Observation On Curative Effect Of Heat-sensitive Moxibustion Combined With Traditional Chinese Medicine Enema On Slow Transit Constipation(Spleen And Kidney Yang Deficiency Syndrome)

Objective: To observe the curative effect of thermosensitive moxa-moxibustion combined with herbal colon lavage on slow-transmission constipation of spleen and kidney yang deficiency syndrome and study its effect.Methods:Establish the inclusion criteria,establish the exclusion criteria,select 60 STC inpatients in the anorectal department of Jiangxi Hospital of Shanghai Longhua Hospital who meet the inclusion criteria and of this own free will participate in the experiment into the study group,and sign the informed consent form at the same time.The 60 cases included in the study were divided into divided into two categories that treatment and matched group by random number table method,with 30 cases in each group.Before treatment,the intra-group age,sex composition and disease course distribution of the two groups of patients were statistically analyzed,and then the data of curative effect indicators such as colon transit test evaluation,clinical symptom evaluation,Cleveland score,Bristol stool character classification,TCM symptom score,follow-up recurrence rate were detected and recorded.The therapy group was treated with thermosensitive moxibustion combined with herbal coloclyster,while the control group was treated with traditional Chinese medicine enema alone.After treatment,the efficacy index data of the two groups were tested again.Then,statistical methods and software(SPSS25.0)were used to compare and analyze the data before and after treatment,According to the characteristics of the data,take corresponding inspection methods,the case in point is T-test and Chi-square test.The corresponding P value is calculated by statistical methods and software.When P<0.01,it is considered that there is a significant difference between the group data,that is,the difference is significant;When P<0.05,the group data difference was considered statistically significant;When P>0.05,it is considered that there is no statistically significant difference in group data.result:1.General data comparisonCompare the gender(P=0.793),age(P=0.815),and course of disease(P=0.792)of the two groups of patients before treatment.Through statistical analysis,it is concluded that P>0.05.Therefore,the comparison of general data between the two groups of patients before treatment is not statistically significant.2.Comparison of data after treatment(1)Comparison of clinical symptoms and efficacy: after treatment,the total cure percentage of the therapy group was 96.67%,and that of the matched group was 73.34%;After inspection,deem that P<0.05,so the two groups of data are statistically significant;(2)Cleveland score comparison: Before treatment,the scores of the two groups were compared according to the symptom items of Cleveland scale,and the results showed that P>0.05,so the data difference between the two groups was not statistically significant;After treatment,continue to analyze the Cleveland scoring table symptom indicators,and the results are all P<0.01,so it is believed that there is significant difference between the two groups of data,which is statistically significant.(3)Comparison of Bristol stool characteristics score: before treatment,the difference between the two groups of data was compared according to the score content,and P>0.05 was obtained.Therefore,it was deem that there was no worth divergence between the two sets of data,and there was no statistical criteria;After treatment,continue to analyze the scoring indicators of the two groups,and the result is P<0.01.Therefore,it is believed that there are significant differences between the two groups of data after treatment,with statistical significance.(4)Comparison of TCM symptom score: before treatment,according to the scores of TCM symptom score items,P>0.05 was obtained,and the difference between the two groups was not statistically significant;After treatment,continue to analyze the scores of the two groups of TCM symptom items,and get the result that P<0.01.Therefore,it is believed that there are significant differences between the two groups of data after treatment,with statistical significance.(5)Evaluation of colonic transit test: when screening the patients who meet the diagnostic criteria,when the residual number within72 hours is more than 4 and the transit index is less than 0.4,it is diagnosed as slow transit constipation;,You can choose to enter this experiment.Before treatment,comparing the residue data of colonic transit test between the two sets,it was found that P>0.05,the difference was not statistically worth;After treatment,the test was performed again,and the difference was statistically significant(P<0.05).(6)Follow-up recurrence rate comparison: after this trial,continue to follow up the two groups of patients.A return visit was conducted after 3 months,In terms of the number of recurrence,there were5 cases in the treatment group and 16 cases in the control group.In terms of recurrence rate,the therapy group was 16.6%,and the matched group was 53.3%.After inspection,that P<0.05,so the divergence between the two sets was statistically worth.Conclusion:1.Comparing the indicators of all cases before and after treatment,the following results can be obtained that the two groups of patients have improved symptoms to a certain extent.However,the effect of the treatment group with the combination of heat-sensitive moxibustion and traditional Chinese medicine enema is more significant,and its therapeutic indicators are better than the control group;Although the therapeutic effect of the control group treated with traditional Chinese medicine enema alone is not as good as that of the treatment group,it is within the acceptable therapeutic range of patients,and still has certain reference significance.2.By comparing the total effective rate of the two groups,it can be concluded that the two groups have definite curative effect on STC,still the potency of the therapy sets is significantly higher than that of the matched sets,with a statistically significant discrepancy(P<0.05);After three months of this study,all cases were followed up and returned.Give the result as follows,In terms of ratio,the therapy sets was 16.6%,and that of the matched sets was 53.3%.It can be concluded that the Relapse Rate of the therapy sets was lower than that of the matched sets.To put it aonther way,the in long run effect of using thermosensitive moxa-moxibustion combined with herbal colon lavage to treat slow transit constipation(spleen and kidney yang deficiency constipation)was better than using traditional Chinese medicine enema alone.3.(1)Thermosensitive moxa-moxibustion combined with herbal colon lavage has considerable effect on improving various indicators of STC(constipation due to deficiency of spleen and kidney yang)patients,with low recurrence rate,good safety,ideal clinical value and strong positive significance.(2)The treatment of STC with herbal colon lavage alone has a certain effect,but the treatment of thermosensitive moxa-moxibustion combined with herbal colon lavage is better than that with traditional Chinese medicine enema alone.