| Objective: To investigate the effect of Baliao electroacupuncture combined with repeated transcranial magnetic stimulation on urodynamics and urination function in patients with neurogenic bladder dysfunction after spinal cord injury. Methods: A total of 80 patients with neurogenic bladder dysfunction after spinal cord injury were randomly divided into two groups, with 40 cases in each group. The control group was treated with repetitive transcranial magnetic stimulation, while the observation group was treated with electroacupuncture at Baliao points combined with repetitive transcranial magnetic stimulation. After 8 weeks of simultaneous treatment in both groups, the patients’ micturition function, bladder function, urodynamics, clinical efficacy, and incidence of adverse reactions were analyzed. Results: At 4, 8, and 12 weeks after treatment, the daily frequency of micturition, frequency of urinary incontinence, residual urine volume, Neurogenic Bladder Symptom Score (NBSS), and International Lower Urinary Tract Symptoms Score (LUTS) in both groups showed a significant decreasing trend compared to before treatment (P<0.05), and the scores at each time point in the observation group were significantly lower than those in the control group (P<0.05). At 4, 8, and 12 weeks after treatment, the average single micturition volume per day, maximum bladder capacity, and maximum urine flow rate in both groups showed a significant increasing trend (P<0.05), and the scores at each time point in the observation group were significantly higher than those in the control group (P<0.05). After treatment, the clinical efficacy in the observation group was significantly better than that in the control group (P<0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups after treatment. Conclusion: The combination of Balio acupuncture point and repeated transcranial magnetic stimulation therapy has shown significant efficacy in the treatment of neurogenic bladder dysfunction after spinal cord injury, which can effectively improve the urine flow parameters and urination function of patients, and also has a high safety. |
