针药结合对神经性呕吐患者神经功能的影响  

Effect of Acupuncture Combined with Chinese Medicine on Nerve Function in Patients with Nervous Vomiting

作　　者：杨春静[1] 

机构地区：[1]河南中医药大学第三附属医院,河南郑州450008

出　　处：《中医学报》2017年第12期2553-2557,共5页Acta Chinese Medicine

基　　金：2016年度河南省中医药科学研究专项课题(2016ZY02037)

摘　　要：目的:观察中药结合针刺治疗神经性呕吐的临床疗效及改善神经功能缺损评分的情况。方法:64例神经性呕吐患者按照随机数字表法分为对照组29例和治疗组35例,两组均给予临床常规治疗,包括休息、补液、纠正水电解质失衡。对照组加用维生素B6100 mg静脉滴注,舒必利100 mg口服,每日3次。治疗组予针刺结合中药治疗,两组均以21 d为1个疗程,1个疗程后比较两组疗效、主要临床症状总积分、中医证候分级量化积分、焦虑自评量表积分。结果:对照组有效率为68.97%,治疗组有效率为94.29%;两组有效率比较,差异有统计学意义(P<0.05);两组治疗后主要临床症状总积分与治疗前比较,差异有统计学意义(P<0.05),治疗组显著优于对照组(P<0.05);两组治疗后中医证候分级量化积分与治疗前比较,差异有统计学意义(P<0.05),治疗组显著优于对照组(P<0.05);两组治疗后焦虑自评量表积分与治疗前比较,差异有统计学意义(P<0.05),治疗组显著优于对照组(P<0.05)。结论:中药结合针刺治疗神经性呕吐疗效显著,可明显改善患者神经功能。Objective： To observe the clinical effect of traditional Chinese medicine（ TCM） in combination with acupuncture for the treatment of nervous vomiting and the improvement of neurologic impairment scores. Methods： 64 nervous vomiting patients were divided into the control group（ 29 cases） and the treatment group（ 35 cases） according to random number table method. Both groups received conventional clinical treatment,including rest,fluid infusion,and correction of water-electrolyte imbalance. On this basis,the control group was given Vitamin B6 intravenous drip,100 mg,and sulpiride,100 mg,by oral administration,three times a day. The treatment group was treated with combined treatment of TCM and acupuncture. Both groups took 21 days as a treatment course. After one treatment course,compare the two groups＇ treatment effects,total scores of main clinical symptoms,TCM syndrome classified quantitative scores and self-rating anxiety scale scores. Results： The effective rate of control group was 68. 97%and the treatment group was 94. 29%（ P〈0. 05）. By comparison,difference of the total scores of main clinical symptoms before and after the treatment was of statistical significance（ P〈0. 05） and the total score of treatment group was obviously higher than that of control group（ P〈0. 05）. The difference of TCM syndrome classified quantitative scores before and after treatment was of statistical significance（ P〈0. 05） and the score of treatment group was obviously higher than that of control group（ P〈0. 05）.The difference of self-rating anxiety scale scores before and after treatment was of statistical significance（ P〈0. 05） and the score of treatment group was obviously higher than that of control group（ P〈0. 05）. Conclusion： The treatment of nervous vomiting byTCM in combination of acupuncture achieves great effect and improves patient＇s neurological function remarkably.

关 键 词：神经性呕吐 针刺疗法 神经功能 中西医结合 

分 类 号：R256.31[医药卫生—中医内科学]