Effect Analysis of Paiqi Tang and Auricular Point Bean- pressing Therapy Combined with Body Point Thumbtack Needling for Abdominal Distension after Cesarean Section
Abstract:Objective:To observe the effect of Paiqi tang and auricular point bean-pressing therapy combined with body point thumbtack needling for abdominal distension after cesarean section. Methods: Divided 116 cases of parturients with abdominal distension after cesarean section into the control group and the observation group according to random number table,56 cases in the control group and 60 cases in the observation group. After operation,the control group received Paiqi tang,while the observation group additionally received body point thumbtack needling combined with auricular point beanpressing therapy. Compared the gastrointestinal function,scores of Short Form Health Survey(SF-36),degree of abdominal distension, clinical effect, Chinese medicine syndrome scores and indexes of interleukin- 6(IL- 6) and tumor necrosis factor-α(TNF-α). Results:The total effective rate of abdominal distension was 93.33% in the observation group and 80.35% in the control group, difference being significant(P<0.05). The recovery time of gurgling sound, the time of anal exsufflation,the time of defecation and the time of starting feeding in the observation group were shorter than those in the control group(P<0.05). Before treatment,there was no significant difference being found in when comparing each score in SF- 36 in both groups(P>0.05). After treatment, the scores of physical functioning(PF), physical role(RP), general health (GH),vitality(VT),social functioning(SF),role of emotion(RE) and mental health(MH) in both groups were higher than those before treatment,and each score above in the observation group was significantly higher than that in the control group(P< 0.05). Before treatment,there was no significant difference being found when comparing the degree of abdominal distension in both groups(Z=0.495,P>0.05). After treatment,the rate of parturients without abdominal distension in the observation group was higher than that in the control group(χ 2=4.247, P<0.05). There was significant difference being found when comparing the degree of abdominal distension in both groups(Z=12.574, P<0.05). Before treatment, there was no significant difference being found when comparing each Chinese medicine syndrome score in both groups(P>0.05). After treatment,Chinese medicine syndrome scores in both groups were lower than those before treatment,and the scores of abdominal distension,gurgling sound,belching and dyspepsia were lower than those in the control group(P>0.05). Before treatment,there was no significant difference being found when comparing the levels of inflammatory factors in both groups (P>0.05). After treatment,the levels of IL- 6 and TNF-α in both groups were lower than those before treatment,and the levels of IL- 6 and TNF- α in the observation group were lower than those in the control group(P<0.05). Conclusion:After cesarean section,the application of Chinese medicine Paiqi tang and auricular point bean- pressing therapy combined with body point thumbtack needling can evidently improve gastrointestinal function, alleviate abdominal distension and promote the quality of life.