Electroacupuncture improves bladder and bowel function in patients with traumatic spinal cord injury: results from a prospective observational study.
Electroacupuncture improves bladder and bowel function in patients with traumatic spinal cord injury: results from a prospective observational study.
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DOI：
10.1155/2013/543174
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Liu B
中科院分区：
文献类型：
--
作者：
Liu Z;Wang W;Wu J;Zhou K;Liu B
为了探讨电针（EA）治疗外伤性脊髓损伤后慢性肠道和膀胱功能障碍的疗效，14例患者前4周采用电针治疗，每天1次，每周5次，后4周每隔一天1次，每周3次。然后对这些患者进行了6个月的随访。治疗后，4例（4/14,28.57%）患者排尿恢复正常；6例（6/14,42.86%）在不少于一半的排尿行为中恢复正常排尿；4例（4/14,28.57%）的患者在半数以上的排尿行为中需要辅助排尿。这些影响在随访期间持续存在。治疗后平均尿流量减少190.29±101.87 mL (P < 0.01)，随访期间平均尿流量减少198.86±112.18 mL （P < 0.01）。治疗后患者周尿失禁次数减少7.14±46.34次/周（P = 0.036），随访期间患者周尿失禁次数减少49.86±44.38次/周。治疗后，4例（4/14,28.57%）患者排便恢复正常（P = 0.025）；5例（5/14,35.71%）减少了对辅助排便方式的依赖；5例（5/14,35.71%）无变化。对于创伤性脊髓损伤后的慢性肠道和膀胱功能障碍患者，EA可能提供一种有价值的替代工具，以最小的副作用改善患者的自我控制的肠道和膀胱功能。
In order to explore the effect of electroacupuncture (EA) for chronic bowel and bladder dysfunction after traumatic spinal cord injury, 14 patients were treated with electroacupuncture once a day, five times a week for the first four weeks, and once every other day, three times a week for the following four weeks. The patients were then followed up for six months. After treatment, four (4/14, 28.57%) patients resumed normal voiding; six (6/14, 42.86%) resumed normal voiding for no less than half of all micturition behaviors; four (4/14, 28.57%) required supplementary urination methods for higher than half of all micturition behaviors. These effects persisted during followup. Mean postvoid RUV decreased by 190.29 ± 101.87 mL (P < 0.01) after treatment and by 198.86 ± 112.18 mL (P < 0.01) during followup. Patients' weekly urinary incontinence frequency decreased 7.14 ± 46.34 times/week (P = 0.036) after treatment and decreased 49.86 ± 44.38 times/week during followup. After treatment, four (4/14, 28.57%) patients resumed normal bowel movements (P = 0.025); five (5/14, 35.71%) reduced the dependence on supplementary defecation methods; five (5/14, 35.71%) had no changes. In patients with chronic bowel and bladder dysfunction after traumatic SCI, EA may provide a valuable alternative tool in improving patients' self-controlled bowel and bladder functions with minimal side effects.
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DOI：
10.1634/stemcells.2008-0543
发表时间：
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期刊：
Stem cells (Dayton, Ohio)
影响因子：
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作者：
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