| BackgroundPost-stroke hiccups (Post-stroke hiccups), secondary After stroke, often characterized by hiccups sound short, frequency and continuous, severe cases can't stop. Clinical common symptom is stroke patients. Its performance have different weight, light person hiccups short time can stop, the person that weigh is day and night. When the patients with persistent hiccups, may appear mental exhaustion, serious influence patient eat, then appear malnutrition, electrolyte disorder; If patients with aspiration, aspiration pneumonia, could occur if the illness may endanger patient life. Because of post-stroke hiccup is secondary after stroke, it may aggravate the cerebrovascular disease patient, extend the course of the disease, affect prognosis of cerebrovascular disease, ultimately affect the patient's quality of life. Now think post-stroke hiccup is caused by brain damage, responsibility concentrated near the hypothalamus and brainstem lesions, has suffered damage due to the central nervous system, causing internal plant nerve function in patients with turbulence, vagus nerve excitability enhancement reflective, the digestive tract mucosa damage in irritability, under the influence of these factors, the diaphragm in patients with abnormal excited, appear the phenomenon of hiccups. This phenomenon often appear after severe cerebrovascular disease, such as large area cerebral infarction, cerebral hemorrhage, brain stem infarction or multiple cerebral infarction, etc. When hiccups phenomenon appear often heralds the disease worse. Because of the influence of post-stroke hiccups with the treatment of diseases and the patient's life, so we deal with the prevention and treatment in clinic.Of Chinese and western medicine in the treatment of post-stroke hiccup has its own measures, but the doctor of traditional Chinese medicine syndrome differentiation and treatment of acupuncture and Chinese medicine therapy has its unique theory, with Jane, and cheap, the advantage of the test, and relatively less side effects of western medicine, patient compliance is good, so further research post-stroke hiccups treatment of traditional Chinese medicine is of great significance.ObjectiveStroke patients during the hiccup symptoms, need to control in a timely manner. Acupuncture therapy in combination with acupoint sticking therapy post-stroke hiccups for characteristics of traditional Chinese medicine therapy, but for er seven stitches (bilateral C3-C5 clip ridge hole, hole in shan) joint point attach (vinegar evodia rutaecarpa sticking right foot heart) reported for the treatment of the disease is less, this topic has used this kind of treatment, using randomized parallel controlled clinical observation method, objective evaluation of its curative effect.Methods:This topic research from tongzhou district from 2016 to 2018 health development special scientific research project "er seven needle joint acupoint sticking therapy after stroke curative effect observation of hiccups" (TWKY-2016-QN-01-04). As the author's writing graduation thesis when received conforms to 47 people into a set of conditions, including treatment group and control group in 23 and 24. Treatment group with acupuncture C3-5 clip ridge point (sides) and the hole in the shan, and cupping therapy apparatus on two wire, one of the positive pick up on the same side of the wire C3 clip ridge, the cathode in the ipsilateral C5 clip ridge point, another wire with the method in the contralateral, current strength for the patients can receive maximum intensity, retaining needle 30 minute hand,1 times a day, at the same time cooperate with acupoint sticking, dispatch vinegar evodia rutaecarpa sticking right foot yongquan point, change the bandage daily, and told the patient oral baclofen 5 mg,1 times a day. Two groups of patients observed treatment 7 days, respectively for the treatment of patients with 1 day,3 day,5 days,7 days of hiccups rate. Through to the two sets of working time, daily curative effect, the average treatment time, the total curative effect of statistical analysis, to jointly acupoint sticking therapy+er seven stitches oral baclofen for simple oral baclofen comparison, objective evaluation, uh, seven needles combined the curative effect of acupoint sticking therapy.Results:the treatment group and control group of hospital diagnosis of there is no obvious difference (p> 0.05); Treatment group and control group of age, admission time and interval, time and the onset time interval in the group were no obvious difference (p> 0.05). The hiccups rating of two groups of patients before treatment had no significant difference (P> 0.05). At the end of the treatment and control group total effective rate of no significant difference (P> 0.05). Treatment and control group were not found adverse reaction. But the treatment group effect time faster than the control group. Each treatment group patients after treatment of hiccups score lower than the control group (P< 0.05). Treatment group patients within 7 to observe the average treatment, less than the control group of patients.Conclusion:1. Acupuncture point sticking+oral baclofen group therapy after stroke hiccups working fast, at the same time can quickly relieve symptoms, significantly shorten the hiccup treatment time, improve the patients quality of life, and have certain security.2. Acupuncture joint acupoint sticking therapy in the treatment of post-stroke hiccup is a kind of expanding the scope of attending. |
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