| Objective: This topic with neurogenic bladder after spinal cord injury patients with urinary retention as subjects,with electric acupuncture as the subjects,micro electric acupuncture is controlled in a cave and bladder residual urine volume as the main curative effect evaluation,urine flow mechanics(bladder capacity at the beginning of feeling,maximum urinary flow rate and maximum detrusor pressure),SF-Quaiveen specific quality of life scale as the secondary efficacy evaluation index;Observe the curative group and the acupuncture point micro electric acupuncture group before and after treatment the change of the indicators,to explore the curative therapy of neurogenic bladder after spinal cord injury the clinical curative effect of urinary retention and electricity for different types of neurogenic bladder after spinal cord injury patients with urinary retention effect of bladder function,for the clinical treatment of the disease to provide easy operation of acupuncture treatment.Methods: A total of 42 effective cases were included in this study,which were randomly divided into electroacupuncture group and non-point micro-electroacupuncture group(21cases each).Then stratification was conducte-d according to the suprasacral and subsacral types,among which,there were 10 cases of suprasacral type and 11 cases of subsacral type in the electroacupuncture group,9 cases of suprasacral type and 12 cases of subsacral type in the non-acupoint micro-electroacupuncture group.The study period was 38 weeks,including the baseline period(-2-0 weeks),the treatment period(1-12 weeks after enrollment),and the follow-up period(13-36 weeks after enrollment).Both groups were treated for 12 weeks,with a total of 36 acupuncture.Residual bladder urine volume,urodynamics results,SF-Qualiveen specific quality of life scale,self-efficacy evaluation of patients,and the incidence of adverse reactions to acupuncture were recorded,and the data were statistically analyzed.Results:1.The residual volume of urine:(1)Comparison before and after electroacupuncture group: A.Suprasacral type: Compared with before treatment,the residual urine volume at the 12 th and 36 th week was decreased(P < 0.05);B.Subsacral type: Compared with before treatment,the residual urine volume at week 12 and 36 was decreased(P<0.05).(2)Comparison of non-point micro-electroacupuncture before and after itself: A.Suprasacral type: Compared with before treatment,the residual urine volume at the 12 th and 36 th week did not significantly decrease(P>0.05);B.Subsacral type: Compared with before treatment,the residual urine volume at week 12 and 36 was decreased(P<0.05).(3)Comparison between the two groups: A.Suprasacral type: the comparison between the two groups at the12 th week and the 36 th week showed that the electroacupuncture group was superior to the non-acupoint micro-electroacupuncture group(P<0.05).B.Subsacral type: Comparison between the two groups at the 12 th week showed that the decrease degree of residual urine volume in the electroacupuncture group was significantly higher than that in the nonacupoint microacupuncture group(P<0.05);At week 36,the efficacy of the two groups lasted until the follow-up period,but the rebound degree of the electroacupuncture group was less than that of the non-acupoint micro-electroacupuncture group(P<0.05).In conclusion,electroacupuncture can reduce the residual urine volume of NB patients after SCI,and its efficacy lasts until the follow-up period,which is better than that of the nonacupoint micro-electroacupuncture group.For different types,the effect of electrotherapy on subsacral type was better than that on suprasacral type.2.The primary feeling of bladder volume:(1)Comparison of the electroacupuncture group before and after: A.Suprasacral type: compared with before treatment,the bladder volume at the beginning of the 12 th week showed an increasing trend(P<0.05);B.Subsacral type: Compared with before treatment,the initial perceived bladder volume showed a decreasing trend at the 12 th week(P<0.05).(2)Comparison of non-acupoint micro-electroacupuncture before and after itself: a.Suprasacral type: com-pared with before treatment,the initial feeling of bladder volume at the 12 th week was higher than before(P<0.05);B.Subsacral type: Compared with before treatment,there was no significant change in bladder volume at the beginning of the 12 th week(P<0.05).(3)Comparison between the two groups: A.Suprasacral type: the comparison between the two groups at the12 th week showed that the electroacupuncture group was better than the non-acupoint micro-electroacupuncture group(P<0.05);B.Subsacral type: the comparison between the two groups at the 12 th week showed that the electroacupuncture group was better than the non-acupoint micro-electroacupuncture group(P<0.05).In conclusion,electroacupuncture can improve the initial sensation of bladder volume in NB patients after SCI,which is better than that in the non-point micro-electroacupuncture group.For different types,electroacupuncture plays a bidirectional regulation role,which can increase the initial sensation of bladder capacity for suprasacral type,and reduce the initial sensation of bladder capacity for subsacral type.3.The maximum detrusor pressure:(1)Comparison of the electroacupuncture group before and after: A.Suprasacral type: Compared with before treatment,the maximum detrusor pressure at the 12 th week was increased(P<0.05);B.Subsacral type:Compared with before treatment,the maximum detrusor pressure at week 12 was significantly increased(P<0.05).