穴位电针刺激治疗胃肠癌术后顽固性呃逆的临床研究

摘要

目的：观察穴位电针刺激对胃肠癌术后顽固性呃逆的治疗效果。方法：将90例胃肠癌术后顽固性呃逆患者随机分为饮水法治疗组、给药治疗组和电针治疗组各30例。饮水法治疗组采用温水口服咽下治疗；给药治疗组给予东莨菪碱、胃复安肌注并予常规保护胃黏膜、营养支持治疗；电针治疗组采用电针刺激穴位内关、足三里、膈腧。3组均治疗6次后统计疗效。结果：饮水法治疗组治愈7例（23.30％），好转4例（13.30％），总有效率36.70％；给药治疗组治愈13例（43.30％），好转6例（20.00％），总有效率63.30％；电针治疗组治愈17例（56.67％），好转9例（30.00％），总有效率86.67％。电针治疗组总有效率与饮水治疗组、给药治疗组比较，差异均有统计学意义（P＜0.05或P＜0.01）。结论：穴位电针刺激对治疗胃肠癌术后顽固性呃逆效果明显。%Objective: To observe the effect of point electroacupuncture on intractable hiccups of postoperative gastric carcinoma. Methods:90 patients were randomly divided into drinking group, medicine group and electroacupuncture stimulation group, 30 patients in each group.Drinking group received oral treatment with warm water to swallow.Medicine group received scopolamine, metoclopramide and intramuscular injection to protect the gastric mucosa conventional, nutritional support therapy.Treatment group treated by electroacupuncture stimulation of acupoint at neiguan, zusanli, geshu.All statistical curative effects were calculated after treatment for 6 times. Results:Drinking group:7 cases(23.30%) were cured, improved in 4 cases (13.30%), total efficiency was 36.70%;Medicine group:13 cases (43.30%)were cured, improved in 6 cases (20.00%), total efficiency was 63.30%;Acupuncture treatment group:17 patients (56.67%)were cured, improved in 9 patients(30.00%),the total efficiency was 86 .67%.There was significant difference between the acupuncture treatment group and the drink group ( P <0.01 ).There was significant difference between the acupuncture treatment group and the medicine group( P <0.05 ).Conclusion: Point acupuncture treatment for intractable hiccups after colorectal cancer is effective.