Abstract
Clinical study on the treatment of urinary retention after stroke by “Tongdu Yishen” warm acupuncture combined with functional magnetic stimulation
  
DOI:
EN KeyWords: stroke  warm acupuncture  functional magnetism  urinary retention  neurogenic bladder  urodynamics
Fund Project:河北省重点研发计划项目(223777138D);河北省中医药管理局科研计划项目(2020029)
作者单位
樊雨楠 河北中医药大学第一附属医院石家庄 050011 
何梦娇 河北中医药大学第一附属医院石家庄 050011 
高山钥 河北中医药大学第一附属医院石家庄 050011 
贾静 河北中医药大学第一附属医院石家庄 050011 
李艳红 河北省中医院石家庄 050011 
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EN Abstract:
  Objective: To explore the clinical effect of warm acupuncture and moxibustion combined with functional magnetic stimulation on urinary retention after stroke based on “TongduYishen” method. Methods: Totally, 70 patients with neurogenic urinary retention after stroke were included and divided into a control group and a treatment group by the random number table method, with 35 cases in each group. The control group received conventional acupuncture and functional magnetic stimulation, and the treatment group received warm acupuncture and moxibustion at Baihui (GV20), Shenshu (BL23), Mingmen (GV4), Bladder Shu (BL28), and Taixi (KI3) on the basis of the control group. The two groups were treated for 30 min each, once a day for 4 weeks. The difference in cystodynamics, urination, catheterization times and other indexes before and after treatment between the two groups and the clinical efficacy were observed. The efficacy of “Tongdu Yishen” method warm acupuncture combined with functional magnetism was evaluated. Results: The total effective rate in the control group and treatment group were 77.1% and 97.1% respectively (P<0.05). After treatment, the maximum urine flow rate, frequency and volume of urine in 2 groups were increased (P<0.05), and detrusor pressure during filling, maximum bladder capacity, the volume of residual urine in the bladder, number of catheterization decreased as compared with those before treatment (P<0.05). In addition, there was significant difference between the treatment group and the control group (P<0.05). Conclusion: Warm acupuncture and moxibustion with “Tongdu Yishen” method is better than simple acupuncture, and combined functional magnetic stimulation significantly improved the clinical efficacy of urinary retention after stroke, alleviated the clinical symptoms of patients, promoted the recovery of nerve function and improved the prognosis of patients.
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