Treatment of defecation disorders after spinal cord injury with acupuncture at Ciliao point combined with sacrococcygeal TMS
Objective To investigate the therapeutic effects of acupuncture at Ciliao point(BL32)combined with transcranial magnetic stimulation(TMS)of the sacrococcygeal region on defecation disorders after spinal cord injury.Methods A total of 80 patients with defecation disorders after spinal cord injury admitted to Suzhou Municipal Hospital,the Affiliated Suzhou Hospital of Nanjing Medical University,from January 2021 to June 2023 were selected and divided into observation group(n=40)and control group(n=40)by random number table method.The control group was treated with intestinal defecation nursing and sacrococcygeal TMS;the observation group was treated with acupuncture at Ciliao point(BL32)in addition to the control group treatment.Both groups were treated for 1 month.The defecation function,Glazer surface electromyography indicators[maximum value of five consecutive rapid contractions(flick-max,Fmax)and average value of a 60-second sustained contraction(edu-mean,E-Mean)],and negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]were compared between the two groups before treatment and one month after treatment.Results Compared with before treatment,the defecation function scores,SAS scores,and SDS scores of both groups decreased after treatment,and the defecation function scores,SAS score,and SDS score of the observation group were lower than those of the control group(P＜0.05).Compared with before treatment,Fmax and E-Mean levels in both groups increased after treatment,and those of the observation group were significantly higher than those of the control group(P＜0.05).Conclusion Acupuncture at Ciliao point(BL32)combined with sacrococcygeal TMS can effectively improve the defecation function of patients with defecation disorders after spinal cord injury,and reduce the discomfort of patients.
spinal cord injurydefecation disordersacupunctureCiliao point(BL32)transcranial magnetic stimulationsacrococcygeal region
万方数据
维普
