中枢性呃逆的研究进展  

Reviewed the Research Progress of Central Hiccup

作　　者：张芹 李红粉 李超 ZHANG Qin;LI Hongfen;LI Chao(Department of Neurology,Fengtai Rehabilitation Hospital of Beijing Municipality/Tieying Hospital,Beijing 100079,China)

机构地区：[1]北京市丰台康复医院/铁营医院神经内科,北京100079

出　　处：《中国卫生标准管理》2023年第7期195-198,共4页China Health Standard Management

摘　　要：中枢性呃逆是神经系统疾病常见的并发症,多为顽固性呃逆,可导致进食困难、肺部感染、营养不良等多种并发症,延长病程,对疾病的治疗及预后产生很大影响。本文通过对文献进行归纳总结,分析了中枢呃逆的病因、发病机制及治疗方法。中枢性呃逆最常见的病因为脑血管病,另外颈椎病、椎动脉夹层也可导致。中枢性呃逆的发病机制主要有3种:中枢性、周围性和电解质酸碱平衡。中枢性呃逆的治疗主要包括药物治疗、中医中药治疗、神经阻滞等。治疗过程中要根据患者病情实际情况,制定个体化方案,采用患者能够耐受且不良反应较小的措施,既要确保治疗效果,又要最大程度地降低患者的风险。本研究为中枢性呃逆的标准诊疗提供了依据,有借鉴意义。Central hiccup is often an associated symptom of nervous system disease,mostly intractable hiccup,which can lead to a variety of complications,such as difficulty eating,lung infection and malnutrition,prolong the course of disease,and it has great influence on the treatment and prognosis of the disease.The etiology,pathogenesis and treatment of central hiccup were analyzed in this paper.The most common disease of central hiccup is cerebrovascular disease,and cervical spondylosis and vertebral artery dissection can also lead to it.There are three kinds of pathogenesis of central hiccup:central,peripheral and electrolyte acid-base balance disorder.The treatment of central hiccup mainly includes drugs,traditional Chinese medicine therapy,nerve block,etc.In the treatment process,individualized treatment should be formulated according to the actual condition of patients,and measures that patients can tolerate and have less adverse reactions should be adopted,so as to ensure the treatment effect and minimize the risk of patients.This study provides a basis for the standard diagnosis and treatment of central hiccup.

关 键 词：中枢性 呃逆 病因 发病机制 治疗 综述 

分 类 号：R246[医药卫生—针灸推拿学]