Observation On Nursing Effect Of Auricular Point Sticking Combined With Heat-sensitive Moxibustion On Patients With Epigastric Pain Of Spleen And Stomach Deficiency And Cold

Objective: The patients with spleen-stomach asthenic and cold-type gastric epigastric pain were divided into ear point group,heat-sensitive moxibustion group and auricular point combined with heat-sensitive moxibustion group.By observing and analyzing the clinical effects of ear point sticking combined with heat-sensitive moxibustion at selected time on patients with spleen-stomach asthenic and cold-type gastric epigastric pain,the therapeutic differences of the three groups were objectively compared,and the clinical advantages of external treatment of traditional Chinese medicine were explored to provide new ideas for clinical treatment of epigastric pain.Methods: 99 patients with gastric epigastric pain with spleen and stomach deficiency and cold type were selected from the Gastroenterology Department of a Grade-A hospital in Changchun from December 2021 to December 2022.Randomized controlled trial was conducted to study patients with stomach pain with spleen and stomach deficiency and cold type.The patients meeting the criteria were randomly divided into auricular point group,heat-sensitive moxibustion group and auricular point combined heat-sensitive moxibustion group.Select the time of the ear point paste(7:00 am-11:00 am stomach,liver and spleen under the cortex of the sympathizing god gate)and heat sensitive moxibustion(Zhongwan bilateral Tianshu Guan Yuan Zusanli Shangjuxu Yin Lingquan)for treatment,treatment for5 days a week,rest for two days,a total of two weeks.After the intervention,the TCM syndrome score,visual analogue score(VAS),single primary and secondary symptom score and clinical efficacy of the three groups of patients were analyzed by SPSS26.0 statistical software.Result:1.Comparison of general baseline level: There was no significant difference in gender,age,course of disease,smoking and drinking among the three groups(P >0.05).2.Before intervention,there was no statistically significant difference in VAS scores among the three groups(P>0.05),and no statistically significant difference in TCM syndrome scores and primary and secondary symptom scores among the three groups(P >0.05),indicating comparability.3.After intervention,there were differences in VAS scores,total TCM syndrome scores and various scores among the three groups compared with those before intervention(P<0.05).There were differences in VAS scores among the three groups(P<0.05).The results of pair-wise comparison showed that the combined group was superior to the auricular point group,the combined group was superior to the heat-sensitive moxibustion group,and the heat-sensitive moxibustion group was superior to the auricular point group.There were differences in the total score of TCM syndrome and various scores among the three groups(P<0.05).Poundwise comparison showed that the combined group was superior to the auricular point group,and the combined group was superior to the heat-sensitive moxibustion group.There was no statistical significance between the heat-sensitive moxibustion group and auricular point group(P>0.05).Conclusion:1.The three intervention schemes of time-selected auricular point pressing,heat-sensitive moxibustion,time-selected auricular point pressing combined with heat-sensitive moxibustion are effective in reducing patients’ pain and improving TCM syndromes.2.Compared with timing auricular point sticking and heat-sensitive moxibustion,the clinical effect of the combination of the two methods is more advantageous.3.The intervention method of ear point sticking combined with heat-sensitive moxibustion at selected time has better pain inhibition effect on patients,and patients are willing to accept and comply with higher compliance.The operation is simple and convenient,which provides a new traditional Chinese medicine nursing plan for patients with gastric epigastric pain.