指压合谷穴治疗全口义齿初戴者恶心的效果观察  

Therapeutic effects of finger pressing on Hegu acupoint on nausea in first-time complete denture wearers

作　　者：鹿时刚 刘国存 Lu Shigang;Liu Guocun(Department of Neurology,Huxi Hospital Affiliated to Jining Medical University,Shanxian Central Hospital,Heze 274300,Shandong Province,China;Department of Stomatology,Huxi Hospital Affiliated to Jining Medical University,Shanxian Central Hospital,Heze 274300,Shandong Province,China)

机构地区：[1]济宁医学院附属湖西医院单县中心医院神经内科,菏泽274300 [2]济宁医学院附属湖西医院单县中心医院口腔科,菏泽274300

出　　处：《中国基层医药》2022年第7期985-988,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察指压合谷穴治疗全口义齿初戴者恶心的效果,寻找更好地减轻全口义齿初戴者恶心的方法。方法选取济宁医学院附属湖西医院2016年6月至2019年12月全口义齿初戴者41例,采用随机数字表法分为两组,观察组21例,采用指压合谷治疗,分别于戴义齿前和三餐饭前按压合谷穴3 min;对照组20例,采用自己适应法治疗。两组于戴义齿后3 d、7 d、14 d复诊,记录无恶心例数、吞咽功能正常例数、咀嚼效率,比较两组效果。结果观察组戴义齿3 d、7 d无恶心分别为85.71%(18/21)、95.24%(20/21),均高于对照组的45.00%(9/20)、65.00%(13/20)(χ^(2)=5.58、4.19,均P<0.05);两组戴义齿14 d无恶心,差异无统计学意义(P>0.05)。观察组戴义齿3 d吞咽功能正常率为57.14%(12/21),高于对照组的15.00%(3/20)(χ^(2)=8.16,P<0.01);两组戴义齿7 d、14 d吞咽功能正常率均差异无统计学意义(均P>0.05)。观察组戴义齿3 d、7 d咀嚼效率分别为(42.03±5.02)%、(50.34±5.05)%,均高于对照组的(37.00±4.00)%、(47.13±4.03)%,均差异有统计学意义(t=3.51,1.65,均P<0.05);两组戴义齿14 d咀嚼效率差异无统计学意义(P>0.05)。结论指压合谷穴用于减轻全口义齿初戴者恶心的临床疗效好,可缩短全口义齿初戴者的适应时间。Objective To investigate the therapeutic effects of finger pressing on Hegu acupoint on nausea and to find an optimal method to reduce nausea in first-time complete denture wearers.Methods Forty-one first-time complete denture wearers who received treatment between June 2016 and December 2019 in Huxi Hospital Affiliated to Jining Medical University were included in this study.They were randomly divided into observation group(n=21)and control group(n=20).The observation group received finger pressing on Hegu acupoint for 3 minutes before complete denture wearing and before three meals.The control group received self-adaptive therapy.After 3,7 and 14 days of wearing complete denture,the number of wearers without nausea,the number of wearers with normal swallowing function,and the number of wearers with masticatory efficiency were recorded in each group.Efficacy was compared between two groups.Results After 3 and 7 days of wearing complete denture,the percentage of complete denture wearers without nausea was 85.71%(18/21)and 95.24%(20/21),respectively,which were significantly higher than those in the control group[45.00%(9/20),65.00%(13/20),χ^(2)=5.58,4.19,both P<0.05].After 14 days of wearing complete denture,there was no significant difference in number of wearers without nausea between observation and control groups(P>0.05).After 3 days of wearing complete denture,there was significant difference in percentage of wearers with normal swallowing function among total number of complete denture wearers between observation and control groups[57.14%(12/21)vs.15.00%(3/20),χ^(2)=8.16,P<0.01).After 7 and 14 days of wearing complete denture,there was no significant difference in percentage of wearers with normal swallowing function among total number of complete denture wearers between observation and control groups(both P>0.05).After 3 and 7 days of wearing complete denture,masticatory efficiency in the observation group was(42.03±5.02)%and(50.34±5.05)%,which were significantly higher than those in the control group[(

关 键 词：义齿 全口 恶心 呕吐 合谷 穴位按压 咀嚼 吞咽 

分 类 号：R783.6[医药卫生—口腔医学]