Clinical Observation On Treating On The Postprandial Distress Syndrome With The Method Of Liver Stagnation And Spleen Deficiency In Elderly Patients

Objective:To make the observation of the clinical efficacy and elderly patients’ quality of life by the TiaoGanYunPi Decoction in treating the postprandial distress syndrome with the method of liver stagnation and spleen deficiency in elderly patients,in order to provide clinical reference for the diagnosis and treatment of functional dyspepsia in the elderly.Methods:In this study,60 elderly patients with functional dyspepsia and postprandial discomfort syndrome who met the inclusion criteria of this study were effectively included in all outpatients.All subjects were randomly divided into the following two groups:control group and treatment group,with 30 cases/group.In the control group,doperidone tablets were taken orally,while in the treatment group,traditional Chinese medicine decoction was taken orally(a self-made formula based on the method of regulating the liver and transporting the spleen).Both of them were treated for 4 weeks,The changes of TCM symptom scoresand quality of life scores of the elderly patients in the two groups were observed and recorded before and after treatment.Collect and organize data for parallel statistical analysis.Results:1.In the comparison of the TCM symptom scores in the two groups,the scores of the treatment group were lower than before(P<0.05,P<0.01).The symptoms of irritability in the control group were not significantly improved compared with those before treatment,and the other TCM symptoms were better than before(P<0.05,P<0.01).Comparing between the two groups,compared with the control group,the treatment group had a stronger sense of early satiety.abdominal pain,irritability,dry mouth and bitterness,insomnia,sigh,stool and short yellow urine(P<0.05y P<0.01).There was no significant difference between the two groups in the two symptoms of postprandial fullness,nausea,acid reflux and fatigue;2.Comparison of total scores of TCM symptoms between the two groups:After treatment,both groups showed better TCM symptoms than before treatment(P<0.01).Compared with the control group,the treatment group had a lower TCM symptom score(P<0.01);3.After treatment,the total effective rate was 96.67%in the treatment group and 76.67%in the control group.There were statistically significant differences between the two groups(P<0.05),the treatment group is better than the control group in the efficacy;4.Quality of life assessment of the elderly:After treatment,the quality of life of the two groups of elderly PDS patients improved compared with the previous ones(P<0.05).Compared with the quality of life scores of the two groups,the treatment group showed the obvious advantage(P<0.05),in addition to the daily life(P>0.05).After treatment,the total scores of quality of life of the two groups of elderly PDS patients were significantly higher than before(P<0.05).The quality of life of the elderly patients in the treatment group was significantly better than that of the control group after treatment(P<0.05).Conclusion:The method of TiaoGanYunPi to treat functional dyspepsia in the elderly is safe and effective.It can not only relieve the symptoms of dyspepsia in elderly patients with postprandial fullness and early satiety,but also significantly improve the physical and mental health of the elderly.Improving the quality of life of elderly patients which has great significance.