自制简易呃逆治疗器治疗顽固性呃逆60例临床研究  

Clinical Study of Simple Homemade Hiccup Therapeutic Apparatus for 60 Cases with Resistant Hiccup

作　　者：王军[1] 贾炳晖 万航[1] 郭荣奎[1] 

机构地区：[1]山东省煤炭泰山疗养院,山东泰安271000

出　　处：《社区医学杂志》2010年第19期7-9,共3页Journal Of Community Medicine

摘　　要：目的利用自制简易呃逆治疗器治疗顽固性呃逆，观察其治疗安全性与有效性。方法60例呃逆患者行简易呃逆治疗器治疗，病人仰卧位，先深吸气然后把气体呼入呼吸囊内，反复3次，将呼吸囊充满，面罩紧扣病人口鼻周围不能漏气，打开吸氧管，0．5L／min的氧气进入呼吸囊，嘱其深吸气、慢呼气，反复呼吸呼吸囊内的气体，3min为1个治疗时段。一次无效可重复2～3次。治疗中观察心率（HR）、血压的收缩压（SBP）和舒张压（DBP）、呼吸频率（RR）、脉搏血氧饱和度（SPO2）和呼气末二氧化碳分压（PETCO2）。结果恶性肿瘤引起的呃逆31例病人治愈率、有效率、无效率、总有效率分别为29．0％、54．8％、16．1％、83．9％；其他因素引发呃逆29例病人治愈率、有效率、无效率、总有效率分别为82．8％、17．2％、0、100．0％。HR、SBP、DBP、RR、PETC02在治疗3min与治疗前比较，差异有统计学意义（均P〈0．05）。结论简易呃逆治疗器治疗顽固性呃逆效果优良，方法安全简便。Objective To evaluate the therapeutic effect of simple homemade hiccup therapeutic apparatus in resistant hiccup. Methods 60 patients with resistant hiccup were treated with simple homemade hiccup therapeutic apparatus. Their mouths and noses were sealed with masks. The patients, in supine position, re- spired with the apparatus for 3 to 5 minutes after a deep inspiration. If hiccup was continuous, the time should be longer than 5 minutes and can be repeated 2 -3 sessions. HR, SBP, DBP, RR, PETCO2were observed in the course of treatment. Results The cure, efficient, inefficient, and total effective rates of 31 resistant hiccup patients caused by tumor were 29.0% , 54.8% , 16.1% , 83.9% respectively while the ones of other 29 pa- tients caused by other diseases were 82.8%, 17.2%, O, 100.0% respectively. There was statistical significance between the beginning and three minutes of treatment in the HR, SBP, DBP, RR, PETCO2. Conclusion The simple homemade hiccup therapeutic apparatus is a safe, effective, and easy method to treat resistant hiccup.

关 键 词：顽固性呃逆 自制治疗器 治疗 

分 类 号：R256.31[医药卫生—中医内科学]