Clinical Observation Of Mild Moxibustion With Meridian Flow On Patients With Chronic Heart Failure Constipation

OBJECTIVETo compare the effect of mild moxibustion with conventional meridian moxibustion and conventional mild moxibustion in improving the symptoms of constipation in patients with chronic heart failure,the intervention time and intervention effect of mild moxibustion in intervention of patients with chronic heart failure constipation are discussed from the perspective of human blood flow.The relationship to guide clinical practice and improve the application of mild moxibustion.METHODSA convenient sampling method was used to select 132 patients who were admitted to the Cardiovascular Second Division of a third-grade Chinese medicine hospital in Harbin from February 2018 to January 2019 and met the inclusion criteria.According to the randomized table method,the patients were randomly divided into three groups: A,B,and C according to the order of admission.Patients in group A underwent routine mild moxibustion on the basis of routine treatment and nursing in the hospital.Interventions were performed at any other time(5:00~7:00)and sputum(9:00~11:00).Moxibustion,15 minutes per moxibustion,two points of moxibustion,a total of 30 minutes;The patients in group B were treated on the basis of routine treatment and nursing in the hospital.Moderate and gentle moxibustion,unified in the daily sputum(5:00 ~ 7:00)moxibustion 1 time;group C patients in the hospital on the basis of routine treatment and care for mild moxibustion,unified in daily sputum(9:00~11 :00)Apply moxibustion once.The three groups were the same in terms of use,acupoints,moxibustion,duration of moxibustion,etc.,7 days was an intervention cycle,and intervention was 2 weeks.Before the intervention,the general data were compared between the groups of patients.Before the intervention,1 week after intervention,and 2 weeks after the intervention,the Bristol fecal scale,constipation clinical score scale,and efficacy judgment criteria were used toevaluate each group of patients.Comparison of defecation time,the above data were entered into SPSS22.0 software for analysis.RESULTS1.Before the intervention,the general data(including age,gender,heart failure course,constipation course,etc.),Bristol stool scale score,and constipation clinical score were compared in the three groups.The difference was not statistically significant(P>0.05),indicating that the baseline levels of general data,fecal traits,constipation level before the intervention were basically the same in the three groups of patients,and the three groups were comparable;2.Comparison between groups after intervention.After 1 week of intervention and 2 weeks of intervention,patients in group B and group C were superior to group A in terms of Bristol stool scale score,total score of constipation clinical score,and efficacy comparison.Group B and group C patients had first bowel movement time after intervention.It was generally earlier than group A(P<0.05),but the difference between group B and group C was not significant(P>0.05).3.Comparison within the group before and after the intervention.The scores of Bristol fecal scale and total score of constipation before and after intervention were compared.The difference of group A was not significant at1 week(P>0.05),and there was significant difference at the two weeks of intervention(P<0.05).Intervention 1~2 weeks Bristol stool scale score,constipation clinical score change was greater than intervention 0~1 weeks;Group B,C group showed significant difference from the intervention 1week(P<0.05),and intervention 0~1 weeks The scores of Bristol stool scale and constipation clinical scores were greater than the intervention 1~2 weeks.CONCLUSIONS1.Mild moxibustion can improve constipation symptoms in patients with chronic heart failure due to yang deficiency and deficiency(heart function I~II);2.The effect of human blood and blood flow on the effect of mild moxibustion intervention,compared with clinical routine mild moxibustion,meridian flow time selective mild moxibustion can promote constipation more effectively,and the effect is faster;3.When the time(5:00~7:00)mild moxibustion and phlegm(9:00~11:00)mild moxibustion can significantly improve the symptoms of chronic heart failure(heart function I~II)constipation However,the difference in effect between the two is not obvious.Based on the effects,patient compliance,and ease of clinical operation,it is recommended to apply moxibustion to patients with clinical chronic heart failure constipation at daily sputum(9:00~11:00).