Clinical Observation Of The Therapeutic Effect Of Spleen Nourishing And Qi Regulating Massage In The Treatment For Spleen Deficiency Qi Stagnation Type Of Postprandial Distress Syndrome

Background Postprandial distress syndrome(PDS)is a subtype of functional dyspepsia(FD),with postprandial discomfort and early satiety as the main symptoms,and it has clinical syndromes that exclude organic diseases.Some patients may have symptoms such as loss of appetite,and fatigue.In severe cases,it seriously affects work,study,and life,and is a common clinical disease in the department of digestive medicine and traditional Chinese medicine.At present,modern medicine lacks specific drugs for PDS.Traditional Chinese medicine has rich experience in functional gastrointestinal disorder(FGID)treatment,and it has a variety of methods.It follows the principle of dialectical treatment and is highly accurate.Abdominal massage therapy,as a clinically proven,non-invasive and natural therapy that is easy to accept,provides a certain research basis for the treatment of FD.Purpose The purpose of this study was to observe the effects of spleen-nourishing and qi-regulating massage instructed by Jinguviscera massage theoryon the theory of the symptom,gastrointestinal dynamics,gastric regulatory function and autonomic nervous regulation of PDS patients with spleen deficiency and qi stagnation syndrome;To find a possible treatment of PDS by manipulating the theory of Chinese medicine supplement,reducing diarrhea,and using the rational method to guide the group to operate,improving the application level of abdominal massage,and improving the therapeutic effect of PDS for spleen deficiency and qi stagnation type;And to combine the theory of TCM with modern medicine mechanism,to provide ideas for clinical treatment.Method Include patients with postprandial complication syndrome of spleen deficiency-qi retention type,randomly divide them into observation group and control group,using random grouping method(drawing).The test procedure after each replacement enrollment includes: patients should be on empty stomach for at least 8 hours at the first day of the experiment,followed by the baseline recording process,involving physical examination,Chinese medicine examination,symptom scale score,15 minutes preparation before recording,30 minutes stomach Electrocardiogram(ECG,EGG)and heart rate variability(HRV)baseline records;30 minutes after the end of the recording,run a drinking water load test,at the same time of data recording,immediately run for 30 minutes EGG and HRV secondary records,collect relevant data and symptom scores.No intervention should make on that day,Go into a two-week intervention treatment phase form the next day.Treat observation group with spleen-nourishing and qi-regulating therapy,3 times a week,once every other day;treat the control group with oral supplement Mosapride Citrate Tablets 5mg,Tid;repeat the test and data collection steps that did in the first day after the end of 2 weeks of treatment.Analyze the collected test data between and within the group on SPSS 25.0 software.The disease was calculated based on the symptom scale score to obtain a recognized clinical overall benefit.The results obtained P<0.05 is considered statistically significant;P>0.05 is considered not statistically significant.Result(1)Before the treatment,the result of gender,age,course of the disease,nature of work and symptom score,drinking water load test,body surface electrocardiogram,and heart rate variability index were determined to be P>0.05,indicating that it was not comparable.(2)After the treatment,the result of symptom scores,drinking water stress test,and body surface electrocardiogram of the two groups of patients were significantly improved compared with those before treatment(P<0.05).The heart rate variability indicators of the observation group were slightly higher than those before treatment.Improved(P<0.05).A comparison of the indicators between the two groups after treatment showed that the improvement of the indicators in the observation group in terms of symptom score,drinking water load test,and heart rate variability was better than the control group(P<0.05).After the course of treatment,the total effective rate in the control group was 77.42%,and the totaleffective rate in the observation group was 90.00%.The overall clinical efficacy of the observation group was better than that of the control group(P<0.05).The safety evaluation and compliance evaluation were good in both groups.Conclusion(1)Both treatment schemes can achieve obvious treatment effects for spleen deficiency qi stagnation type Postprandial distress syndrome,and these two schemes have high safety and clinical feasibility.(2)spleen-nourishing and qi-regulating massage have a significant effect on promoting gastric regulation,improving gastric motility,and suppressing visceral sensitivity in patients with Postprandial distress syndrome of spleen deficiency and qi stagnation.The symptoms are significantly relieved after treatment,which is better than conventional oral western medicine,Sapilli tablets.Moreover,the therapy has the characteristics of non-invasiveness,high comfort,and acceptance.Its clinical effect is definite,and it is worthy of promotion.