Efficacy analysis of thunder-fire moxibustion combined with pelvic floor electromyographic biofeedback in the treatment of neurogenic bladder after spinal cord injury
Objective To analyze the effect of thunder-fire moxibustion combined with pelvic floor electromyographic biofeedback in the treatment of neurogenic bladder after spinal cord injury. Methods 60 patients with neurogenic bladder after spinal cord injury were divided into a control group and an experimental group according to different treatment regimens,with 30 cases in each group. The control group received conventional comprehensive treatment+pelvic floor electromyographic biofeedback,and the experimental group combined with thunder-fire moxibustion treatment on the basis of the control group. The urination-related indexes,urodynamic indexes,bladder function score and quality of life scale (QOL) scores were compared between the two groups. Results After treatment,the frequency of 24-h urination and 24-h urinary incontinence in both groups was less than those before treatment in this group,and the urinary output was more than that before treatment in this group;the experimental group had frequency of 24-h urination of (6.53±0.68) times and 24-h urinary incontinence of (3.80±0.89) times,which were less than (8.07±0.74) and (5.07±0.87) times in the control group;the urinary output of (216.27±31.13) ml/time in the experimental group was more than (199.47±27.85) ml/time in the control group (P<0.05). After treatment,the residual urine volume in both groups was less than that before treatment,the intravesical pressure during bladder filling was lower than that before treatment,and the maximum bladder volume was greater than that before treatment;the residual urine volume of (83.37±7.01) ml in the experimental group was lower than (131.77±18.03) ml in the control group;the intravesical pressure during bladder filling of (61.10±6.40) cm H2O (1 cm H2O=0.098 kPa) in the experimental group was lower than (64.43±4.94) cm H2O in the control group;the maximal bladder volume of (335.73±27.16) ml in the experimental group was higher than (314.73±36.28) ml in the control group (P<0.05). After treatment,the bladder function score and QOL score in both groups were lower than those before treatment in this group;the bladder function score of (1.63±0.49) points in the experimental group was lower than (2.13±0.51) points in the control group;the QOL score of (82.23±2.80) points was higher than (73.53±2.64) points in the control group (P<0.05). Conclusion The effect of thunder-fire moxibustion on the basis of pelvic floor electromyographic biofeedback for patients with neurogenic bladder after spinal cord injury is definite,which helps to promote the recovery of bladder storage and urination and improve the quality of life,and is worth promoting.
万方数据
维普
