| ObjectiveA prospective randomized controlled study was used to observe the clinical efficacy of finger fressing Zhiyang and Lingtai points combined with abdominal moxibustion and intramuscular injection of resorcinol for the treatment of gastrointestinal-related acute abdominal pain(invasion of cold evil-type).And discuss the mechanism and clinical advantages of pointer combined with moxibustion therapy for cold-resistant internal resistance-type gastrointestinal-related acute abdominal pain.Methods112 patients were randomly selected from the patients with acute gastrointestinal related acute abdominal pain that met the inclusion criteria,and were divided into the observation group and the control group according to the random numbers generated by SPSS 25.0 statistical software.Fifty-six patients in the observation group were treated with pointer Zhiyang and Lingtai points combined with abdominal moxibustion.56 cases in the control group were treated with intramuscular injection of phloroglucinol.Observe the degree of abdominal pain and symptoms of traditional Chinese medicine before and at 5,30,45,and 60 minutes after treatment,record the pain scores and TCM symptom scores at each time point,the execution time of the medical order,the patient satisfaction score and the occurrence Adverse events.Establish a database,and use SPSS25.0 statistical software for statistical analysis.The measurement data between the two groups was tested by the Kolmogorov-Smirnov normal distribution first.If they follow the normal distribution,the mean and standard deviation(x+s)are used.The measurement data that does not conform to the normal distribution are expressed by the average rank(R)and quartiles(P25,P50,P75).The mean comparison between the two groups is by the Mann-Whitney Utest,and the paired rank sum test is used before and after the group itself.Counting data is expressed by frequency(f),composition ratio or percentage(P)and average rank sum(R),using Fisher’s chi-square test.The two sets of grade data were tested by Mann-Whitney U.Repeated measurement of non-normal distribution measurement data is expressed as average rank sum(R)and quartile(P25,P50,P75).The overall mean between groups and the overall comparison between each measurement within the group are all tested by Friedman.Wilcoxon Z test was used for pairwise comparison,and the count data was determined by Fisher chi-square test and McNemar test.All statistical results adopt a two-sided test,α=0.05.Results1.Baseline comparability:There were no significant differences in age,gender,pain scores,and TCM symptom scores before treatment between the two groups(P>0.05).2.Effect of treatment on pain scores:Compared with the treatment group,the pain scores of the observation group were significantly different at 5 min,30 min,and 45 min after treatment,and there was no significant difference in the pain score of the observation group at 60 min after treatment;After 5 min,30 min,45 min,and 60 min,the mean pain scores were significantly lower than before treatment(P<0.05).The pain scores of the control group after 5 min were not significantly different from before treatment(P>0.05).The pain score at 60 minutes was significantly lower than before treatment(P<0.05).3.Effect of treatment on TCM symptom scores:Compared with the control group,the TCM symptom scores of the observation group are significantly different at 5min,30min,45min,and 60min after treatment;compared to before treatment,the observation group is 5min,30min,45min,and 60min after treatment.The TCM symptom scores of all of them decreased significantly(P<0.05).There was no significant difference in the control group after 5 minutes of treatment(P>0.05).The TCM symptom scores of the control group of 30min,45min,and 60min all decreased significantly(P<0.05).4.Efficacy comparison:① Compared with the control group,there was a significant difference in the efficacy of the pain score at 5 minutes,30 minutes,and 45 minutes after the treatment in the observation group(P<0.05),and there was no significant difference in the efficacy of the pain score at 60 minutes after the treatment in the observation group(P>0.05).Compared with the curative effect of the pain score 5 minutes after treatment,the observation group had a significant difference in the pain score 30 minutes,45 minutes,and 60 minutes after treatment(P<0.01),and the control group had a significant difference in the pain score 30 minutes,45 minutes,and 60 minutes after treatment(P<0.01).Compared with the curative effect of the pain score 30 min after treatment,there was no significant difference in the curative effect of the pain score at 45 min and 60 min after treatment in the observation group(P>0.05),and there was a significant difference in the curative effect of the pain score at 45 min and 60 min after treatment in the control group(P<0.01).Compared with the curative effect of the pain score 45 minutes after treatment,there was no significant difference in the curative effect of the pain score 60 minutes after treatment in the observation group(P>0.05),and there was no significant difference in the curative effect of the pain score 60 minutes after treatment in the control group(P>0.05).Compared with the control group,there was a significant difference in the total effective rate of pain scores in the observation group at 5 and 30 minutes after treatment(P<0.05),and there was no significant difference in the total effective rate of the pain scores at 45 and 60 minutes after treatment in the observation group(P>0.05).②Compared with the control group,the observation group had significant differences in the integrated curative effect of TCM syndromes at 5 min,30 min,45 min,and 60 min(P<0.01).Compared with the curative effect of TCM symptom scores 5 minutes after treatment,there was a significant difference in the curative effect of TCM symptom scores in the observation group at 30 min,45 min,and 60 min after treatment(P<0.01),and in the control group at 30 min,45 min,and 60 min after treatment.(P<0.01).Compared with the curative effect of TCM symptom score 30min after treatment,the observation group had a significant difference in curative effect of TCM symptom score at 45min and 60min after treatment(P<0.01),while the control group had a significant difference in curative effect of TCM symptom score at 45min and 60min after treatment(P<0.01).Compared with the curative effect of the TCM symptom score 45 minutes after treatment,there was no significant difference in the curative effect of the TCM symptom score in the observation group 60 minutes after treatment(P>0.05),and there was a significant difference in the curative effect of the TCM syndrome in the control group 60 minutes after treatment(P<0.05).Compared with the control group,there is a significant difference in the total effective rate of TCM symptom scores in the observation group at 5 minutes,30 minutes,45 minutes,and 60 minutes(P<0.05).5.Comparison of the time taken to execute the doctor’s order:the average time in the observation group was(2.88 ± 0.051)minutes,and the average time in the control group was(9.00 ± 0.299)minutes,which was significantly different(P<0.05).6.Comparison of patient satisfaction evaluation:After treatment,the satisfaction rate of the observation group was 94.64%,and the satisfaction rate of the control group was 64.81%.The difference between the two groups was statistically significant(P<0.05).The observation group was superior in patient satisfaction.7.Safety comparison:During the experiment,except for one case of drug allergy and one case of muscle pain after injection in the control group,the remaining subjects did not have adverse drug reactions and did not show any adverse effects.No burns during moxibustion.Therefore,it can be considered that the two treatments are safe and reliable.ConclusionCompared with resorcinol intramuscular injection therapy,finger pressing Zhiyang and Lingtai combined with abdominal moxibustion can significantly alleviate the degree of abdominal pain in patients with gastrointestinal-associated acute abdominal pain caused by cold and internal resistance and better improve clinical symptoms such as abdominal pain and chills,Nausea,bloating,etc.patients are more satisfied with their treatment,this method is worthy of clinical promotion. |
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