<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">MRP</journal-id><journal-title-group><journal-title>Medical Research and Practice</journal-title></journal-title-group><issn>2993-9690</issn><eissn>2993-9704</eissn><publisher><publisher-name>Art and Design</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/MRP.2025110028</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>针刺耳穴及体穴治疗重症医学科内顽固性呃逆的疗效观察</title><url>https://artdesignp.com/journal/MRP/3/11/10.61369/MRP.2025110028</url><author>韦悦悦,金鹏</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>3</volume><issue>11</issue><history><date date-type="pub"><published-time>2025-11-20</published-time></date></history><abstract>目的 &amp;nbsp; &amp;nbsp;探究针刺耳穴及体穴对于重症医学科内顽固性呃逆的有效性及预后。方法 &amp;nbsp; &amp;nbsp;收集90例顽固性呃逆患者,随机分为对照组、体穴针刺组、耳穴+体穴针刺各30例，分别对临床疗效及肠内营养耐受性评分进行比较分析。结果 &amp;nbsp; &amp;nbsp;治疗5天后，与对照组相比，体穴组及耳穴+体穴组总有效率较高，&amp;chi;&amp;sup2;=10.791&amp;nbsp; P=0.005，耳穴+体穴组与对照组、体穴组比较，治疗前后肠内营养耐受评分有差异，P＜0.05，前者效果较优。结论 &amp;nbsp; &amp;nbsp;针刺耳穴及体穴治疗重症医学科内呃逆患者的有效性高于西药常规治疗，且能改善肠内营养耐受评分，提高肠内营养的实施效果，安全性较高，值得推广使用。</abstract><keywords>耳穴,顽固性呃逆,重症医学科</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1]JEON Y S, KEARNEY A M, BAKER P G. Management of hiccups in palliative care patients [J]. BMJ.supportive &amp;amp; palliative care, 2018, 8(1): 1-6.[2]KOLODZIK P W, EILERS M A. Hiccups (singultus): review and approach to management [J]. Annals of emergency medicine, 1991, 20(5): 565-73.[3]陈桂珠, 刘朝晖, 蔡燕.刺络放血、针刺联合平胃散综合治疗中风后顽固性呃逆疗效观察 [J]. 世界中西医结合杂志, 2018, 13(7).[4] Steger M, Schneemann M, Fox M. Systemic review: the pathogenesis and pharmacological treatment of hiccups. Aliment Pharmacol Ther. 2015;42(9):1037-50.[5] Knaus WA et al. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13(10):818-29.[6]KOBAYASHI Z, TSUCHIYA K, UCHIHARA T, et al. Intractable hiccup caused by medulla oblongata lesions: a study of an autopsy patient with possible neuromyelitis optica [J]. Journal of the neurological sciences, 2009, 285(1-2): 241-5.[7]邢汝雯编著. 黄帝内经 灵枢篇 [M]. 武汉：华中科技大学出版社, 2017.[8]NGUYEN N Q, CHAPMAN M J, FRASER R J, et al. Erythromycin is more effective than metoclopramide in the treatment of feed intolerance in critical illness* [J]. 2007, 35(2): 483-9.[9]MARINO L V, KIRATU E M, FRENCH S, et al. To determine the effect of metoclopramide on gastric emptying in severe head injuries: a prospective, randomized, controlled clinical trial [J]. British journal of neurosurgery, 2003, 17(1): 24-8.[10]HAKER E, EGEKVIST H, BJERRING P. Effect of sensory stimulation (acupuncture) on sympathetic and parasympathetic activities in healthy subjects [J]. Journal of the autonomic nervous system, 2000, 79(1): 52-9.[11]鲍娜, 王琼, 孙彦辉,等. 基于数据挖掘的耳穴疗法临床应用规律.针刺研究 [J]. 2017, (01): 90-4.[12]史瑞君, 刘声. 中医耳穴压豆护理对胃癌术后患者胃肠功能恢复的辅助效果观察.北京中医药 [J]. 2017, (07): 640-2.[13]杨卉. 耳针疗法作用机理的研究进展.湖北中医药大学学报 [J]. 2011, (02): 65-7.[14]韩娟, 魏玮, 王宏才, 等. 经皮耳穴迷走神经刺激治疗功能性消化不良的机制研究.针刺研究 [J]. 2022, (06): 517-24.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
