CLINICAL APPLICATION OF ELECTROACUPUNCTURE COMBINED WITH COMPREHENSIVE CARE IN PATIENTS WITH CHRONIC URINARY RETENTION CAUSED BY CAUDA EQUINA NERVE INJURY

Ying Huang^{1, *}, Jingyi Gao², Xiaopeng Li¹

¹Department of Disinfection Supply Room, Tangshan City Workers' Hospital, Tangshan, Hebei 063000, China - ²Department of Conduit Room, Tangshan City Workers' Hospital, Tangshan, Hebei 063000, China

Objective: To explore the clinical effect of electroacupuncture combined with comprehensive intervention on chronic urinary retention caused by cauda equina nerve injury.

Methods: A total of 64 patients with chronic urinary retention caused by cauda equina nerve injury admitted in our hospital from January 2020 to January 2022 were selected as the study objects, and randomly divided into the observation group (n=32) and the control group (n=32). The control group received routine treatment and intervention, while the patients in the observation group received electroacupuncture to stimulate the acupoints and comprehensive intervention. The pain degree, autonomic urination function, bad mood, intervention satisfaction, clinical efficacy and prognosis recovery of the two groups were observed before and after treatment.  

Results: After intervention, the satisfaction of patients in the electroacupuncture treatment patients was higher than that in the control group (P<0.05). After the intervention, the HAMA score of the two groups decreased significantly, and the HAMA score in the electroacupuncture treatment patients was lower than that of the control group (P<0.05). The effective rate of treatment in the electroacupuncture treatment patients was higher than that in the control group (P<0.05). The residual urine volume in the two groups was less than that before treatment, and the maximum urinary flow rate was greater than that before treatment. The residual urine volume in the electroacupuncture treatment patients was less than that in the control group, and the maximum urinary flow rate was greater than that in the control group (P<0.05). The JOA and Frankle scores of the two groups were higher, while the VAS scores were lower than patients before treatment. The JOA and Frankle scores in the electroacupuncture treatment patients were higher, while the VAS scores were lower than patients in the control group (P<0.05).

Conclusion: Electroacupuncture has a definite effect on chronic urinary retention caused by cauda equina nerve injury, which can significantly improve the patient's urination and pain symptoms, and promote the effective recovery of body functions.