Therapeutic effect of acupuncture at Baliao acupoint combined with medium frequency therapy on spinal cord injury-induced neurogenic bladder and its impact on urodynamics
Objective To analyze the therapeutic effect of acupuncture at Baliao acupoint combined with medium frequency electric stimulation on spinal cord injury-induced neurogenic bladder and its impacts on urination function and urodynamics.Methods A total of 86 patients with spinal cord injury-induced neurogenic bladder were divided into the control group(n=43)and the treatment group(n=43)according to a random number table.All patients were given routine bladder training and medium frequency electric stimulation,and those in the treatment group were additionally given acupuncture at Baliao acupoint.Treated for 2 courses(2 week as a course of treatment),the aim was to compare urination(including daily average volume of single urinary,daily average frequency of catheterizations and urine leakage)and urodynamic related indicators(bladder residual urine volume,maximum detrusor pressure,maximum cystometric capacity)between the two groups before and after treatment.The curative effect was assessed.Results The total effective rate of the treatment group was obviously higher than that of the control group(88.37%[38/43]vs 69.77%[30/43],P<0.05).After treatment,the daily average volume of single urinary,maximum detrusor pressure,maximum cystometric capacity in the both groups were obviously increased(all P<0.05),while the daily average frequency of catheterizations and urine leakage,and bladder residual urine volume were obviously decreased(all P<0.05),with significant inter-group difference for the above indexes(all P<0.05).Conclusion For patients with spinal cord injury-induced neurogenic bladder,acupuncture at Baliao acupoint and medium frequency electric stimulation can effectively improve urination function and urodynamics,and its effect is superior to medium frequency electrical stimulation alone.
Bladder,neurogenicSpinal cord injuryAcupunctureBaliao acupointMedium frequency electric stimu-lation