针刺联合甲氧氯普胺穴位注射足三里穴治疗中风后顽固性呃逆36例

36 Cases of Intractable Hiccup after Stroke Treated with Acupuncture Combined with Metoclopramide Injection at Zusanli Points

摘要: 中风病是国内致死率最高的疾病之一，病情危急不仅威胁患者的身心健康，还给家庭和社会带来巨大负担。另外还有致残率高、并发症多、恢复期长等特点，其中顽固性呃逆是中风后一种较为常见的并发症。呃逆主要表现为打嗝，并伴有喉间较为高亢的声音，持续性发作48 h称为顽固性呃逆。长时间呃逆会影响到患者的日常起居，从而产生负面情绪，影响脑卒中的整体康复。故探究更有疗效的临床诊治方法至关重要。笔者运用针刺联合甲氧氯普胺穴位注射足三里穴治疗中风后顽固性呃逆患者36例，现报道如下。

Abstract: Stroke is one of the diseases with the highest fatality rate in China. The critical nature of the condition not only threatens the physical and mental health of patients but also imposes a significant burden on families and society. Additionally, stroke is characterized by high disability rates, numerous complications, and a long recovery period. Among these, intractable hiccups are a relatively common complication following stroke. Hiccups are primarily manifested by involuntary diaphragmatic spasms, accompanied by a relatively high-pitched sound from the throat. Persistent episodes lasting for 48 hours or more are termed intractable hiccups. Prolonged hiccups can affect the patient’s daily routine, which can create negative emotions and affect the overall recovery from stroke. It is therefore essential to explore more effective clinical treatments. The author used acupuncture combined with methotrexate injection at Zusanli points to treat 36 patients with persistent arithmetic after stroke, as reported below.