摘要
目的评价牵舌法对控制神经外科患者术后顽固性呃逆的效果。方法将60例神经外科术后发生顽固性呃逆的患者随机分为观察组和对照组各30例。观察组采用牵舌法控制呃逆症状,对照组采用肌内注射盐酸哌甲酯控制呃逆症状,比较两组患者呃逆控制的疗效。结果两组疗效比较,差异无统计学意义(P>0.05)。结论牵舌法与肌内注射盐酸哌甲酯对于控制神经外科患者术后顽固性呃逆的疗效相当,在应用精神类药物前可先使用牵舌法对呃逆进行干预,从而降低患者发生药物依赖的风险。
Objective To assess the effect of tongue pulling on management of intractable hiccups in postoperative neurosurgery patients.Methods Sixty patients after neurosurgery with intractable hiccups were equally and randomly divided into an observation group and a control group.Hiccups were treated using either tongue pulling in the observation group or injection of methylphenidate hydrochloride in the control group.Results The efficacy showed no significant difference between the two groups（P〈0.05）.Conclusion Tongue pulling is as effective as methylphenidate hydrochloride injection for treating intractable hiccups.Use of tongue pulling prior to psychiatric medications can reduce drug addiction risk.
基金
复旦大学附属华山医院科研启动基金(2013QD36)
关键词
神经外科
中枢性顽固性呃逆
牵舌法
盐酸哌甲酯
department of neurosurgery
central intractable hiccups
tongue pulling
methylphenidate hydrochloride
