針刺治療在脊髓損傷之神經性膀胱功能障礙之臨床初步探討

Therapeutic Trial of Acupuncture in Neurogenic Bladder of Spinal Cord Injured Patients -- A Preliminary Report

鄭寶釵(Pao-Tsai Cheng) ； 朱岳喬(Yuch-Chaio Chu) ； 黃美涓(May-Kuen Wong) ； 張慧朗(Phei-Lang Chang)

《中華民國復健醫學會雜誌》 20期 (1992/12) Pp. 55-60

摘要

Neurogenic bladder is a major problem for the spinal cord injured patients. A successful bladder training may not only reduce the mobility or mortality rate of these patients, but also improve the quality of their life and psychological outlook. However, it usually takes two to three months of bladder training to reach balanced status. This study was aimed to find the effect of electro-acupuncture in the management of neurogenic bladder in spinal cord injured patients.
Totally 27 patients with complete spinal cord injury and neurogenic bladder were collected. Among them, 16 cases received electro-acupuncture at 4 acupoints: Chung Chi (CV3), Kuan Yuan (CV4), and bilateral Tzu Liao (B32), in addition to regular intermittent catheterization program (ICP). Another 10 patients who did not receive acupuncture were studied as control group under ICP only. The results revealed that the acupuncture group bad significantly shortening the total period from onset to bladder balanced (49.7 ± 23.4 days VS 75.2 ± 24.5 days), P＜ 0.05. There was almost no difference for upper motor neuron and lower motor neuron lesion in these patients.
When acupuncture being started was also a factor to influence the results. Those who received acupuncture within 2 weeks after injury, had significantly shortening the total period from onset to catheter-free voiding as compared to those who received acupuncture 4 weeks after injury, (27.7 ± 6.9 days VS 64.1 ± 4.5 days), P＜ 0.005. Form this results, we concluded that the earlier the patient received electro-acupuncture therapy, the sooner they could obtain balanced bladder.

關鍵字

完全性脊髓損傷 ； 神經性膀胱功能障礙 ； 電針治療

並列摘要

Neurogenic bladder is a major problem for the spinal cord injured patients. A successful bladder training may not only reduce the mobility or mortality rate of these patients, but also improve the quality of their life and psychological outlook. However, it usually takes two to three months of bladder training to reach balanced status. This study was aimed to find the effect of electro-acupuncture in the management of neurogenic bladder in spinal cord injured patients.
Totally 27 patients with complete spinal cord injury and neurogenic bladder were collected. Among them, 16 cases received electro-acupuncture at 4 acupoints: Chung Chi (CV3), Kuan Yuan (CV4), and bilateral Tzu Liao (B32), in addition to regular intermittent catheterization program (ICP). Another 10 patients who did not receive acupuncture were studied as control group under ICP only. The results revealed that the acupuncture group bad significantly shortening the total period from onset to bladder balanced (49.7 ± 23.4 days VS 75.2 ± 24.5 days), P＜ 0.05. There was almost no difference for upper motor neuron and lower motor neuron lesion in these patients.
When acupuncture being started was also a factor to influence the results. Those who received acupuncture within 2 weeks after injury, had significantly shortening the total period from onset to catheter-free voiding as compared to those who received acupuncture 4 weeks after injury, (27.7 ± 6.9 days VS 64.1 ± 4.5 days), P＜ 0.005. Form this results, we concluded that the earlier the patient received electro-acupuncture therapy, the sooner they could obtain balanced bladder.