| Objective:With the guidance of "Wentong",observing the electronic moxibustion treatment of spleen deficiency cold syndrome type postprandial discomfort(Postprandial Distress Syndrome,PDS)the clinical curative effect and influence of electrogastrogram and quality of life.Methods:64 patients with spleen-stomach asthenia and cold PDS who met the inclusion criteria were randomly divided into experimental group and control group,with 32 cases in each group.In the test group,electronic moxibustion treatment was used,including RN4,RN12,BL21(bilateral),ST36(bilateral)and PC6(bilateral),once a day for 30 minutes each time.The control group was treated with oral Mosapride Citrate Tablets,taken 30 minutes before meals,3 times a day,5mg each time.Both groups received continuous treatment for 2weeks and were followed up 2 weeks after the end of treatment.Were performed before treatment,2 weeks after treatment the electrogastrogram parameters,overall,flat dyspepsia symptoms integral quality of life index(Nepean Dyspepsia Life Quality Index,NDLQI)and syndromes curative effect of detection and evaluation,and follow-up treatment 2 weeks after the end of line again syndrome of traditional Chinese medicine efficacy evaluation.Collect relevant data for statistical analysis.Results:1.Baseline comparison: Finally,60 cases were included,30 cases in each group,and the two groups had the same baseline and were comparable.2.Therapeutic results:(1)EEG parameters: After treatment,each EEG parameter of the two groups increased compared with that before treatment(P<0.05),and the power ratio after/before meal increased significantly(P<0.01).After treatment,there was no difference in the preprandial dominant frequency and percentage of normal slow wave between the two groups(P>0.05),and the postprandial dominant frequency,percentage of normal slow wave and post-prandial/preprandial power ratio of the experimental group were all higher than those of the control group(P<0.05).(2)Overall symptom score: After treatment,the overall symptom score of both groups was lower than that before treatment(P<0.01),and the experimental group was lower than the control group after treatment(P<0.05).(3)Scores of each single symptom: Scores of each single symptom in the experimental group decreased after treatment compared with before treatment(P<0.05),in which scores of symptoms of post-meal fullness and discomfort and early satiety decreased significantly(P<0.01).In the control group,the scores of symptoms of full distension and discomfort and early satiety after treatment decreased compared with those before treatment(P<0.05),and there was no difference between the middle and upper abdominal pain and the burning sensation of middle and upper abdomen compared with those before treatment(P>0.05).After treatment,the score of symptoms of post-meal fullness and discomfort and early satiety in the test group was lower than that in the control group(P<0.05),and there was no difference in the score of symptoms of middle and upper abdominal pain and middle and upper abdominalburning(P>0.05).(4)NDLQI: After treatment,the NDLQI of both groups was higher than that before treatment(P<0.01),and the experimental group was higher than the control group after treatment(P<0.01).(5)Life area index: After treatment,the life area index of both groups was higher than before treatment(P<0.01).After treatment,the interference and control area indexes of the experimental group were higher than those of the control group(P<0.05),and there was no difference between the two groups(P>0.05).(6)Efficacy evaluation of TCM syndromes: The total effective rate of the experimental group and the control group after 2 weeks of treatment was 83.33% and 70.00%,respectively.The experimental group had better efficacy than the control group(P<0.05).The total effective rates of the experimental group and the control group during the follow-up period were70.00% and 43.33%,respectively,and the experimental group had better efficacy than the control group(P<0.01).Conclusion:(1)Electronic moxibustion treatment can improve the parameters of electrogastrogram,improve the disorder of gastric electric rhythm and promote gastric motility in patients with spleen-stomach asphyxia-cold PDS,and the effect is better than Mosapril Citrate Tablets.(2)Electronic moxibustion treatment can improve the symptoms of spleen-stomach asphyxia-cold PDS patients,especially in post-meal fullness and discomfort and early satiety,and the curative effect is better than Mosapril Citrate Tablets.(3)Electronic moxibustion treatment can improve the quality of life of patients with spleen-stomach asthenia and cold PDS,and the curative effect is good after 2 weeks of treatment and during the follow-up period,and the effect is better than Mosapril Citrate Tablets. |
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