Observation On The Effect Of Traditional Chinese Medicine Bamboo Tube Scraping On Patients With Epigastric Pain Of Disharmony Between Liver And Stomach

Objective:This study compared the nursing effect difference between bamboo tube scraping with Traditional Chinese medicine(Scraping media containing Chinese medicine)and pure vegetable oil scraping(Pure olive oil)on patients with disharmony between liver and stomach,aiming to explore a better scraping medium to improve the effect of scraping nursing of patients with disharmony between liver and stomach.Methods: A total of 64 patients with epigastric pain due to disharmony between liver and stomach,who met inclusion and exclusion criteria,were selected from March to November 2021 in the Department of Splenogastric Diseases,The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine.The included subjects were randomly divided into observation group(N = 32)and control group(N = 32)by computer random number method.During the course of intervention,2 cases were lost and 2cases were eliminated,and finally 60 cases were included,30 cases in the observation group and 30 cases in the control group.Both groups were given conventional western medicine treatment and nursing after enrollment,Namely,taking western medicine to inhibit acid and protect stomach and guiding patients with daily life,diet and emotional nursing according to TCM nursing plan for epigastric pain.On this basis,the observation group was carried out traditional Chinese medicine bamboo tube scraping,and the control group was carried out pure vegetable oil scraping.The intervention cycle for both groups was 2 weeks,with intervention twice a week and each intervention lasted about 30 minutes.The pain degree,TCM syndrome,anxiety and depression mood and quality of life were evaluated before intervention and after 2 weeks of intervention.Results:(1)Baseline comparison of pre-intervention data:There were no significant differences in general information,VAS score,TCM syndrome score,SDS score,SAS score and SF-36 score between 2 groups(P > 0.05).And the two groups were equally comparable.(2)Comparison of VAS scores:(1)compare within groups :Compared with before intervention,VAS scores in both groups decreased after 2 weeks of intervention,and the difference was statistically significant(P < 0.05).(2)comparison among groups :After 2 weeks of intervention,VAS score of observation group(1.85±0.75)was lower than that of control group(2.30±0.76),and the difference was statistically significant(t=-2.271,P=0.027,P <0.05).(3)Comparison of TCM syndrome score:(1)compare within groups :Compared with before intervention,TCM syndrome scores of patients in both groups decreased after 2 weeks of intervention,and the difference was statistically significant(P < 0.05).(2)comparison among groups :After 2 weeks of intervention,The TCM syndrome score of the observation group(7.33±2.67)was lower than that of the control group(9.10±2.64),and the difference was statistically significant(t=-2.575,P=0.013,P < 0.05).(4)Comparison of SDS scores:(1)compare within groups :Compared with before intervention,the SDS scores of patients in both groups decreased after2 weeks of intervention,with statistical significance(P<0.05).(2)comparison among groups :After 2 weeks of intervention,SDS score of observation group(52.12±2.98)was lower than that of control group(53.79±3.27),the difference was statistically significant(t=-2.063,P=0.044,P <0.05).(5)Comparison of SAS scores:(1)compare within groups :Compared with before intervention,the SAS scores of patients in both groups decreased after2 weeks of intervention,with statistical significance(P < 0.05).(2)comparison among groups :After 2 weeks of intervention,SAS score in observation group(50.42±2.11)was lower than that in control group(51.88±2.07),and the difference was statistically significant(t=-2.702,P=0.009,P< 0.05).(6)Comparison of SF-36 scores:(1)compare within groups :Compared with before intervention,the scores of each dimension of SF-36 increased in both groups after 2 weeks of intervention,with statistical significance(P < 0.05).(2)comparison among groups :After 2 weeks of intervention,there were statistical differences in the scores of physical pain BP,general health GH,energy VT and mental health MH between 2 groups(P < 0.05).And the difference of score before and after intervention in observation group was higher than that in control group.And there was no statistical significance in other dimensions(P > 0.05).(7)Safety evaluation:In the intervention process,the vital signs of the patients were normal after bamboo tube scraping with Traditional Chinese medicine or pure vegetable oil scraping,and there were no adverse reactions such as dizzy scraping,serious skin damage,allergy to the scraping media containing Traditional Chinese medicine.Conclusion:(1)Traditional Chinese medicine bamboo tube scraping and pure vegetable oil scraping can reduce the pain degree of patients with disharmony between liver and stomach,improve TCM syndrome,relieve anxiety and depression,and improve the quality of life.(2)In view of the disharmony between liver and stomach type epigastric pain,the nursing effect of bamboo drum scraping with Traditional Chinese medicine in pain degree,TCM syndrome,anxiety and depression and quality of life is generally better than pure vegetable oil scraping.The scraping medium containing Chinese medicine increased the therapeutic effect more than pure vegetable oil,The combination of scraping and scraping media containing Chinese medicine can play the dual effects of channels and collaterals and drugs,so the improvement effect is more significant.