Neurogenic Bladder
Conditions
Keywords
Electroacupuncture, Neurogenic Bladder, Spinal Cord Injury
Brief summary
Neurogenic bladder after spinal cord injury can be divided into detrusor hyperreflexia and detrusor non reflexia. Acupuncture is recognized as a safe and effective treatment. The most commonly used acupoints are Guanyuan, Zhongji and Sanyinjiao. The purpose of this study is to clarify the therapeutic effects of different acupoints on different types of bladder. Main process: routine urodynamic examination was performed first, and then electroacupuncture was given to Guanyuan, Zhongji and Sanyinjiao points respectively, and urodynamic examination was performed again to observe the effect of Electroacupuncture on urodynamic parameters in real time.
Interventions
electroacupuncture at Sanyinjiao (SP6)
Sponsors
Study design
Eligibility
Inclusion criteria
* patients diagnosed with traumatic suprasacral SCI. * the period of the spinal shock has passed. * patients with voiding dysfunction after SCI. * patients had stable condition, and suitable for treatment. * agreed to engage in our study and sign the informed consent.
Exclusion criteria
* Patients with severe primary diseases such as heart, liver, kidney, hematopoietic system, endocrine system and psychosis. * dysuria caused by non spinal cord injury, such as prostatic hypertrophy, urethral obstruction, operation. * Patients who have already taken cystostomy and sacral electrode implantation. * Patients with urinary tract infection. * Autonomic hyperreflexes were obvious. * Unable to cooperate with the healer.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perianal surface electromyography | Procedure (While doing acupuncture ) | Perianal surface electromyography |
| detrusor overactivity (DO) | Procedure (While doing acupuncture ) | detrusor overactivity in milliliter,one of the urodynamic parameters |
| bladder compliance (BC) | Procedure (While doing acupuncture ) | bladder compliance in ml/cmH2O,one of the urodynamic parameters |
| maximum cystometric capacity (MCC) | Procedure (While doing acupuncture ) | maximum cystometric capacity in milliliter,one of the urodynamic parameters |
| maximum urinary flow rate (Qmax) | Procedure (While doing acupuncture ) | maximum urinary flow rate in milliliter/second,one of the urodynamic parameters |
| maximum detrusor pressure | Procedure (While doing acupuncture ) | maximum detrusor pressure at filling stage and voiding stage |
Countries
China