Clinical Observation On Intestinal Dysfunction After Spinal Cord Injury By Combining Moxibustion With Embedding At Jiaji Point

ObjectiveThe clinical efficacy and safety of the combination of moxibustion at the Jia Ji point for intestinal dysfunction after spinal cord injury(Spinal Cord Injury,SCI)was evaluated by observing the changes of GITT,NBD and WHOQOL-BREF scores before treatment,after 4,8 and 12 weeks of treatment.MethodsThe subjects were intestinal dysfunction patients with post-SCI intestinal dysfunction attending the Rehab Department of Anhui Acupuncture Hospital and the inpatient department 40 matched patients were filtered,and divided into treatment and control groups according to the rule of sampling,with 20 cases in each of them.The control group received a combination of rehabilitation training and moxibustion,and the treatment group received a combination of buried thread and moxibustion at the pinch point on top of the control team.Both the treatment groups were treated once a day,6days a week,with 30 minutes/time each for moxibustion and rehabilitation training,and the frequency of buried sutures at the pinch points was 2 weeks/time,with each course of treatment for 4 weeks,for a total of 12 weeks.The GITT,NBD,and WHOQOL-BREF assessment scales were used to assess before,4 weeks,8 weeks,and12 weeks of treatment,respectively.Results(1)Analysis of Gastrointestinal passage time resultsUpon 12 weeks of treatment,the GITT changes of patients after 4,8 and 12 weeks were treated with statistics respectively,and it was found that at week 4,the efficacy of both groups was Outperform before treatment(P<0.05),and the efficacy of the treatment group was significantly improved than that of the control group when comparing the two groups(P<0.05);at weeks 8 and 12,the efficacy of the treatment group and the control group was more obvious(P<0.05),and the difference between the groups was significant(P<0.01).(2)Analysis of changes in neurogenic intestinal dysfunction scoresAt the end of 12 weeks of treatment,the changes in NBD scores of patients after 4,8 and 12 weeks were treated statistically,respectively,and it was found that at week 4,the scores of both groups were significantly lower after treatment than before treatment(P<0.05),and the treatment group was superior to the control group(P<0.05);at weeks8 and 12,the efficacy of the treatment group was significantly higher than that of the control group(P<0.01),and the comparison between the two groups was significantly better than that of the(P<0.01).(3)Analysis of changes in scores on the World Health Organization Quality of Survival Measurement Scale Short FormAt the end of 12 weeks of treatment,patients’ score changes after 4,8 and 12 weeks were treated statistically separately.At week 4,both groups’ scores improved compared with those before treatment(P<0.05),with a remarkable variation between groups(P<0.05);at weeks 8 and 12,both groups’ scores improved very significantly compared with those before treatment(P<0.01),and the treatment group was significantly better than the control group(P<0.01).Conclusion(1)Both groups had certain efficacy in the treatment of bowel dysfunction after SCI,but the method of the treatment group could significantly improve the total clinical efficiency of patients with bowel dysfunction after spinal cord injury,proving its obvious advantage in improving patients’ defecation disorder,their defecation ability and their survival quality.(2)The combination of moxibustion and moxibustion at the pinch point has the advantages of maintaining long-term efficacy,good effect,low treatment cost,high acceptability and easy promotion.