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目的:观察中西医结合治疗慢性重型肝炎并发呃逆的临床疗效。方法:用注射器分别抽取山莨菪碱10mg、复方丹参注射液4mL,对58例患者采用注射器针头穴位针刺,并行提、插、捻、转手法,出现酸麻胀感后注射。观察临床疗效。结果:痊愈42例,未愈16例,有效率为72.41%。痊愈患者死亡率为33.33%,低于一般慢性重型肝炎病死率(43.27%),但差异无显著性意义(P>0.05),可能与病例数量较少有关;未愈患者死亡率为75.00%,远高于一般慢性重型肝炎病死率(P<0.01)。痊愈患者死亡率与未愈患者比较,差异有非常显著性意义(P<0.01)。结论:山莨菪碱配合复方丹参注射液穴位注射对慢性重型肝炎并发呃逆有明显的治疗作用。同时说明慢性重型肝炎并发呃逆,其症状缓解与否,与其预后有直接的关系。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of chronic severe hepatitis complicated with hiccups. Methods: Anisodamine 10mg and compound Danshen injection 4mL were respectively drawn by syringe. Fifty-eight patients were treated by needle acupuncture at acupuncture points. Observe the clinical effect. Results: 42 cases were cured, 16 cases were not cured, the effective rate was 72.41%. The mortality rate of cured patients was 33.33%, lower than that of general chronic severe hepatitis (43.27%), but the difference was not statistically significant (P> 0.05), which may be related to the small number of cases. The mortality of unhealed patients was 75.00% Far higher than the general mortality of chronic severe hepatitis (P <0.01). There was a significant difference between the cured patients and unhealed patients (P <0.01). Conclusion: Anisodamine combined with compound Salvia miltiorrhiza injection acupoint injection has a significant therapeutic effect on chronic severe hepatitis complicated with hiccup. At the same time shows that complicated with chronic severe hepatitis Hiccup, its symptoms relieved or not, and its prognosis has a direct relationship.