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

WANG Dongli; WANG Xueqian; WANG Rui; HAO Youzhi; QIAO Weiwei; LI Chao; ZUO Yinping

doi:10.13703/j.0255-2930.20240930-0004

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

Clinical Research | 更新时间：2025-07-17

- Acupuncture and moxibustion combined with umbilical therapy for 30 cases of anxiety and depression in patients with neurogenic bladder after spinal cord injury
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 7, Pages: 923-926(2025)
- 作者机构：
  
  河北省沧州中西医结合医院骨伤康复科，沧州　061000
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240930-0004
  CLC：
- Received：30 September 2024，
  
  Online First：22 April 2025，
  
  Published：12 July 2025
- 稿件说明：
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WANG Dongli, WANG Xueqian, WANG Rui, et al. Acupuncture and moxibustion combined with umbilical therapy for 30 cases of anxiety and depression in patients with neurogenic bladder after spinal cord injury[J]. Chinese Acupuncture & Moxibustion, 2025, 45(7): 923-926.
DOI：

WANG Dongli, WANG Xueqian, WANG Rui, et al. Acupuncture and moxibustion combined with umbilical therapy for 30 cases of anxiety and depression in patients with neurogenic bladder after spinal cord injury[J]. Chinese Acupuncture & Moxibustion, 2025, 45(7): 923-926. DOI： 10.13703/j.0255-2930.20240930-0004.

摘要

目的：

观察针灸配合脐疗治疗脊髓损伤（SCI）后神经源性膀胱（NB）患者焦虑、抑郁的临床疗效。

方法：

选取30例SCI后NB伴焦虑、抑郁患者，采用针灸配合脐疗治疗。针刺：穴取百会、印堂、三阴交、神门、合谷、太冲，每日1次，连续治疗4周。艾灸：足太阳膀胱经、督脉隔姜灸，每日1次，连续治疗4周。脐疗：将柴胡、郁金、肉桂等分研碎与等量蜂蜜调和，装入敷贴中，细盐填脐后将敷贴置于脐上，每日1次，连续治疗4周。比较患者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、尿流动力学指标［排尿期最大尿流率（Qmax）、最大逼尿肌压力（Pdet-max）、残余尿量（RUV）］、神经源性膀胱症状评分（NBSS）、泌尿症状困扰量表（USDS）评分，并评定临床疗效。

结果：

治疗后，患者HAMA评分、HAMD评分、RUV、NBSS、USDS评分均较治疗前降低（

0.05），Qmax、Pdet-max较治疗前升高（

0.05），总有效率为93.3%（28/30）。

结论：

针灸配合脐疗可有效缓解脊髓损伤后神经源性膀胱患者焦虑、抑郁症状，改善排尿障碍。

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 (

0.05)

and Qmax and Pdet-max were higher than those before treatment (

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.

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Related Author

WANG Dong-li

WANG Xue-qian

WANG Rui

HAO You-zhi

SUN Zizhi

CHEN Guisheng

GU Xiyan

TANG Mingjie

Related Institution

Department of Orthopedics, Traumatology and Rehabilitation, Cangzhou Hospital of Integrated Chinese and Western Medicine of Hebei Province

Nanjing University of Chinese Medicine

Nanjing Hospital of TCM Affiliated to Nanjing University of Chinese Medicine

Beijing University of CM

Department of Acupuncture-Moxibustion, Beijing Hospital of TCM Affiliated to Capital Medical University

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