电针八髎穴联合盆底肌生物反馈训练对脊髓损伤后神经源性肠道功能障碍的影响OA

Objective:To observe the effects of electro-needling Baliao points combined with pelvic floor muscle biofeedback training on neurogenic bowel function in patients with spinal cord injury(SCI).Methods:A total of 40 patients with neurogenic bowel dysfunction(NBD)following SCI were randomly assigned into the control group and the observation group.The control group received routine dietary management,conventional rehabilitation therapy,and pelvic floor muscle biofeedback training;on which basis,the observation group was also treated with electro-needling Baliao points.Treatment was administered five days per week for eight weeks.Before and after the treatment,neurogenic bowel function was evaluated using anorectal manometry,including resting rectal pressure(RRP),anal canal resting pressure(ACRP),resting anal pressure(RAP),functional anal canal length(FACL),maximum squeeze pressure(MSP),and longest squeeze duration(LSD),as well as NBD score,patient assessment of constipation symptoms(PAC-SYM)score,and lactulose-glycerin enema usage.Results:The rectal manometry parameters RAP,ACRP,and FACL,as well as NBD scores and PAC-SYM scores were significantly decreased after the treatment compared with those before the treatment(P＜0.05).The average usage of lactulose and glycerin enemas was also markedly reduced(P＜0.05).In contrast,RRP,MSP,and LSD were significantly increased compared with pre-treatment values(P＜0.05).The observation group demonstrated more significant improvements than the control group(P＜0.05).Conclusion:Electro-needling Baliao acupoints combined with pelvic floor muscle biofeedback training can effectively improve the defecation function of patients with neurogenic intestinal dysfunction after SCI.