：胃氣上逆動(dòng)膈，
