Retrospective cohort study on the effect of double moxibustion combined with intermittent catheterization on urination diary of neurogenic bladder patients after spinal cord injury_West China Medical Journal

Authors：

LIN Ruizhu ^1,2 , XU Jianfeng ^2,3 , MA Chuan ¹ , CHEN Meihua ¹ , LIU Qiang ¹ ,  ZHU Ning ¹

1. Department of Rehabilitation Medicine, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750004, P. R. China;
2. Key Laboratory of Medical Modernization of Ministry of Education, Ningxia Medical University, Yinchuan, Ningxia 750004, P. R. China;
3. Department of Orthopedics and Traumatology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750004, P. R. China;

Corresponding author：

ZHU Ning, Email: 13519217785@163.com

Keywords：

Double moxibustion; Intermittent catheterization; Spinal cord injury; Neurogenic bladder; Urination diary

DOI：

10.7507/1002-0179.201805160

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo investigate the efficiency of double moxibustion combined with intermittent catheterization on urination diary in patients with neurogenic bladder (NB) after spinal cord injury (SCI).MethodsFrom August 2014 to August 2016, hospitalized patients with NB after SCI were reviewed retrospectively and classified into the moxibustion group and the routine group. The urination diary related indicators, International Urinary Incontinence Advisory Committee Urinary Incontinence Questionnaire Short Form (ICI-SQ-SF) score, and routine urine leucocyte count were collected.ResultsA total of 278 patients were enrolled in the study, in whom, the data of 96 were incomplete, and 26 got lost to follow-up. The routine group and the moxibustion group finally contained 70 and 86 respectively. There was no significant difference between the two groups in sex, age, average course of the disease, SCI segment or grading of injury (P>0.05). After 2 months treatment, the urine routine leucocyte count decreased to (5.72± 0.36)/μL in the routine group and (3.22±0.27)/μL in the moxibustion group, and the ICI-Q-SF score decreased to 8.61±0.45 in the routine group and 5.07±0.38 in the moxibustion group. The urine routine leucocyte count and ICI-Q-SF score were lower than those before treatment, and were lower in the moxibustion group than those in the routine group (P<0.05). In the 7th to 8th week, in the routine group, the average single urine volume was (300±70) mL, the interval between two micturition was (3.5±0.6) hours, the frequency of urinary incontinence was (3.3±0.4) times per week, and the average residual urine volume was (125±42) mL; in the moxibustion group, they were (326±78) mL, (3.8±1.1) hours, (2.3±0.3) times per week, and (103±37) mL, respectively. The indexes were not statistically significant different from those in the 1st to 2nd week (P>0.05), except the average single urine volume in the routine group and all the indexes in the moxibustion group (P<0.05). They were all better in the moxibustion group than those in the routine group (P<0.05).ConclusionThe treatment of moxibustion and intermittent catheterization may improve bladder function, reduce residual urine, reduce urinary incontinence and improve the quality of life for patients with NB after SCI.

Citation： LIN Ruizhu, XU Jianfeng, MA Chuan, CHEN Meihua, LIU Qiang, ZHU Ning. Retrospective cohort study on the effect of double moxibustion combined with intermittent catheterization on urination diary of neurogenic bladder patients after spinal cord injury. West China Medical Journal, 2018, 33(10): 1272-1276. doi: 10.7507/1002-0179.201805160 Copy

