Traditional Chinese medicine fumigation assisted with moxa-wool moxibustion in patients with neurogenic bladder after spinal cord injury and paraplegia:a retrospective cohort study
10.3969/j.issn.1009-0754.2023.12.013
- VernacularTitle:中药熏蒸辅助艾灸用于脊髓损伤截瘫后神经源性膀胱患者的回顾性队列研究
- Author:
Mingzhu FEI
1
;
Xiaowen SHEN
;
Zhao SHEN
Author Information
1. 223300 江苏 淮安,南京医科大学附属淮安第一医院康复医学科
- Keywords:
Traditional Chinese medicine fumigation;
Moxa-wool moxibustion;
Spinal cord injury;
Neurogenic bladder
- From:
Journal of Navy Medicine
2023;44(12):1275-1279
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of traditional Chinese medicine(TCM)fumigation assisted with moxa-wool moxibustion in patients with neurogenic bladder after spinal cord injury and paraplegia.Methods A retrospective cohort study was used to collect the general data of 90 patients with neurogenic bladder(NB)after paraplegia with spinal cord injury(SCI),who were admitted to The Affiliated Huai'an No.1 People's Hospital of Nanjing Medcial University from January 2019 to June 2021.According to different treatment profiles,the NB patients were divided into 2 groups,of whom 49 patients were treated with moxa-wool moxibustion(control group)and 41 patients were treated with traditional Chinese medicine fumigation assisted with moxa-wool moxibustion(observation group).After 4 weeks of treatment,the efficacy of the 2 groups of the NB patients was evaluated.The TCM symptom scores and urodynamic changes(including the maximum flow rate[Qmax],bladder leakage point pressure,maximum bladder capacity,and bladder compliance),single voided volume,daily urine frequency and residual urine volume(RUV)before treatment and 4 weeks after treatment were compared between the 2 groups.Adverse reactions were also observed in the process.Results The effective rates of the observation group(87.80%)was significantly higher than that of the control group 67.35%(P<0.05).The main symptoms,secondary symptoms,and total scores of the NB patients in the 2 groups after treatment were all decreased,with the observation group being lower than the control group(P<0.05).After treatment,Qmax,bladder compliance and maximum bladder capacity of the 2 groups of the NB patients were all increased,and the pressure of bladder leakage point was decreased,with various indexes of the observation group all being superior to those of the control group(P<0.05).After treatment,the single voided volume of the NB patients in the 2 groups were all increased,daily urine frequency and RUV were all decreased,with the indexes in the observation group being superior to those of the control group(P<0.05).The incidences of adverse reactions in the observation group and the control group were 7.32%and 14.29%,respectively,without statistical significance(P>0.05).Conclusion Traditional Chinese medicine fumigation assisted with moxa-wool moxibustion can improve the therapeutic effects of NB patients,improve symptoms of traditional Chinese medicine and the function of urodynamics,and displayed good safety in the recovery of bladder function.
