The Curative Time Liao Treatment Efficacy And Safety Of The Mainland Obstacle After Spinal Cord Injury

1ObjectiveThrough to the three groups of45patients with spinal cord injury in the local area CiLiao acupuncture point, and the other party in the local area, rectum and bladder function point training treatment, record before therapy treatment after the "International Spinal Cord Injury Data Sets-Lower Urinary Tract Function Basic Data Set" and "International Bowel Function Basic Spinal Cord Injury Data Set". Confirm CiLiao reviews point can improve party after spinal cord injury patients with bladder and bowel function obstacle of symptoms, and explore CiLiao hole in the local area of party after spinal cord injury the clinical curative effect of ErBian obstacles.2MethodsFrom March2011to December2011in hospital acupuncture clinic patients treated the gate15cases, China rehabilitation center in hospital of traditional Chinese medicine treatment center of30cases of patients, including a15cases of control group, the control group2in15cases, the45patients are in line with the Asian neurogenic bladder diagnosis and treatment guidelines neurogenic bladder diagnosis standards and original disease diagnosis:S2-more than S4spinal cord injury, the age41.13±10.43years old treatment group and control group in a39.87±10.58years old, and the control group242.00±8.77years old. Take the same period the random control method, before treatment, treatment and therapy after3months after each data collection. Group a hole side:the hole in the CiLiao ZhongLiao HuiYang. Acupuncture methods:in the local area. Operation method:instructing patients who take prone, take in the CiLiao ZhongLiao HuiYang,75%alcohol use regular disinfection acupuncture position. Use13cm specifications hua tuo brand in holes in acupuncture CiLiao ZhongLiao times acupuncture point for30degrees oblique thorn, needle into the depth about12cm; Mention in strengthening the needle feeling, and ask the electric shock sample needle feeling radiation to former cloudy, then put the needle out a little, will meet in the local area matching electrode needles the handle; Use8cm specifications for Yang hua tuo brand acupuncture will point acupuncture, ask local acid bilges feeling, cupping method and, in the same time acupuncture point. Cupping connected, will be set for2/15reviews frequency instrument Hz, switch it on and slow current strength will increase until perineal shallow can be obviously muscle contraction, so that patients within feet over, two hip screw in for appropriate, but shall not exceed the tolerance level patients. Frequency and the treatment:once per day over a two month. The control group a hole party: other points (without "BaLiao and HuiYang acupuncture point). Acupuncture methods:in the local area, cupping method with treatment group. Frequency and the treatment:once per day over a two month. The control group2treatment: bladder and rectal function training. Frequency and the treatment:once per day over a two month. Three groups of foundation treatment:body rehabilitation training and neurotrophic drug therapy, patients with urinary retention of intermittent catheterization clean, constipation patients every1-3days glycerin enemas enema once.3Results45cases have complete observat ion, happen YunZhen symptoms0). Three groups of treatment methods are after spinal cord injury ErBian obstacles to the healing of the positive effects of the treatment group in2cases restored urine meaning, have2cases of independent leakage frequency change, the treatment group and control group is a bladder emptying method changes, three groups all have meaning is restored, three groups all have defecate time needed for change, three groups all have defecate frequency change; Three months after treatment is after treatment three groups were no change means urine, the treatment group have2cases of meaning is recovery, the treatment group have1cases of bladder emptying way change the, the treatment group and control group is a spontaneous leakage frequency change, the treatment group and control group is defecate time needed for a change, a control group and control group in which it is defecate frequency change. Through the above data in the local area that ErBian acupuncture point of party after spinal cord injury patients ErBian obstacles of urine spirit and meaning is recovery, the independent leakage have apparent curative effect, to defecate time and defecate frequency is better improve effect, the treatment group in meaning is recovery, defecate frequency and the time required for long-term outcome than the control group also evident, and ASIA spinal cord injury patients recover middle and high rank classification effect is obviously superior to senior patients.4DiscussionThrough the study of the into45patients with spinal cord injury patients, found that three groups of treatment methods are after spinal cord injury ErBian obstacles to the healing of the positive effects of the treatment group and two patients with the two groups of patients with urinary meaning and compared the recovery of meaning is obvious effect, can better improve the independent leakage and symptoms of bladder emptying method, and make defecate time is shortened, and the defecate frequency improvement; The treatment group in meaning is recovery, defecate frequency and the time required for long-term effect also obviously than the control group. A control group and the control group the improvements of the two symptoms and treatment group than not obvious, the two of them were no recovery means urine group and control group in two empty the bladder and spontaneous way urinary leakage were no change frequency. ASIA in the classification level A patient urine meaning and meaning is both not recover, bladder emptying the independent method and urinary leakage were no change frequency; And D level2cases restored patients with urinary meaning,4cases of meaning is have improved,4cases had bladder emptying method changes,2cases of independent leakage frequency change,4cases had average defecate time change,3cases had defecate frequency change. The data on that point we will ErBian to party after spinal cord injury patients ErBian obstacles of urine spirit and meaning is recovery, the independent leakage have apparent curative effect, to defecate time and defecate frequency is better improve effect, and ASIA spinal cord injury patients recover middle and high rank classification effect is obviously superior to senior patients.