[Acupuncture and moxibustion combined with umbilical therapy for 30 cases of anxiety and depression in patients with neurogenic bladder after spinal cord injury].

中国针灸 Pub Date : 2025-07-12 Epub Date: 2025-04-22 DOI:10.13703/j.0255-2930.20240930-0004
Dongli Wang, Xueqian Wang, Rui Wang, Youzhi Hao, Weiwei Qiao, Chao Li, Yinping Zuo
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引用次数: 0

Abstract

Objective: To observe the clinical effect of acupuncture and moxibustion combined with umbilical therapy on anxiety and depression in patients with neurogenic bladder (NB) after spinal cord injury (SCI).

Methods: Thirty cases of NB after SCI with anxiety and depression were selected and treated with acupuncture and moxibustion combined with umbilical therapy. Acupuncture was applied at Baihui (GV20), Yintang (GV24+), Sanyinjiao (SP6), Shenmen (HT7), Hegu (LI4), Taichong (LR3), once a day, continuous treatment for 4 weeks. Ginger moxibustion was applied at the bladder meridian of foot taiyang and governor vessel, once a day, continuous treatment for 4 weeks. In treatment of umbilical therapy, Chaihu (Radix Bupleuri), Yujin (Radix Curcumae), Rougui (Cortex Cinnamomi) were ground and mixed with the same amount of honey, put into the application, and the application was placed on the navel after filling the navel with fine salt, once a day for 4 weeks. Hamilton anxiety scale (HAMA) score, Hamilton depression scale (HAMD) score, urodynamic indexes (maximum urinary flow rate [Qmax], maximum detrusor pressure [Pdet-max], residual urine volume [RUV]), neurogenic bladder symptom score (NBSS), urinary symptom distress scale (USDS) score were compared before and after treatment, and the clinical efficacy was evaluated.

Results: After treatment, the scores of HAMA, HAMD, NBSS, USDS and RUVwere lower than those before treatment (P<0.05), and Qmax and Pdet-max were higher than those before treatment (P<0.05). The total effective rate was 93.3 (28/30).

Conclusion: Acupuncture and moxibustion combined with umbilical therapy can effectively relieve anxiety and depression symptoms, improve urination disorders in patients with NB after SCI.

【针灸结合脐带疗法治疗脊髓损伤后神经源性膀胱焦虑抑郁30例】。
目的:观察针灸配合脐带疗法治疗脊髓损伤(SCI)后神经源性膀胱(NB)患者焦虑、抑郁的临床效果。方法:选择30例脊髓损伤后伴焦虑、抑郁的NB患者,采用针灸结合脐疗治疗。针刺百会穴(GV20)、印堂穴(GV24+)、三阴角穴(SP6)、神门穴(HT7)、合谷穴(LI4)、太中穴(LR3),每日1次,连续治疗4周。在足太阳膀胱经及督脉处施姜灸,每日1次,连续治疗4周。在脐部治疗中,将柴胡(柴胡)、郁金(姜黄)、乳桂(肉桂)磨成粉,与等量蜂蜜混合,放入敷剂中,用细盐填满肚脐后置于肚脐上,每天1次,连用4周。比较治疗前后汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、尿动力学指标(最大尿流率[Qmax]、最大逼尿肌压力[Pdet-max]、剩余尿量[RUV])、神经源性膀胱症状评分(NBSS)、泌尿症状困扰量表(USDS)评分,并评价临床疗效。结果:治疗后患者HAMA、HAMD、NBSS、USDS、ruv评分均低于治疗前(ppp)。结论:针灸配合脐带疗法可有效缓解脊髓损伤后NB患者的焦虑、抑郁症状,改善排尿障碍。
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来源期刊
自引率
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发文量
18644
期刊介绍: Chinese Acupuncture and Moxibustion (founded in 1981, monthly) is an authoritative academic journal of acupuncture and moxibustion under the supervision of China Association for Science and Technology and co-sponsored by Chinese Acupuncture and Moxibustion Society and Institute of Acupuncture and Moxibustion of China Academy of Traditional Chinese Medicine. It is recognised as a core journal of Chinese science and technology, a core journal of Chinese language, and is included in the core journals of China Science Citation Database, as well as being included in MEDLINE and other international well-known medical index databases. The journal adheres to the tenet of ‘improving, taking into account the popularity, colourful and realistic’, and provides valuable learning and communication opportunities for the majority of acupuncture and moxibustion clinical and scientific research workers, and plays an important role in the domestic and international publicity and promotion of acupuncture and moxibustion disciplines.
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