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。

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.