| Objective:To observe the clinical effect of acupoint catgut embedding therapy on functional dyspepsia discomfort after eating syndrome(PDS)with disharmony between liver and stomach.By evaluating clinical symptoms integral,Nepean Dyspepsia Index(NDI)which includes Nepean symptom index(NDSI)and Nepean quality of life index(NDLQI),anxiety scale SAS intergral,water load test scores before and at the end of the treatment and 4 weeks after treatment,the research is aim to provide a better solution for clinical treatment.Methods: From September 2018 to October 2019,the patients from spleen and stomach department and acupuncture and moxibustion department in hubei hospital of traditional Chinese medicine who met the inclusion criteria signed the informed consent,and were randomly assigned to the acupoint catgut embedding group and the acupuncture group using the random number table method,with 30 patients in each group.The patients in acupoint catgut embedding group were treated with acupoint catgut embedding once in 14 days and twice in total,thepatients in acupuncture group were treated with acupuncture once a day,and the needle was retained for 30 min,the treatment lasted for 5 consecutive days and 2 days of rest for 4consecutive weeks.the acupoint Zhongwan,Weishu,Ganshu,Zusanli,Neiguan,Taichong were selected.The research is aim to observe the differences of clinical effect between acupoint catgut embedding and acupuncture therapy on functional dyspepsia discomfort after eating syndrome(PDS)with disharmony between liver and stomach by evaluating clinical symptoms integral,Nepean Dyspepsia Index(NDI)which includes Nepean symptom index(NDSI)and Nepean quality of life index(NDLQI),anxiety scale SAS intergral,water load test scores before and at the end of the treatment and 4 weeks after the treatment.Results: 1.Comparison of general data: according to statistical analysis,before treatment,there was no statistical difference between the two groups in general condition(gender,age),clinical symptom scores,NDSI,NDLQI,SAS anxiety scale scores and water load test scores(p > 0.05).2.Comparison of clinical efficacy between the two groups: In acupoint catgut embedding group,at the end of treatment,29 cases were effective and 1 case was ineffective,with an effective rate of 96.7%;In acupuncture group,at the end of treatment,1 case was eliminated,2 cases were lost,21 cases were effective and 6 cases were ineffective,with an effective rate of 77.8%,which shows a statistical difference(p < 0.05),indicating that the overall efficacy of the acupoint catgut embedding group was better than that of the acupuncture group.3.Comparison of clinical symptom scores between the two groups:comparing with the two groups before treatment,the clinical symptom scores of the two groups at the end of treatment and 4weeks after the treatment decreased,with statistically significant differences(p < 0.05).Comparing to after treatment,the clinical symptom scores of the acupuncture group increased at 4 weeks after the treatment(p < 0.05).The scores of symptoms of early full feeling in the two groups decreased more significantly than that of post-meal fullness and discomfort(p < 0.05).Between the two groups,there was no statistical difference in the degree of decrease of clinical symptom scores between the acupoint catgut embedding group and the acupuncture group at the end of treatment and 4 weeks after treatment(p > 0.05).It is suggested that acupoint catgutembedding and acupuncture can both improve clinical symptoms,and the symptoms of early full feeling are more obvious than the symptoms of post-meal fullness and discomfort.4.Comparison of NDSI and NDLQI between the two groups:comparing with the two groups before treatment,the NDSI in the acupoint catgut embedding group at the end of treatment was significantly reduced(p < 0.01)and the NDLQI was significantly increased(p < 0.01),while the NDSI in the acupuncture group at the end of treatment was not statistically significant(p > 0.05)and the NDLQI was significantly increased(p < 0.05).Comparing with that at the end oftreatment,there was no significant decrease in NDSI(p > 0.05)and significant increase in NDLQI(p < 0.05).However,the improvement of NDSI and NDLQI in the acupuncture treatment group was not significant(p > 0.05).Comparison between the two groups showed that at the end of treatment,NDSI in the acupoint catgut embedding group decreased more(p < 0.01),and NDLQI in the acupoint catgut embedding group increased more(p< 0.01).It is suggested that both groups can improve the quality of life of patients,and acupoint catgut embedding group has better curative effect,and the curative effect is maintained for a longer time.5.Comparison of SAS anxiety scale scores between the two groups: comparing with the two groups before treatment,the scores of the acupoint catgut embedding group and the acupuncture group at the end of treatment were significantly reduced(p < 0.05).Comparison among groups showed that the improvement of the acupoint catgut embedding group was better than that of the acupuncture group(p < 0.05).After 4 weeks of treatment,the scores of both groups increased,and the acupuncture group increased more than the acupoint catgut embedding group(p < 0.05).The results indicated that both acupuncture and acupoint catgut embedding could improve the anxiety of patients,and the improvement of acupoint catgut embedding was more obvious,and the maintenance of curative effect was longer.6.Comparison of water load test scores between the two groups:comparing with the two groups before treatment,the maximumamount of drinking water in the two groups after treatment was significantly increased(p < 0.01).Comparison was made between the two groups.Comparing to before treatment,the increase of the maximum amount of drinking water in the acupoint catgut embedding group at the end of treatment was greater than that in the acupuncture group(P < 0.01),and the increase of the maximum amount of drinking water in the acupoint catgut embedding group was greater than that in the acupuncture group 4 weeks after treatment(P < 0.01).The results indicated that both could increase the maximum amount of drinking water and improve the receptive diastolic function of the stomach.7.Correlation analysis between the score of anxiety and the maximum amount of drinking water: the score of anxiety was set as x value,and the maximum amount of drinking water as y value.After correlation analysis,r=-0.485,p < 0.05,and there was a negative rank correlation between anxiety and the maximum amount of drinking water.Conclusion:acupoint catgut embedding therapy on functional dyspepsia discomfort after eating syndrome(PDS)with disharmony between liver and stomach is effective,and it is more effective than acupuncture group in improving efficiency,improving patients’ clinical symptoms,improving patients’ quality of life,relieving patients’ anxiety,relieving patients’ receptive diastolic function of the stomach,which maintains longer curative effect and lower recurrence rate.The improvement of symptoms of early full feeling was better thanthat of post-meal fullness and discomfort.The anxiety was negatively correlated with the maximum amount of drinking water. |
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