1.	Manack A, Motsko SP, Haag-Molkenteller C, et al. Epidemiology and healthcare utilization of neurogenic bladder patients in a US claims database. Neurourol Urodyn, 2011, 30(3): 395-401.
2.	中国康复医学会康复护理专业委员会. 神经源性膀胱护理实践指南 (2017 年版). 护理学杂志, 2017, 32(24): 1-7.
3.	Adriaansen JJ, van Asbeck FW, Tepper M, et al. Bladder-emptying methods, neurogenic lower urinary tract dysfunction and impact on quality of life in people with long-term spinal cord injury. J Spinal Cord Med, 2017, 40(1): 43-53.
4.	刘月, 符文彬. 从" 大病宜灸”探讨灸法发展. 中华中医药杂志, 2016, 31(8): 2923-2925.
5.	中华医学会泌尿外科分会. 神经源性膀胱诊断治疗指南. 北京: 人民卫生出版社, 2014: 267-329.
6.	中华人民共和国国家中医药管理局. 中医病证诊断疗效标准. 南京: 南京大学出版社, 1994: 246.
7.	中国康复医学会康复护理专业委员会. 神经源性膀胱护理指南 (2011 年版)(二). 中华护理杂志, 2011, 46(2): 210-216.
8.	朱宁, 马蕾, 杨彩霞. 简易膀胱容量测定法结合膀胱扫描仪在脊髓损伤神经源性膀胱患者康复中的应用. 宁夏医科大学学报, 2017, 39(3): 311-313.
9.	李超然, 刘德柱, 姜德友. 癃闭源流考. 江苏中医药, 2014, 46(8): 69-70.
10.	元小红, 李春根. 脊髓损伤后神经源性膀胱的中医治疗进展. 中国医药导报, 2017, 14(2): 54-57.
11.	高淑芳. 益肾调督灸法结合膀胱训练对脊髓损伤术后神经源性膀胱尿流动力学的影响. 国际中医中药杂志, 2015, 37(10): 894-896.
12.	王红霞, 冷军, 王梅, 等. " 随年壮”灸法中应用舒适护理对脊髓损伤神经源性膀胱治疗顺应性的影响. 齐鲁护理杂志, 2013, 19(20): 79-80.
13.	林玉敏, 江钢辉, 李瑜欣, 等. 艾灸" 气海穴”和" 关元穴”对慢性疲劳模型大鼠的行为学及免疫系统的影响. 上海中医药杂志, 2017, 51(6): 93-96.
14.	王东梅, 林星星. 艾灸关元穴对慢性肾小球肾炎患者微炎症状态及肾功能的影响. 上海中医药大学学报, 2017, 31(6): 40-43.
15.	刘双岭, 陶然, 孔菲, 等. 脊髓损伤后排尿功能障碍的针灸选穴研究进展. 广州中医药大学学报, 2018, 35(1): 102-105.
16.	林瑞珠, 许建峰, 朱宁, 等. 关元穴灸法结合间歇导尿对脊髓损伤后神经源性膀胱尿流动力学的影响. 甘肃中医学院学报, 2014, 31(2): 58-60.
17.	杨亚飞、杨进, 陈林, 等. 脊髓间充质干细胞移植治疗糖尿病神经源性膀胱的研究与进展. 中国组织工程研究, 2017, 21(5): 802-808.
18.	冯晓东, 任亚锋, 韦大文, 等. 重灸法配合间歇导尿治疗脊髓损伤后神经源性膀胱功能障碍 38 例. 中医杂志, 2009, 50(1): 49-50.
19.	冷军. " 关元、中极随年壮灸法”对脊髓损伤后神经源性膀胱的影响. 环球中医药, 2011, 4(4): 301-303.
20.	Patel DP, Lenherr SM, Stoffel JT, et al. Study protocol: patient reported outcomes for bladder management strategies in spinal cord injury. BMC Urol, 2017, 17(1): 95.
21.	Lombardi G, Musco S, Bacci G, et al. Long-term response of different botulinum toxins in refractory neurogenic detrusor overactivity due to spinal cord injury. Int Braz J Urol, 2017, 43(4): 721-729.

