晕针后踝泵与髋泵操作疗效差异

邓启龙 朱靖 何承敏 周苗 王璐 马光兴 吴仕超

[摘要] 目的 探讨患者晕针后行踝泵与髋泵操作的效应差异。 方法 回顾性分析2017年9月至2020年6月温州医科大学附属台州医院等5家单位共44例晕针患者临床资料，患者分为踝泵组（18例）和髋泵组（26例），比较两组患者临床特点、总缓解率、缓解效率及治疗依从性等情况。 结果 两组患者晕针类型、晕针体位、年龄、性别比较，差异均无统计学意义（P>0.05），两组处理晕针总缓解率比较，差异无统计学意义（P>0.05）;但两组患者缓解效率和治疗依从性比较，差异均有统计学意义（P<0.01）。 结论 髋泵和踝泵均是缓解晕针不适的有效方法，但髋泵在缓解效率和治疗依从性上有比较优势，值得进一步研究和推广应用。

[关键词] 髋泵;踝泵;晕针;针刺;微针刀

[中图分类号] R229          [文献标识码] B          [文章编号] 1673-9701（2021）30-0132-04

[Abstract] Objective To investigate the difference of efficacy between ankle pump and hip pump after acupuncture syncope. Methods The clinical data of 44 patients with acupuncture syncope admitted to 5 units including Taizhou Hospital Affiliated to Wenzhou Medical University， etc. from September 2017 to June 2020 were retrospectively analyzed. The patients were divided into the ankle pump group （n=18） and the hip pump group （n=26）. The clinical features， total response rate， remission rate and treatment compliance of the two groups of patients were compared. Results There were no statistically significant differences in all the types and positions of acupuncture syncope， ages and genders of the patients in the two groups（P>0.05）. There was no statistically significant difference in the total response rate of treating acupuncture syncope between the two groups（P>0.05）. However， there were statistically significant differences in remission efficiency and treatment compliance between the two groups of patients（P<0.01）. Conclusion Both hip pump and ankle pump are effective methods to relieve discomfort caused by acupuncture syncope， but hip pump has comparative advantages in relieving efficiency and treatment compliance， which is worthy of further research and promotion and application.

[Key words] Hip pump; Ankle pump; Acupuncture syncope; Acupuncture; Micro needle knife

目前“暈针”概念尚不统一，中医讲的晕针是针刺相关[1]，临床上普通针刺、穴位注射、采血、微针刀等针刺类操作时均可见极少数患者出现不适，表现为头晕或晕厥、心慌、面色苍白等[2-3]。晕针与患者生理、心理、所处环境、体位、接受刺激强度、时间及操作者操作规范、熟练程度等多种原因相关[4]。晕针一旦发生后，常用的处理方法包括停止操作，退出或拔除针具，患者仰卧去枕抬高下肢，踝泵或服温热水、糖盐水等处理方法[5]。髋泵具有与踝泵、服用温热水等相似作用，研究者临床实践中发现，髋泵缓解晕针有一定比较优势，但相关报道较少，本研究通过对44例晕针患者临床资料进行回顾性分析，进一步明确髋泵相对踝泵治疗晕针患者不适的效应差异和优势，探讨其机制，现报道如下。……