Clinical E ffect of Pressing Needle on Nocturnal Enuresis in Children

Abstract

Objective:With the fast dev elopment of economy and culture, medical professionalsand parents are paying more and more attention to nocturnal enuresis (NE) since it raisedthe negative impact on children’s health and imposes a long term burden on families.The present clinical investigation aims to evaluate the clinical effect of pressing needleon nocturnal enuresis in children through a randomized controlled clinical trial.Materials andMethods: A total of 120 children with nocturnal enuresis were randomlyassigned into pressing needle group, desmopressin group and pills Capsule group, 40cases in each group. The children in pressing needle group were treated with pressingneedles, and those in the desmopressin group and Suoquan pills were orallyadministrated with desmopressin and Suoquan pills, respectively. Combined behavioraltherapy was also given in all the three groups during the treatment. Enuresis frequency,degree of arousal, functional b ladder capacity (FBC) and postvoid residual urine volume(PRUV) were employed as the indicators to evaluate the clinical efficacy in the threegroups. After 6 months of follow up, the recurrence rate of the three groups was alsoanalyzed for efficacy assessment.Results:The total responsive rate in pressing needle group was 95.0%, which was higherthan 87.5% of Suoquan pills group (p < 0.05), and significantly higher than 77.5% of desmopressin group (p < 0.01)desmopressin group (p < 0.01).. The frequency of enuresis was significantly The frequency of enuresis was significantly lowered after lowered after treatment (p < 0.01), concurrently with an evident improvement in arousal levels in all treatment (p < 0.01), concurrently with an evident improvement in arousal levels in all of the three groups (p < 0.01), and the interof the three groups (p < 0.01), and the inter--group difference in postgroup difference in post--treatment enuresis treatment enuresis frequencyfrequency and arousal level between pressing needle group and thand arousal level between pressing needle group and the other two groups was e other two groups was also statialso statistically significant (p < 0.05).stically significant (p < 0.05). The recurrence rate of pressing needle group, The recurrence rate of pressing needle group, desmopressin group and Suoquan pills group was 7.89%, 48.39% and 22.86%, desmopressin group and Suoquan pills group was 7.89%, 48.39% and 22.86%, respectively, with a difference which was statistically significant betrespectively, with a difference which was statistically significant between pressing needle ween pressing needle group and desmopressin group (p < 0.01), but not between pressing needle group and group and desmopressin group (p < 0.01), but not between pressing needle group and Suoquan pills group (p > 0.05). Suoquan pills group (p > 0.05). Conclusion: Conclusion: Pressing needle treatment showed a Pressing needle treatment showed a substantial clinical effect on enuresis in children by improving the bladsubstantial clinical effect on enuresis in children by improving the bladder function, der function, increasing the FBC and reducing PRUV of the bladder, as well as by enhancing the increasing the FBC and reducing PRUV of the bladder, as well as by enhancing the degree of arousal and lowering the recurrence rate, therefore is suggested to be degree of arousal and lowering the recurrence rate, therefore