运用薄智云腹针疗法联合体针治疗中风后呃逆随机平行对照研究

[目的]观察运用薄智云腹针疗法联合体针治疗中风后呃逆疗效。[方法]使用随机平行对照方法,将60例中风后呃逆门诊患者按完全随机方法(随机数字表)随机分为两组。治疗组30例腹针结合体针治疗,腹针取中脘(浅刺)、下脘(浅刺)、气海(深刺)、关元(深刺)、阴都(双侧,浅刺)、滑肉门(双侧,中刺);体针取内关、天突、攒竹、足三里、三阴交。患者取仰卧位,穴位常规消毒后,用0.35×50mm毫针浅刺中脘、下脘、阴都,直刺深度达皮下浅筋膜;中刺滑肉门,直刺深度达腹直肌;深刺气海、关元,直刺深度达腹横肌深处,均选用提插捻转手法,再以0.25×40mm毫针针刺体针穴位,得气后施平补平泻手法,留针30min,间隔15min用提插捻转手法行针1次,1次/d。对照组30例传统体针方法治疗,取穴及操作方法同治疗组。连续治疗3次(3d)随访2周判定疗效。[结果]治疗组痊愈22例,显效7例,无效1例,总有效率96.67%。对照组痊愈18例,显效6例,无效6例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。[结论]运用薄智云腹针疗法联合体针治疗中风后呃逆疗效显著。

Randomized Controlled Study Hiccup after Abdominal Acupuncture Combined with the Body Acupuncture Treatment of Stroke

[ Objective ] Observe the clinical efficacy of abdominal acupuncture combined with body acupuncture treatment of Hiccups after stroke. [ Method ] Uses the stochastic parallel comparison method, after 60 example strokes, hiccups the outpatient service patient （stochastic tables） to divide into two groups stochasti-cally according to the completely random device. The treatment group 30 example abdomen needle union acu- puncture treatment, the abdomen needle takes the Zhongwan （shallow thorn） , the Xiawan （shallow thorn） , the Qihai （ deep thorn） , Guanyuan （ deep thorn） , Yindu （ two - sided, shallow thorn） , the Huaroumen （ two - sided, thorn） ; Body acupuncture to take Neiguan, Tiantu, Cuanzu, Zusanli, Sanyinjiao. The patient takes the supine decubitus, after the acupuncture point convention disinfection, with 0.35 × 50mm acupuncture needle shallow thorn Zhongwan, Xiawan, Yindu, the straight thrust depth reaches the hypodermic shallow fas- cia; Punctures the Huaroumen, the straight thrust depth reaches the abdomen musculus rectus; The deep thorn Qihai, Guanyuan, the straight thrust depth reaches the abdomen musculus transversus deep place, se- lects raises inserts twists hands over the law, by 0.25 × 40mm the acupuncture needle acupuncture acupuncture acupuncture point, after bringing about the desired sensation, Shi Ping makes up again flows swiftly evenly the technique, keeps needle 30rain, is separated 15min with to raise inserts twists hands over the law marking needle 1 time, 1 time / day. Control group 30 example tradition acupuncture method treatment, acupoint selection and operating procedure with treatment group. Treats 3 times （3days） to make a follow - up visit 2 weeks determination curative effect continuously. [ Results lTreatment group, cured 22 cases, excellent were 7 cases, noneffective were 1 case , the total efficiency of 96.67% . Control group, cured 18 cases, excellent were 6 cases , noneffective were 6 cases, the total efficiency of 80.00% . Treatment group than the control group （P 〈 0.05）. [ Conclusion] Abdominal acupuncture combined with body acupuncture treatment of Hiccups after stroke have significant clinical effect.