Clinical Study On The Treatment Of Qideficiency Type Functional Constipation With Wheat Grain Moxibustion Combined With Common Acupuncture

ObjectiveThis clinical study analyzed the improvement of the indicators of Qi deficiency type functional constipation,TCM Qi deficiency syndrome and quality of life by comparing the experimental group(wheat grain moxibustion and common acupuncture)and the control group(common acupuncture).Whether the clinical effect of wheat grain moxibustion combined with common acupuncture on Qi deficiency type functional constipation is superior,and provides a new treatment method for clinical treatment of this disease.MethodsIn this clinical study,patients from the Department of Spleen and Gastroenterology and Inpatient Department of the Second Hospital of Guangdong Province from January 2018 to January 2019 were randomly divided into groups according to a 1:1 ratio.A total of 70 patients with Qi-deficiency function meeting the inclusion criteria were collected.Constipation patients as subjects.In the control group,acupoints were selected,including Zhongwan(CV12),Xiawan(CV10),Qihai(CV6),Guanyuan(CV4),bilateral Tianshu(ST25),bilateral Zhigou(TE6),bi lateral Zusanli(ST36),bilateral Shangjuxu(ST37).Stabbing into the needle and leaving the needle for 30 minutes.The experimental group was combined with the wheat grain moxibustion on the basis of the control group that acupoints were Zhongwan(CV12),Xiawan(CV10),Qihai(CV6),Guanyuan(CV4),and the moxibustion at each point was 3 cones.The treatment were 3 times a week,once every 2 days,1 course for 4 weeks,the total treatmen were 2 courses.Before and after the treatment,the Knowles-Eccersley-Scott symptom score(KESS),the constipation patient quality of life scale(PAC-QOL)score,the TCM syndrome score rating scale,the database were established,and the data was imported into SPSS21.0.Statistical analysis,with a=0.05 as the test level.ResultsThe study finally included 68 patients,34 in the experimental group and 34 in the control group.Before treatment,the baseline,age distribution,gender,duration of disease,KESS symptom score,TCM Qi deficiency syndrome score,PAC-QOL score were compared before treatment.After statistical analysis,there was no significant difference between the two groups(P>0.05),and the two groups are comparable.In terms of curative effect,the total effective rate of the experimental group was 85.29%,and the total effective rate of the control group was 76.47%.The difference was significant by Mann-Whitney U test(P<0.05),indicating that the curative effect of wheat grain moxibustion and common acupuncture for functional constipation is better than the common acupuncture.About the Symptoms,the scores of KESS symptoms before and after treatment were significantly decreased in both groups,the difference was significant(P<0.05),indicating that both treatments can improve the degree of difficulty in defecation,unsatisfactory bowel movement,frequency of bowel movement,shortening of bowel movement time,and relief abdominal distension and abdominal pain.The comparison between groups showed that there was a significant difference in the scores of KESS between the two groups after treatment(P<0.05).The experimental group was better in the improvement of the degree of difficulty in defecation,the lack of exhaustion,the frequency of defecation,shortening the time of defecation,and relieving abdominal distension than control group.In terms of TCM Qi deficiency syndrome scores,the scores of TCM Qi deficiency syndrome before and after treatment were significantly decreased,and the difference was significant(P<0.05),indicating that both treatments can improve patients with Qi deficiency syndrome.The comparison between the groups found that there was significant difference in the scores of TCM syndromes between the two groups after treatment(P<0.05).The experimental group improved the patients’ shortness of breath,fatigue,spontaneous sweating,lazy words and fatigue.In terms of quality of life,the PAC-QOL scores of the two groups were significantly decreased before and after treatment,and the difference was significant(P<0.05),indicating that both treatments can improve the quality of life of patients.The comparison between groups showed that there was significant difference in PAC-QOL scores between the two groups after treatment(P<0.05),suggesting that wheat grain moxibustion combined with common acupuncture for functional constipation is superior to common acupuncture in improving patients’ quality of life.ConclusionBoth groups of treatments can effectively treat Qi deficiency type functional constipation,but wheat grain moxibustion combined with common acupuncture treatment of functional constipation has obvious advantages in improving patients’ symptoms,Qi deficiency syndrome and quality of life.