(2)Comparison of non-point micro-electroacupuncture before and after itself: A.Suprasacral type: the maximum detrusor pressure at the 12 th week showed an upward trend(P<0.05);B.Subsacral type: Compared with before treatment,the maximum detrusor pressure at the 12 th week also showed an increasing trend(P<0.05);(3)Comparison between the two groups: A.Suprasacral type: the comparison between the two groups at the 12 th week showed that the electroacupuncture group was better than the non-acupoint micro-electroacupuncture group(P<0.05);B.Subsacral type:the compa-rison between the two groups at the 12 th week showed that the electroacupuncture group was better than the non-acupoint micro-electroacu-puncture group(P<0.05).In conclusion,electroacupuncture can improve the maximum detrusor pressure in NB patients after SCI,which is better than that in the non-point microelectroacupuncture group.For different types,the effect of electrotherapy on subsacral type was better than that on suprasacral type.4.The maximum flow rate:(1)Comparison before and after electroacupuncture group: A.Suprasacral type: Compared with before treatment,the maximum urinary flow rate at the 12 th week was significantly increased(P<0.05);B.Subsacral type: Compared with pre-treatment,the maximum urinary flow rate at week 12 was significantly increased(P<0.05).(2)Comparison of non-acupoint micro-electroacupunctu-re before and after itself:A.Suprasacral type: Compared with before treatment,the maximum urinary flow rate at the12 th week was increased(P<0.05);B.Subsacral type: Compared with pre-treatment,the maximum urinary flow rate at week 12 was improved(P<0.05).(3)Comparison betwee-n the two groups: A.Suprasacral type: the comparison between the two groups at the 12 th week showed that the electroacupuncture group was better than the non-acupoint microelectroacupuncture group(P< 0.05);B.Subsacral type: the comparison between the two groups at the 12 th week showed that the electroacupuncture group was better than the non-acupoint micro-electroacupuncture group(P<0.05).In conclusion,electroacupunctur-e can improve the maximum urinary flow rate of patients with NB urinary retention after SCI,and is better than non-acupoint microacupuncture group.For different types,the effect of electrotherapy on subsacral type was better than that on suprasacral type.Non-point micro-electroacupuncture can also improve the maximum urinary flow rate of different types of NB patients after SCI to a certain extent.5.SF-Qualiveen scale:(1)Comparison of the electroacupuncture group before and after: A.Suprasacral type: Compared with before treatment,SF value at week 12 and 36 showed a decreasing trend(P<0.05);B.Subsacral type: Compared with before treatment,SF value at week 12 and 36 was significantly lower(P<0.05).(2)Comparison of nonacupoint micro-electro-acupuncture before and after itself: A.Suprasacral type: Compared with before treatment,SF value at the 12 th and 36 th week decreased(P<0.05);B.Subsacral type: Compared with before treatment,SF value at week 12 and 36 was significantly lower(P<0.05).(3)Comparison between the two groups: A.Suprasacral type: Comparison between the two groups at the 12 th week and the 36 th week showed similar curative effect(P<0.05);B.Subsacral type: Comparison between the two groups at the 12 th week showed that the decrease degree of residual urine volume in the electroacupuncture group was significantly higher than that in the non-acupoint microacupuncture group(P<0.05);At week 36,the efficacy of the two groups lasted until the follow-up period,but the rebound degree of the electroacupuncture group was less than that of the non-acupoint microelectroacupuncture group(P<0.05).In conclusion,electroacupuncture can improve the quality of life of NB patients after SCI,and the efficacy lasts until the follow-up period,and it is better than the non-acupoint micro-electroacupuncture group.For different types,the effect of electrotherapy on subsacral type was better than that on suprasacral type.6.Evaluation of self-efficacy of patients:(1)Comparison of the electroacupuncture group before and after: A.Suprasacral type: the self-evaluation of patients at week 12 and week 36 was equivalent(P>0.05);B.Subsacral type: The efficacy of the 12 th week was similar to that of the 36 th week(P>0.05).(2)Comparison of non-acupoint microelectroacupunc-ture before and after itself: A.Suprasacral type: the self-evaluation of patients at the 12 th week and the 36 th week was equivalent(P > 0.05);B.Subsacral type:The efficacy of the 12 th week was similar to that of the 36 th week(P>0.05).(3)Comparison between the two groups: A.Suprasacral type: the self-efficacy evaluation of the two groups was similar at the 12 th and 36 th week(P>0.05);B.Subsacral type: the comparison between the two groups at the 12 th and 36 th week showed that the electroacupuncture group was superior to the non-acupoint micro-electroacupuncture group(P<0.05).In conclusion,the self-evaluation of patients treated with electroacupuncture considered electroacupuncture to be effective,among which,the self-evaluation of patients with suprasacral type NB believed that electroacupuncture had a small effect,while the self-evaluation of patients with subsacral type NB believed that electroacupuncture had a medium effect.7.Evaluation of the incidence of adverse reactions: There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05),indicating that there was no significant difference in the incidence of adverse reactions between the two groups.Conclusion:1.Electroacupuncture can improve the residual urine volume and urodynamics results of patients with neurogenic urinary retention after spinal cord injury,and effectively improve the quality of life of patients,and has different degrees of long-term efficacy,easy to accept.2.Electroacupuncture has a benign therapeutic effect on neurogenic bladder after suprasacral and subsacral spinal cord injury.3.The therapeutic effect of electroacupuncture is better than that of non-acupoint microacupuncture. |
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