Objective

2

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

2

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

2

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

2

Acupuncture and moxibustion combined with umbilical therapy can effectively relieve anxiety and depression symptoms

improve urination disorders in patients with NB after SCI.