Clinical Observation Of Electroacupuncture For Treatment Of Spinal Cord-derived Detrusor Hyperactivity Incontinence

Object: To observe the clinical effects of using electrical acupuncture on BL-32 (Ciliao), BL-33 (Zhongliao), BL-35 (Huiyang) to treat urinary incontinence patients of detrusor hyperreflexia caused by spinal injury.Method: The study type of this research is series study. Twenty patients who reach the including criteria of urinary incontinence of detrusor hyperreflexia caused by spinal injury were enrolled out of the 98 urinary incontinence cases from Dem. 1st , 2007 to Mar. 31st, 2008. Among them, there are 9 male cases (45%) and 11 female cases (55%). The age ranger is from 5 to 83. The disease duration is from 2.5 months to 40 years. There are 8 cases whose disease duration is less than one year. And the case of more than one year is 12. The spinal injury contains 14 cases of physical injury (eg, trauma, surgery, radiation, pressing), and 6 cases of pathological change (eg, acute myelitis, demyelination, multiple system atrophy). The electric acupuncture treatment is to stimulate BL-32 (Ciliao), BL-33 (Zhongliao), BL-35 (Huiyang) on both sides. Patient receives treatment five times a week and takes a rest on Saturday and Sunday. The treatment continues for four weeks. And the clinical effect is evaluated by the patients'voiding diary and their self-evaluation of the treatment.Result:â‘ Primary outcome measurement: After 4 week treatment, the urinary incontinence times per week, the urgency times, and the pad used per week decrease obviously compared to pre-treatment (P<0.05).In the self-evaluation to the treatment, eight patients (40%) think the treatment is very effective. Seven of them (87.5%) are physical injury, and one of them (12.5%) is pathological injury. Six patients (30%) think the treatment is effective. Among them, two (33.3%) are physical injury cases. And four of them (66.7%) are pathological changes. Six of them (30%) view the treatment is ineffective. Among them, four (66.7%) are physical injury cases. And two (33.3%) are pathological changes.â‘¡Secondary outcome measurement: After four week treatment, the 24 hour voiding times, night urinary times, and the pad used per week decrease obviously (P0.05).Conclusion:â‘ Electric acupuncture can decrease urinary incontinence per week, and urgency time per day and the urgency level obviously.â‘¡There is no obvious difference between physical injury and pathological injury.â‘¢Electric acupuncture is easy to be practiced and cheap. It is a safe therapy with good tolerance. It is suitable to practice in the clinic.