Research On The Rehabilitation Management Of Intestinal Dysfunction After Spinal Cord Injury With Tongdutiaoshen Moxibustion

Objective To observe the changes of the scores of GITT,NBD and WHOQOL-BREF in different treatment courses of the intestinal dysfunction after SCI treated by the method of tongdutiaoshen moxibustion on the intestinal dysfunction after SCI treated,to evaluate the clinical efficacy of tongdutiaoshen moxibustion on the intervention of the intestinal dysfunction after SCI.Methods In this study,60 patients with intestinal dysfunction after SCI in the second affiliated hospital of anhui university of traditional Chinese medicine were randomly divided into treatment group and control group,with 30 patients in each group.The two groups were treated 6 times a week,1 time a day,and rested for 1 day after 6 days.Moxibustion therapy and rehabilitation training were performed for 30min/ time,respectively,for 4weeks.GITT,NBD and WHOQOL-BREF scores were obtained before treatment,4weeks,8 weeks and 12 weeks after treatment,and the efficacy was compared.Results(1)gastrointestinal passage time(GITT)After 4 weeks of treatment,GITT in both the treatment group and the control group decreased compared with that before treatment(P<0.05),and the treatment effect in the treatment group was significantly improved compared with that in the control group(P<0.05).After 8 and 12 weeks of treatment,there was a significant decrease in GITT in both groups(P<0.05),and the difference between the two groups was significant(P<0.01),indicating that the treatment group had better efficacy than the control group in improving intestinal dysfunction after SCI.(2)neurogenic intestinal dysfunction(NBD)score After 4 weeks of treatment,the NBD score in the treatment group was significantly lower than that before the treatment(P<0.05),while the NBD score in the control group was not significantly lower than that before the treatment(P>0.05),and there was a significant difference between the two groups(P<0.05).After 8 and 12 weeks of treatment,the NBD score of the two groups after treatment significantly decreased compared with that before treatment(P<0.01).Compared with the two groups,the NBD score of the treatment group was lower than that of the control group during the same period(P<0.01).(3)the world health organization quality of Life-BREF(WHOQOL-BREF)score After 4 weeks of treatment,the WHOQOL-BREF score of the treatment group and the control group after treatment was improved compared with that before treatment(P<0.05),and the treatment group showed significant treatment effect compared with the control group(P<0.05).After 8 and 12 weeks of treatment,the WHOQOL-BREF scores of the two groups were significantly improved compared with those before treatment(P<0.01),and the difference between the two groups was significant(P<0.01).Conclusions(1)both groups had certain efficacy in the treatment of intestinal dysfunction after SCI,but the treatment group had more prominent efficacy in GITT,NBD and WHOQOL-BREF scores,which could significantly improve patients' defecation disorder,improve their defecation ability and improve their quality of life.(2)tongdutiaoshen moxibustion is a simple,effective and safe treatment.