揿针疗法联合穴位敷贴对脑梗死后顽固性呃逆患者胃动力学指标的影响  

Effect of Pressing Acupuncture Combined with Acupoint Application on Gastric Dynamics in Patients with Intractable Hiccup after Cerebral Infarction

作　　者：李芳 刘培良 杨艳娟 付廷飞 Li Fang;Liu Peiliang;Yang Yanjuan;Fu Tingfei(Handan First Hospital,Hebei,Handan 056000,China)

机构地区：[1]河北省邯郸市第一医院,河北邯郸056000 [2]河北省军区邯郸第一离职干部休养所,河北邯郸056000

出　　处：《中国中医急症》2024年第4期640-643,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：河北省中医药管理局(2021479)。

摘　　要：目的观察揿针疗法联合穴位敷贴对脑梗死后顽固性呃逆患者胃动力学指标的影响。方法将130例患者随机分为对照组与观察组各65例,对照组采用基础治疗和穴位敷贴进行治疗,观察组采用基础治疗和穴位敷贴联合揿针疗法进行治疗。对比两组患者血清可溶性细胞间黏附分子-1(sICAM-1)、可溶性血管细胞黏附分子-1(s VCAM-1)、血小板α颗粒膜蛋白-140(GMP-140)水平,两组收缩频率、收缩幅度、胃排空率,两组精神状态、睡眠、饮食评分,中医证候积分、临床疗效等。结果治疗后,两组sICAM-1、s VCAM-1、GMP-140水平降低,且观察组降低幅度较大(P<0.05),治疗后,两组收缩频率、收缩幅度、胃排空率升高,且观察组收缩频率、收缩幅度、胃排空率水平高于对照组(P<0.05),两组精神状态、睡眠、饮食评分升高,且观察组精神状态、睡眠、饮食评分高于对照组(P<0.05),治疗后,两组中医证候积分升高,且观察组降低幅度较大(P<0.05),观察组总有效率为78.46%,高于对照组的61.54%(P<0.05)。结论脑梗死后顽固性呃逆患者经揿针疗法联合穴位敷贴治疗后,收缩频率、收缩幅度、胃排空率升高,且临床疗效较好。Objective:To analyze the effect of pressing acupuncture combined with acupoint application on gastric dynamics in patients with intractable hiccup after cerebral infarction. Methods:A total of 130 patients were randomly divided into control group and observation group,with 65 cases in each group. The control group was treated with basic treatment and acupoint application,and the observation group was treated with pressing needle therapy on the basis of the control group. The levels of serum sICAM-1,sVCAM-1 and GMP-140,systolic frequency,systolic amplitude,gastric emptying rate,mental state,sleep and diet scores,TCM symptom scores and clinical efficacy were compared between the two groups. Results:After treatment,the levels of sICAM-1,sVCAM-1 and GMP-140 in the two groups decreased,and the levels of sICAM-1,sVCAM-1 and GMP-140 in the observation group were lower than those in the control group(P < 0.05). After treatment,the systolic frequency,systolic amplitude and gastric emptying rate in the two groups increased,and the systolic frequency,systolic amplitude and gastric emptying rate in the observation group were higher than those in the control group(P < 0.05). The scores of mental state,sleep and diet in the two groups increases,and the scores in the observation group were higher than those in the control group(P < 0.05).After treatment,the TCM symptom score of the two groups increased,and the observed TCM symptom score was higher than that of the control group(P < 0.05). After treatment,the total effective rate of the observation group(78.46%)was higher than that of the control group(61.54%)(P < 0.05). Conclusion:Patients with intractable hiccup after cerebral infarction treated by pressing needle therapy combined with acupoint application showed increased systolic frequency,systolic amplitude and gastric emptying rate,and the clinical effect was good.

关 键 词：脑梗死后顽固性呃逆 揿针疗法 穴位敷贴 胃动力学 

分 类 号：R743.9[医药卫生—神经病学与精神病学]