| Objective: To observe the clinical effect of electroacupuncture at bladder meridian acupoints combined with bladder therapeutic apparatus on neurogenic bladder (NB) after spinal cord injury (SCI) and its effect on bladder functional status. Methods: Totally, 42 NB patients after SCI were randomly divided into combined group and control group, with 21 cases in each group. The control group was treated with bladder therapeutic apparatus after the routine treatment of NB, and the combined group was treated with electroacupuncture at bladder meridian acupoints combined with bladder therapeutic apparatus after the routine treatment. The indicators of urination diary before and after the implementation of the treatment program were observed: 24 h urination frequency, 24 h urinary incontinence frequency, each urination volume; urodynamic indicators: bladder filling detrusor pressure, maximum urinary flow rate, maximum urethral closure pressure, residual urine volume; LUTS score, and the changes of each index were compared between the two groups. Results: After the implementation of the treatment program, 24 h urinary incontinence times, the number of 24 h micturition, detrusor pressure and residual urine volume were significantly decreased in both groups as compared with those before the treatment, more significantly in the combined group than in the control group. The maximum urine flow rate and the maximum urethral closure pressure were significantly increased after treatment in both groups as compared with those before the treatment, more significantly in the combined group than in the control group (P<0.05). After the implementation of the treatment scheme, LUTS scores in the two groups were significantly improved (P<0.05), and the curative effect in the combined group was better than that in the control group (P<0.05). Conclusion: The clinical effect of electroacupuncture at bladder meridian acupoints combined with bladder therapeutic apparatus in the treatment of NB after SCI is satisfactory, which can significantly reduce the residual urine volume of bladder, effectively improve the functional state of bladder, and improve the quality of life, which has the application value of combined rehabilitation. |
