Clinical Study on Routine Rehabilitation Training and Electroacupuncture Combined with Warming- Needle Moxibustion for Neurogenic Bladder Urinary Retention After Spinal Cord Injury
Abstract: Objective: To observe the curative effect of routine rehabilitation training and electroacupuncture combined with warming-needle moxibustion for neurogenic bladder(NB) urinary retention after spinal cord injury(SCI). Methods:A total of 84 cases of patients with NB urinary retention after SCI were randomly divided into the observation group and the control group according to the random number table method, with 42 cases in each group. The control group was given routine rehabilitation training,and the observation group was additionally given electroacupuncture combined with warming-needle moxibustion based on the treatment of the control group. The clinical effects in the two groups were observed;the changes of voiding diary and urodynamic indexes before and after treatment in the two groups were compared. Results: The total effective rate of clinical effect was 88.10% in the observation group,higher than that of 69.05% in the control group,the difference being significant(P<0.05). After treatment,the daily times of urination and urinary incontinence in the two groups were decreased when compared with those before treatment,and the daily single urination volume was increased;the daily times of urination and urinary incontinence in the observation group were lower than those in the control group,and the daily single urination volume was higher, differences being significant(P<0.05). After treatment, the indexes of maximum urination volume,maximum bladder volume and urinary bladder pressure in the two groups were increased when compared with those before treatment,and the indexes of residual urine volume were decreased;the indexes of maximum urination volume, maximum bladder volume and urinary bladder pressure in the observation group were higher than those in the control group, and the index of residual urine volume was lower, differences being significant(P<0.05). Conclusion: The therapy of routine rehabilitation training and electroacupuncture combined with warming- needle moxibustion for NB urinary retention after SCI has a good curative effect,and can help patients establish regular urination habit,promote the recovery of bladder reflex and improve bladder function.