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

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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.	中國康復醫學會康復護理專業委員會. 神經源性膀胱護理實踐指南 (2017 年版). 護理學雜志, 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.	劉月, 符文彬. 從" 大病宜灸”探討灸法發展. 中華中醫藥雜志, 2016, 31(8): 2923-2925.
5.	中華醫學會泌尿外科分會. 神經源性膀胱診斷治療指南. 北京: 人民衛生出版社, 2014: 267-329.
6.	中華人民共和國國家中醫藥管理局. 中醫病證診斷療效標準. 南京: 南京大學出版社, 1994: 246.
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8.	朱寧, 馬蕾, 楊彩霞. 簡易膀胱容量測定法結合膀胱掃描儀在脊髓損傷神經源性膀胱患者康復中的應用. 寧夏醫科大學學報, 2017, 39(3): 311-313.
9.	李超然, 劉德柱, 姜德友. 癃閉源流考. 江蘇中醫藥, 2014, 46(8): 69-70.
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11.	高淑芳. 益腎調督灸法結合膀胱訓練對脊髓損傷術后神經源性膀胱尿流動力學的影響. 國際中醫中藥雜志, 2015, 37(10): 894-896.
12.	王紅霞, 冷軍, 王梅, 等. " 隨年壯”灸法中應用舒適護理對脊髓損傷神經源性膀胱治療順應性的影響. 齊魯護理雜志, 2013, 19(20): 79-80.
13.	林玉敏, 江鋼輝, 李瑜欣, 等. 艾灸" 氣海穴”和" 關元穴”對慢性疲勞模型大鼠的行為學及免疫系統的影響. 上海中醫藥雜志, 2017, 51(6): 93-96.
14.	王東梅, 林星星. 艾灸關元穴對慢性腎小球腎炎患者微炎癥狀態及腎功能的影響. 上海中醫藥大學學報, 2017, 31(6): 40-43.
15.	劉雙嶺, 陶然, 孔菲, 等. 脊髓損傷后排尿功能障礙的針灸選穴研究進展. 廣州中醫藥大學學報, 2018, 35(1): 102-105.
16.	林瑞珠, 許建峰, 朱寧, 等. 關元穴灸法結合間歇導尿對脊髓損傷后神經源性膀胱尿流動力學的影響. 甘肅中醫學院學報, 2014, 31(2): 58-60.
17.	楊亞飛、楊進, 陳林, 等. 脊髓間充質干細胞移植治療糖尿病神經源性膀胱的研究與進展. 中國組織工程研究, 2017, 21(5): 802-808.
18.	馮曉東, 任亞鋒, 韋大文, 等. 重灸法配合間歇導尿治療脊髓損傷后神經源性膀胱功能障礙 38 例. 中醫雜志, 2009, 50(1): 49-50.
19.	冷軍. " 關元、中極隨年壯灸法”對脊髓損傷后神經源性膀胱的影響. 環球中醫藥, 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. 中國康復醫學會康復護理專業委員會. 神經源性膀胱護理實踐指南 (2017 年版). 護理學雜志, 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. 劉月, 符文彬. 從" 大病宜灸”探討灸法發展. 中華中醫藥雜志, 2016, 31(8): 2923-2925.
5. 中華醫學會泌尿外科分會. 神經源性膀胱診斷治療指南. 北京: 人民衛生出版社, 2014: 267-329.
6. 中華人民共和國國家中醫藥管理局. 中醫病證診斷療效標準. 南京: 南京大學出版社, 1994: 246.
7. 中國康復醫學會康復護理專業委員會. 神經源性膀胱護理指南 (2011 年版)(二). 中華護理雜志, 2011, 46(2): 210-216.
8. 朱寧, 馬蕾, 楊彩霞. 簡易膀胱容量測定法結合膀胱掃描儀在脊髓損傷神經源性膀胱患者康復中的應用. 寧夏醫科大學學報, 2017, 39(3): 311-313.
9. 李超然, 劉德柱, 姜德友. 癃閉源流考. 江蘇中醫藥, 2014, 46(8): 69-70.
10. 元小紅, 李春根. 脊髓損傷后神經源性膀胱的中醫治療進展. 中國醫藥導報, 2017, 14(2): 54-57.
11. 高淑芳. 益腎調督灸法結合膀胱訓練對脊髓損傷術后神經源性膀胱尿流動力學的影響. 國際中醫中藥雜志, 2015, 37(10): 894-896.
12. 王紅霞, 冷軍, 王梅, 等. " 隨年壯”灸法中應用舒適護理對脊髓損傷神經源性膀胱治療順應性的影響. 齊魯護理雜志, 2013, 19(20): 79-80.
13. 林玉敏, 江鋼輝, 李瑜欣, 等. 艾灸" 氣海穴”和" 關元穴”對慢性疲勞模型大鼠的行為學及免疫系統的影響. 上海中醫藥雜志, 2017, 51(6): 93-96.
14. 王東梅, 林星星. 艾灸關元穴對慢性腎小球腎炎患者微炎癥狀態及腎功能的影響. 上海中醫藥大學學報, 2017, 31(6): 40-43.
15. 劉雙嶺, 陶然, 孔菲, 等. 脊髓損傷后排尿功能障礙的針灸選穴研究進展. 廣州中醫藥大學學報, 2018, 35(1): 102-105.
16. 林瑞珠, 許建峰, 朱寧, 等. 關元穴灸法結合間歇導尿對脊髓損傷后神經源性膀胱尿流動力學的影響. 甘肅中醫學院學報, 2014, 31(2): 58-60.
17. 楊亞飛、楊進, 陳林, 等. 脊髓間充質干細胞移植治療糖尿病神經源性膀胱的研究與進展. 中國組織工程研究, 2017, 21(5): 802-808.
18. 馮曉東, 任亞鋒, 韋大文, 等. 重灸法配合間歇導尿治療脊髓損傷后神經源性膀胱功能障礙 38 例. 中醫雜志, 2009, 50(1): 49-50.
19. 冷軍. " 關元、中極隨年壯灸法”對脊髓損傷后神經源性膀胱的影響. 環球中醫藥, 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

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