Efficacy of ginger separated moxibustion and wrist and ankle acupuncture on urinary retention after spinal cord injury
Objective To investigate the effect of ginger separated moxibustion combined with wrist and ankle acupuncture on patients with neurogenic bladder urinary retention after spinal cord injury(SCI).Methods A total of 106 patients with neurogenic bladder urinary retention after SCI admitted to Zhumadian TCM Hospital from January 2022 to December 2023 were divided into control group(n=53) and study group(n=53) by random number table.All patients were managed by routine rehabilitation treatment,and those in study group were additionally treated with ginger separated moxibustion combined with wrist and ankle acupuncture.Urinary diaries,urodynamic indexes,bladder function,quality of life assessed by the urinary symptom distress score(USDS) and depression assessed by the self-rating anxiety scale(SAS) were compared between the two groups.Results The maximum urine flow rate([13.12±2.23]mL/s VS[10.65±2.17]mL/s),the maximum urine volume([241.37±52.13]mL VS[184.26±50.44]mL),and the maximum bladder volume([433.82±48.63]mL VS[405.12±50.04]mL) in the study group were significantly higher than those of the control group(P<0.05). The bladder pressure,mean urination times,incontinence times,bladder residual urine volume,bladder function scores,USDS and SAS scores in the filling period were significantly lower in the study group than those of the control group(P<0.05).Conclusion Ginger separated moxibustion combined with wrist and ankle acupuncture can effectively promote urination and reduce urinary retention in patients with neurogenic bladder urinary retention after SCI,and improve the quality of life by improving bladder function.
Spinal cord injuryNeurogenic bladderUrinary retentionGinger separated moxibustionWrist and ankle acupunctureUrodynamicsBladder functionQuality of life