| Objective: To investigate the effectiveness of electroacupuncture with pelvic floor muscles biofeedback treatment on neurogenic bladder after spinal cord injury. Methods: Thirty-eight patients with neurogenic bladder after spinal cord injury were randomly divided into observation group (n=19) and control group (n=19). The patients in the control group and observation group were given intermittent clean catheterization, and pelvic floor muscles biofeedback treatment on the basis of the drinking plan. The observation group was given electroacupuncture additionally. Voiding diary and urine flow dynamic test were used to evaluate the bladder function. Results: After treatment for 6 weeks, the times of urine incontinence in 24 h were significantly reduced, every time urine output significantly increased and bladder residual urine volume significantly decreased in both two groups as compared with those before treatment (P<0.05). The times of urine incontinence in 24 h and bladder residual urine volume were significantly reduced, and every time urine output significantly increased in observation group as compared with those in the control group (P<0.05, or P<0.01). The maximum bladder volume after treatment was significantly increased in both two groups as compared with that before treatment (P<0.05). The detrusor pressure during filling and detrusor urine leakage point pressure after treatment were obviously reduced in observation group as compared with those in the control group and before treatment (P<0.05). Conclusions: Electroacupuncture with pelvic floor muscles biofeedback treatment for patients with neurogenic bladder caused by spinal cord injury exerts a synergistic effect, and can improve the bladder function after spinal cord injury, and reduce the risk of bladder ureter reflux. |
