揿针干预手术后呃逆临床疗效的RCT研究  

RCT Study on Clinical Effect of Press Needle Acupuncture Intervention on Hiccup after Operation

作　　者：涂娟[1] 涂店红 欧阳骞[1] TU Juan;TU Dian-hong;OUYANG Jian(Jiangxi Province Cancer Hospital Head Pre Tumor Surgery Second Ward,Nanchang Jiangxi 330029,China)

机构地区：[1]江西省肿瘤医院头颈肿瘤外科二病区,江西南昌330029

出　　处：《中华养生保健》2023年第24期1-4,共4页CHINESE HEALTH CARE

基　　金：江西省卫生健康委科技计划(20203576)。

摘　　要：目的与常规西药比较,评价以揿针为代表的中医外治技术治疗手术后呃逆的临床疗效。方法采用随机对照试验(RCT)方法,纳入60例合格受试者,根据随机数表法分为两组。试验组(n=30)在常规护理基础上采用耳穴揿针,以耳中(膈)、胃、神门等穴位为主。揿针1次/3 d,3次1个疗程,6次2个疗程。对照组(n=30)在常规护理基础上进行药物肌肉注射,如利他林10 mg等,连续治疗20次。采用呃逆症状评分作为观察指标和疗效判定的依据。结果治疗后,两组受试者呃逆频率比较,试验组显著低于对照组,差异有统计学意义(P<0.05);两组受试者止呃起效时间、治愈时间、呃逆积分比较,差异有统计学意义(P<0.05)。试验组显效20例(66.67%),有效6例(20.00%),无效4例(13.34%);对照组显效15例(50.00%),有效4例(13.34%),无效11例(36.67%),采用非参数检验,差异有统计学意义(R=6.68,P<0.05),说明揿针耳穴治疗手术后呃逆临床疗效优于对照组。结论与常规西药比较,揿针干预手术后呃逆临床疗效显著,值得临床应用。Objective Compared with conventional western medicine,to evaluate the clinical effect of external treatment of hiccup after operation represented by screw acupuncture.Methods A randomized controlled trial(RCTS)was used to include 60 eligible subjects,who were randomly divided into two groups according to the random number table method.Experimental group(n=30):On the basis of routine nursing,the auricular acupuncture point was used,with auricular(diaphragm),stomach,Shenmen and other acupoints as the main points.The needle can be changed once every 3 days,3 times 1 course of treatment,6 times for 2 sessions.Control group(n=30):on the basis of routine care,mainly intramuscular injection of drugs,such as Ritalin 10 mg,etc.20 consecutive treatments.Symptom score of hiccup was used as the observation index and the basis of curative effect.Results After treatment,the frequency of hiccup in the test group was significantly lower than that in the control group(P<0.05).There were statistical significance in the onset time,healing time and hiccup scores between the two groups(P<0.05).In the experimental group,20 cases(66.67%)were significantly effective,6 cases(20.00%)were effective and 4 cases(13.34%)were ineffective.In the control group,there were 15 cases(50.00%)of obvious effect,4 cases(13.34%)of effective cases,and 11 cases(36.67%)of ineffective cases.Non-parametric test was used,which had statistical significance(R=6.68,P<0.05),indicating that the clinical effect of acupuncture at auricular point on postoperative hiccup was better than that of the control group.Conclusion Compared with conventional western medicine,acupuncture intervention of hiccup after operation has significant clinical effect,worthy of clinical application.

关 键 词：揿针 手术后呃逆 临床疗效 随机对照试验 

分 类 号：R473[医药卫生—护理学]