利多卡因_____利多卡因；甲氧氯普胺；脑卒中；顽固性呃逆

利多卡因联合甲氧氯普胺治疗顽固性呃逆辽效观察

http://www.100md.com 《吉林医药医学学报》 2005年第1期

利多卡因,,利多卡因；甲氧氯普胺；脑卒中；顽固性呃逆,1资料与方法,2结果,3讨论,参考文献：

     摘要：目的观察利多卡因联合甲氧氯普胺治疗脑卒中所致顽固性呃逆的疗效。方法选取脑卒中患者153例，男79例，女74例，随机分为常规治疗组76例和利多卡因联合甲氧氯普胺治疗组77例。利多卡因联合甲氧氯普胺治疗组在治疗原发病的同时，采用利多卡因静脉注射滴注联合甲氧氯普胺穴位注射，治疗中观察用药前后呃逆症状轻重变化，发生频率及持续时间。结果利多卡因联合甲氧氯普胺治疗组77例中治愈30例，好转44例，总有效率为96.1%，而常规治疗组总有效率为63.5%，联合治疗组疗效明显高于对照组(P<0.01)。结论利多卡因静滴联合甲氧氯普胺穴位注射治疗顽固性呃逆，具有操作简单，用药量小，起效快，疗效高，无明显不良反应及价格低廉等优点，是治疗呃逆的有效方法之一。

    关键词：利多卡因；甲氧氯普胺；脑卒中；顽固性呃逆

    第 1 期王军民,等.利多卡因联合甲氧氯普胺治疗顽固性呃逆辽效观察Effect of obstinate hiccup treatment with Lidocaine united Metoclopramide

    WANG Junmin， CHEN Yuanfang，WANG Yiling, WANG Linan

    (Department of neurology, Affiliated hospital of Jilin Medical College，Jilin City, Jilin Province 132011, China)

    Abstract:ObjectiveThe observation of curative effect of brain solider obstinate hiccup treated by Lidocaine united with Metoclopramide. Methods153 brain solider cases were sampled, including 79 males and 74 females, and randomly divided into routine treated group(Ⅰ)of 76cases and Lidocaine united with Metoclopramide group(Ⅱ)of 77 cases.GroupⅡ was treated with intravenous injection of Lindocaine and acupoint injection of Metoclopramide. The changes of symptom, frequency and duration were observed before and after medicine using.ResultsIn groupⅡ, 30cases cured,44cases got better and the total efficiency is 96.1%;while the total efficiency was 63.5% in groupⅠ. The curative effect in groupⅡ was significantly different (P<0.01)from groupⅠ. ConclusionThe treatment of obstinate hiccup with intravenous injection Lidocaine and acupoint infection of Metoclopramide have advantages of simply operating, small toesage using and higher curative effect etc. ......

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