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| Clinical study on the bidirectional regulation of neurogenic bladder after stroke by the Pingbu Pingxie method based on the matching of shumu points |
| Hits 344 Download times 127 Received:June 20, 2025 |
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| DOI
10.11656/j.issn.1672-1519.2025.11.06 |
| Key Words
matching of shuumu points;Pingbu Pingxie method;bidirectional regulation;neurogenic bladder after stroke |
| Author Name | Affiliation | E-mail | | HAN Yan | Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China | | | GU Jie | Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China | | | XU Kan | Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China | | | ZHANG Huan | Jiangning Road Subdistrict Health Service Center of Shanghai Jing'an District, Shanghai 200040, China | 13916156649@139.com |
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| Abstract
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| [Objective] To observe the therapeutic effect of the clinical study on the bidirectional regulation of neurogenic bladder after stroke by the Pingbu Pingxie method based on the matching of shumu points. [Methods] The 120 patients with neurogenic bladder after stroke were selected and divided into an urinary incontinence group and an urinary retention group according to their urination status，with 60 patients in each group. Each group was further divided into a treatment group and a control group of 30 patients each according to the random number table method. The treatment groups（both the urinary incontinence group and the urinary retention group） were treated with the same acupuncture and massage Pingbu Pingxie manipulation based on the matching of shumu points，while the control groups received routine nursing care. The clinical symptom indexes，functional examination indexes，clinical efficacy，and the incidence of urinary tract infection were compared before and after treatment. [Results] After treatment，the UISS score of the urinary incontinence group and the NBDS score of the urinary retention group were both lower than those before treatment，and the scores of the treatment groups were lower than those of the control groups，with statistically significant differences（P<0.05）. In the urinary incontinence group，the maximum bladder capacity after treatment was increased compared with that before treatment，and the capacity of the treatment group was higher than that of the control group，with a statistically significant difference（P<0.05）. In the urinary retention group，the residual urine volume after treatment was decreased compared with that before treatment，and the urine volume of the treatment group was lower than that of the control group，with a statistically significant difference（P<0.05）. The total effective rate of the treatment groups for both urinary incontinence and urinary retention was higher than that of the control groups，and the incidence of urinary tract infection was lower than that of the control groups，with statistically significant differences（P<0.05）. The difference in infection rates between groups did not reach statistical significance in the urinary incontinence subgroup（P＞0.05），but the treatment group demonstrated a clinically meaningful protective trend（RR=0.167，OR=0.138），suggesting significant infection prevention value of this regimen. [Conclusion] The Pingbu Pingxie method based on the matching of shumu points can effectively treat both urinary retention and urinary incontinence in patients with neurogenic bladder after stroke，improve clinical symptoms，increase bladder capacity，reduce residual urine，and has a low incidence of urinary tract infection，achieving a bidirectional regulatory function and improving the quality of life of patients. |
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