Wirkung des intermittierenden Katheterismus in Kombination mit Akupunktur bei der Behandlung von Harnverhalt nach einer Rückenmarksverletzung: Eine randomisierte, kontrollierte Studie
Abstract
Objective
To evaluate the effectiveness of combining intermittent catheterization with acupuncture in treating urinary retention following spinal cord injury (SCI).
Methods
Sixty-six patients were randomly assigned to either an observation group or a control group, with 33 patients in each. All underwent personalized intermittent catheterization guided by a bladder capacity scanner. The observation group received acupuncture in conjunction with catheterization, while the control group had acupuncture performed separately. Both groups were treated for 8 weeks. Daily records of catheterization frequency, volume, and spontaneous urination were maintained. Measurements, including maximum bladder capacity, detrusor pressure, residual urine volume, and quality of life scores, were taken at baseline and after 8 weeks.
Results
The observation group exhibited greater improvements in catheterization reduction, spontaneous urination, detrusor pressure, residual urine volume, and quality of life compared to the control group (P < 0.05). The median time to stop catheterization was shorter in the observation group (26, 17.68–34.31 days) compared to the control group (38, 32.54–43.45 days), with a significant difference (P=0.045).
Conclusion
Combining intermittent catheterization with acupuncture effectively improves bladder function, reduces catheterization frequency, enhances urination, and promotes better bladder storage and voiding functions in SCI patients. Keywords: intermittent catheterization, acupuncture, urinary retention, spinal cord injury, randomized controlled trial
Autoren
Jiaquan Liao, Zhen Yang, Bo Wu and Changmin Tan
Journal
Sage Journals – NeuroRehabilitation
Link: https://journals.sagepub.com/doi/pdf/10.1177/10538135241296385
Kommentar:
Primäre Punkte: Ren Mai 4 (CV4), Ren Mai 6 (CV6), Ren Mai 3 (CV3)
Hilfspunkte: Ren Mai 2 (CV2), Magen 28 (ST28), Magen 29 (ST29), Magen 30 (ST30),
Ren Mai 1 (CV1)
Hintere Punkte: Blase 31-34 (BL31-BL34), Blase 54 (BL54), Du Mai 1 (GV1),
Blase 23 (BL23), Blase 28 (BL28), Jiaji-Punkte von L1-L5
Distale Punkte: Magen 36 (ST36), Milz 6 (SP6)