Effects Of Acupoint Sticking Of Cinnamon Powder For Gastrointestinal Dysfunction In Septic Patients With Type Of Spleen And Stomach Deficiency

ObjectiveTo observe the effect of acupoint application of cinnamon powder on gastrointestinal dysfunction due to spleen and stomach weak sepsis,and to provide a basis for acupoint application of cinnamon powder to treat sepsis gastrointestinal dysfunction.MethodsFrom January 2018 to September 2019,90 patients with spleen and stomach weakness sepsis with gastrointestinal dysfunction admitted to the University Town Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine were randomly divided into control group(n=45 cases)and treatment group(n=45 cases),the two groups were given conventional treatment and nursing,and the treatment group was given cinnamon powder acupoint application on this basis.Both groups were treated for 7 days continuously.The gastrointestinal dysfunction score,bowel sound score,abdominal circumference,intra-abdominal pressure,average gastric retention,acute gastrointestinal injury(AGI)classification,acute physiological function and chronic health status scoreⅡ(APACHE Ⅱ)before and after treatment were compared between the two groups),TCM syndrome points,and follow-up the incidence of multiple organ dysfunction syndrome(MODS)and the 28-day mortality rate.Results(1)In terms of gastrointestinal dysfunction related indicators:there was no statistically significant difference in gastrointestinal dysfunction scores,bowel sounds scores,and average gastric retention between the two groups before treatment(P>0.05);after treatment,the two groups The gastrointestinal dysfunction score,bowel sound score,and average gastric retention were all significantly lower than before treatment,and the differences were statistically significant P<0.05);after treatment,the gastrointestinal dysfunction score,bowel sound score,and The average gastric retention was significantly lower than that of the control group,and the differences were statistically significant(P<0.05).(2)In terms of AGI grading:the comparison of the AGI grading of the two groups before treatment,the difference was statistically significant(P>0.05);the AGI grading of the two groups after treatment was significantly improved than before the treatment,and the difference was statistically significant(P<0.05);after treatment The AGI grading of the treatment group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).(3)In terms of abdominal related indicators:the comparison of abdominal circumference and intra-abdominal pressure before treatment between the two groups was not statistically significant(P>0.05);Abdominal circumference and intra-abdominal pressure after treatment in the two groups were significantly lower than before treatment,and the differences were statistically significant(P<0.05);after treatment,abdominal circumference and intra-abdominal pressure in the treatment group were significantly lower than those in the control group,The difference was statistically significant(P<0.05);(4)In terms of severity rating:the comparison of APACHE Ⅱscores before treatment between the two groups was not statistically significant(P>0.05);the APACHE Ⅱ scores of both groups after treatment were both It was significantly lower than before treatment,and the difference was statistically significant(P<0.05);after treatment,the APACHE Ⅱ score of the treatment group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).(5)In terms of TCM syndrome scores:the comparison of TCM syndrome scores between the two groups before treatment was not statistically significant(P>0.05);the TCM syndrome scores of the two groups after treatment were significantly lower than before treatment,and the difference was statistically significant(P<0.05);After treatment,the TCM syndrome score of the treatment group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).(6)Clinical prognosis:the incidence of MODS in the treatment group was 6.7%,which was significantly lower than that in the control group,22.2%,the difference was statistically significant(P<0.05);the 28-day mortality rate in the treatment group was 17.8%,although lower than the control group 24.4%,but the difference was not statistically significant(P>0.05).(7)Safety indicators and skin conditions:Patients in both groups did not experience obvious discomfort or other adverse reactions during the intervention.ConclusionOn the basis of conventional treatment and nursing,acupoint application of cinnamon powder is effective in treating gastrointestinal dysfunction due to spleen and stomach weak sepsis,which can improve gastrointestinal dysfunction,reduce intra-abdominal pressure,reduce severity of illness,and improve TCM syndrome Wait for integration to reduce the incidence of MODS.