1. Manack A, Motsko SP, Haag-Molkenteller C, et al. Epidemiology and healthcare utilization of neurogenic bladder patients in a US claims database. Neurourol Urodyn, 2011, 30(3): 395-401.
2. 中国康复医学会康复护理专业委员会. 神经源性膀胱护理实践指南 (2017 年版). 护理学杂志, 2017, 32(24): 1-7.
3. Adriaansen JJ, van Asbeck FW, Tepper M, et al. Bladder-emptying methods, neurogenic lower urinary tract dysfunction and impact on quality of life in people with long-term spinal cord injury. J Spinal Cord Med, 2017, 40(1): 43-53.
4. 刘月, 符文彬. 从" 大病宜灸”探讨灸法发展. 中华中医药杂志, 2016, 31(8): 2923-2925.
5. 中华医学会泌尿外科分会. 神经源性膀胱诊断治疗指南. 北京: 人民卫生出版社, 2014: 267-329.
6. 中华人民共和国国家中医药管理局. 中医病证诊断疗效标准. 南京: 南京大学出版社, 1994: 246.
7. 中国康复医学会康复护理专业委员会. 神经源性膀胱护理指南 (2011 年版)(二). 中华护理杂志, 2011, 46(2): 210-216.
8. 朱宁, 马蕾, 杨彩霞. 简易膀胱容量测定法结合膀胱扫描仪在脊髓损伤神经源性膀胱患者康复中的应用. 宁夏医科大学学报, 2017, 39(3): 311-313.
9. 李超然, 刘德柱, 姜德友. 癃闭源流考. 江苏中医药, 2014, 46(8): 69-70.
10. 元小红, 李春根. 脊髓损伤后神经源性膀胱的中医治疗进展. 中国医药导报, 2017, 14(2): 54-57.
11. 高淑芳. 益肾调督灸法结合膀胱训练对脊髓损伤术后神经源性膀胱尿流动力学的影响. 国际中医中药杂志, 2015, 37(10): 894-896.
12. 王红霞, 冷军, 王梅, 等. " 随年壮”灸法中应用舒适护理对脊髓损伤神经源性膀胱治疗顺应性的影响. 齐鲁护理杂志, 2013, 19(20): 79-80.
13. 林玉敏, 江钢辉, 李瑜欣, 等. 艾灸" 气海穴”和" 关元穴”对慢性疲劳模型大鼠的行为学及免疫系统的影响. 上海中医药杂志, 2017, 51(6): 93-96.
14. 王东梅, 林星星. 艾灸关元穴对慢性肾小球肾炎患者微炎症状态及肾功能的影响. 上海中医药大学学报, 2017, 31(6): 40-43.
15. 刘双岭, 陶然, 孔菲, 等. 脊髓损伤后排尿功能障碍的针灸选穴研究进展. 广州中医药大学学报, 2018, 35(1): 102-105.
16. 林瑞珠, 许建峰, 朱宁, 等. 关元穴灸法结合间歇导尿对脊髓损伤后神经源性膀胱尿流动力学的影响. 甘肃中医学院学报, 2014, 31(2): 58-60.
17. 杨亚飞、杨进, 陈林, 等. 脊髓间充质干细胞移植治疗糖尿病神经源性膀胱的研究与进展. 中国组织工程研究, 2017, 21(5): 802-808.
18. 冯晓东, 任亚锋, 韦大文, 等. 重灸法配合间歇导尿治疗脊髓损伤后神经源性膀胱功能障碍 38 例. 中医杂志, 2009, 50(1): 49-50.
19. 冷军. " 关元、中极随年壮灸法”对脊髓损伤后神经源性膀胱的影响. 环球中医药, 2011, 4(4): 301-303.
20. Patel DP, Lenherr SM, Stoffel JT, et al. Study protocol: patient reported outcomes for bladder management strategies in spinal cord injury. BMC Urol, 2017, 17(1): 95.
21. Lombardi G, Musco S, Bacci G, et al. Long-term response of different botulinum toxins in refractory neurogenic detrusor overactivity due to spinal cord injury. Int Braz J Urol, 2017, 43(4): 721-729.

West China Medical Journal

Retrospective cohort study on the effect of double moxibustion combined with intermittent catheterization on urination diary of neurogenic bladder patients after spinal cord injury

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content