神经源性膀胱和肠是创伤性脊髓损伤(TSCI)后的两个关键自主神经并发症。慢性下尿路和肠功能障碍可导致继发性并发症,显著影响患者的生活质量,并显著增加患者的再入院风险和死亡率.除了对症治疗,有一些有效的治疗方法。针灸疗法对改善TSCI早期神经修复和功能恢复具有积极作用。然而,对于TSCI相关的慢性泌尿和肠功能障碍是否有效尚不清楚.本报告介绍了一名26岁的男性患者,该患者由于意外从高处跌落超过10个月而在TSCI后出现神经源性膀胱和肠功能障碍,并访问了我们部门进行针灸联合治疗。经过48次治疗,他在很大程度上恢复了自愿排尿和排便。尿动力学测试显示膀胱顺应性恢复,逼尿肌收缩力改善。Qualiveen短形式和神经源性肠功能障碍评分的症状评估表明症状严重程度降低。这种情况表明,针灸联合疗法可能有助于恢复TSCI后下泌尿和消化道的生理功能,并且可能是治疗TSCI患者神经源性膀胱和肠功能障碍的有希望的替代方法。
Neurogenic bladder and bowel are two critical autonomic complications following traumatic spinal cord injury (TSCI). Chronic lower urinary tract and bowel dysfunctions can lead to secondary complications, drastically affect the quality of life and significantly increase the risk of hospital readmission and mortality. Other than symptomatic treatments, a few effective therapies are available. Combined acupuncture and moxibustion therapy has positive effects on improving nerve repair and functional recovery in the early phases following TSCI. However, whether it is effective for TSCI-related chronic urinary and bowel dysfunctions remains unknown. This report presents the
case of a 26-year-old male patient who experienced neurogenic bladder and bowel dysfunction following TSCI due to an accidental fall from height for more than 10 months and visited our department for combined acupuncture and moxibustion therapy. After 48 treatment sessions, he regained voluntary urination and defecation to a large extent. Urodynamic testing showed recovered bladder compliance and improved detrusor contractility. Symptom assessment with the Qualiveen Short-Form and neurogenic bowel dysfunction scores demonstrated reduced symptom severity. This
case suggests that combined acupuncture and moxibustion therapy might help to restore the physiological functions of the lower urinary and digestive tracts following TSCI and might be a promising alternative for the treatment of neurogenic bladder and bowel dysfunction in patients with TSCI.