Clinical Observation Of Warm Moxibustion Box On Feeding Intolerance Of Spleen-yang Deficiency Syndrome In Elderly Patients With AECOPD

Objective: To observe the symptoms of using warm moxibustion box to treat f eeding intolerance in elderly patients with AECOPD,from GSRS score,NRS2002 scores,Nutritional index evaluation,etc.Exploring the clinical significance of warm moxibustion box in the treatment of feeding intolerance in elderly patient s with AECOPD.Methods: Included 62 AECOPD patients who met the criteria were randomly divided into treatment group and control group.In addition to basic treatment measures,the control group received standard enteral nutrition program,and the treatment group received standard enteral nutrition and warm The course of tre atment was 14 days,and the scores of the Gastrointestinal Symptom Rating Sc ale(GSRS),NRS2002 score,TCM Syndrome Score,nutritional indicators,safet y indicators,etc.were recorded before and after treatment for the two groups of patients.and SPSS.26 software was used for statistical analysis.Result:1)GSRS socre evaluation: Comparison between the two groups showed impro vement after treatment(P<0.01);comparison between the two groups,after2 weeks of treatment,the treatment group improved significantly than the control group(P<0.01).2)Single symptom score evaluation: Comparing the two groups,the four sym ptoms of epigastric pain,nausea and vomiting,abdominal distension,and d iarrhea improved after 2 weeks of treatment(P<0.05);Comparison between the two groups,after 1 week of treatment Upper abdominal pain and naus ea and vomiting were improved in the two groups(P>0.05).The symptom s of abdominal distension and diarrhea were improved in the treatment gro up than in the control group(P<0.05);after 2 weeks of treatment,the four symptoms of the treatment group improved significantly compared with th e control group(P <0.01).3)TCM Syndrome Score evaluation: Comparison between the two groups sho wed improvement after treatment(P<0.01);comparison between the two gr oups,after 2 weeks of treatment,the efficacy of the treatment group was significantly improved compared with the control group(P<0.05).4)NRS2002 score evaluation: Comparing the two groups,after treatment,both were better than before(P<0.01).In the comparison between the two gro ups,the treatment group was significantly better than the control group(P<0.05).5)Nutritional index evaluation: Comparison between the two groups of ALB and PAB groups showed improvement after treatment(P<0.05);there was l ittle difference between the two groups of ALB groups(P>0.05),comparis on between the two groups of PAB groups,treatment The curative effect o f the two groups was significantly better than that of the control group(P<0.05);the two groups of BMI groups were better after treatment(P<0.01);there was no significant difference between the two groups of BMI group s(P>0.05).6)Safety indicators: The safety indicators of the two groups before and after treatment were within the normal range,and no adverse events occurred.Research conclusion: Warm moxibustion box has a significant effect on impro ving the gastrointestinal symptoms of feeding intolerance in patients with AEC OPD.At the same time,this study confirms that the use of warm moxibustion box combined with enteral nutrition has obvious advantages than simply the us e of enteral nutrition,which is worthy of further clinical research.