Clinical Observation on Zhibian-through-Shuidao Insertion Acupuncture Method in Treating Neurogenic Bladder After Spinal Cord Injury
10.13359/j.cnki.gzxbtcm.2024.12.018
- VernacularTitle:秩边透水道针刺法治疗脊髓损伤后神经源性膀胱的临床观察
- Author:
Yan-Yang LIU
1
;
Hong-Yu ZHAI
Author Information
1. 潜江市中心医院康复医学科,湖北潜江 433100
- Keywords:
Zhibian-through-Shuidao insertion;
acupuncture;
spinal cord injury;
neurogenic bladder;
bladder function;
detrusor;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(12):3204-3209
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of the Zhibian(BL54)-through-Shuidao(ST28)insertion acupuncture method for the treatment of neurogenic bladder(NB)after spinal cord injury(SCI).Methods A total of 120 patients with NB after SCI were randomly divided into observation group and control group,60 patients in each group,the control group was given conventional medicinal treatment and health education,and the observation group was given Zhibian-through-Shuidao insertion acupuncture for treatment on the basis of the control group.Both groups were treated for 30 days.After one month of treatment,the clinical efficacy of the two groups was evaluated,and changes in the bladder residual urine volume and maximal urination volume,maximum voided volume and daily voiding frequency,as well as the detrusor pressure at the end of urination of patients in the two groups were observed.The changes of Short-Form Health Survey-Qualiveen(SF-Qualiveen)scores before and after treatment were compared between the two groups of patients.And the safety and the occurrence of adverse reactions in the two groups was evaluated.Results(1)The total effective rate was 86.67%(52/60)in the observation group and 65.00%(39/60)in the control group.The efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P＜0.05).(2)After treatment,the bladder residual urine volume,maximal urination volume,maximum voided volume,and daily voiding frequency of the patients in the two groups were significantly improved(P＜0.05),and the improvement in the observation group was significantly superior to that in the control group,and the difference was statistically significant(P＜0.05).(3)After treatment,the detrusor pressure at the end of urination of the two groups of patients were significantly improved(P＜0.05),and the improvement in the observation group was significantly superior to that in the control group,and the difference was statistically significant(P＜0.05).(4)After treatment,the SF-Qualiveen scores of the two groups of patients were improved significantly(P＜0.05),and the improvement in the observation group was significantly superior to that in the control group,and the difference was statistically significant(P＜0.05).(5)Comparison of the incidence of adverse reactions between the two groups of patients,the difference was not statistically significant(P＞0.05).Conclusion The treatment of NB after SCI with Zhibian-through-Shuidao insertion acupuncture method can significantly improve the clinical symptoms of the patients,effectively improve the bladder function of the patients,and increase the detrusor pressure of patients,so as to enhance the quality of life of the patients,and the therapeutic efficacy is remarkable.
