CAJ | 학술논문

目的：观察通调腑气针刺法治疗顽固性呃逆的临床疗效。方法选取2012年9月至2013年10月就诊于天津中医药大学第一附属医院针灸科门诊的30例顽固性呃逆患者。按照随机数字表法随机分为治疗组和对照组，每组各15例。治疗组采用通调腑气法进行治疗，对照组采取甲氧氯普胺肌肉注射治疗。治疗7次后进行疗效评价，观察治疗组和对照组的疗效，检验方法使用 Wilcoxon秩和检验。结果治疗组治愈9例，好转4例，无效2例，总有效率86.7%（13/15）；对照组治愈3例，好转4例，无效8例，总有效率46.7%（7/15）,两组疗效比较，差异具有统计学意义（Z=-2.5, P<0.05）。结论通调腑气针刺法治疗顽固性呃逆疗效显著。
목적：관찰통조부기침자법치료완고성애역적림상료효。방법선취2012년9월지2013년10월취진우천진중의약대학제일부속의원침구과문진적30례완고성애역환자。안조수궤수자표법수궤분위치료조화대조조，매조각15례。치료조채용통조부기법진행치료，대조조채취갑양록보알기육주사치료。치료7차후진행료효평개，관찰치료조화대조조적료효，검험방법사용 Wilcoxon질화검험。결과치료조치유9례，호전4례，무효2례，총유효솔86.7%（13/15）；대조조치유3례，호전4례，무효8례，총유효솔46.7%（7/15）,량조료효비교，차이구유통계학의의（Z=-2.5, P<0.05）。결론통조부기침자법치료완고성애역료효현저。
Objective To observe the clinical effect of acupuncture treatment for intractable hiccup by modulating fu and qi. Methods A total of thirty patients from the first teaching hospital of Tianjin University of traditional Chinese medicine were randomly divided into treatment group (n=15) and control group (n=15). The treatment group was given acupuncture treatment, and control group was treated with metoclopramide through intramuscular injection. The curative effect was evaluated after 7-time treatments. The effective rates were compared between two groups by using Wilcoxon rank sum test. Results 9 patients were cured, 4 patients were improved and 2 patients were no effect in treatment group. The total effective rate was 86.7% (13/15) .In control group, three patients were cured, 4 were improved and 8 were no effect, and the total effective rate was 46.7%(7/15). There was significant difference between two groups (Z=-2.5,P<0.05). Conclusion The treatment of acupuncture for intractable hiccup is effective by modulating fu and qi.