OBJECTIVE: The objective of this study was to investigate the effects of acupuncture on diabetic bladder dysfunction (DBD). METHODS: This study compared 30 cases in the acupuncture group with 15 cases in the sham acupuncture group (n = 45 total). The effects of acupuncture were observed on urodynamic measurements, as well as a variety of symptoms associated with DBD. RESULTS: In the acupuncture group, five of the six urodynamic measures (maximal detrusor pressure, bladder compliance, maximal bladder capacity, bladder volume at desire to void and urge to void) demonstrated significant improvement (p < 0.05, 0.01) over the 15-day treatment period. Only one measure (bladder volume at urge to void) significantly improved (p < 0.05) in the sham acupuncture group. There were significant differences after therapy in four measures (bladder compliance, maximal bladder capacity, bladder volume at desire to void, and urge to void) between the groups (p < 0.05, 0.01). A significant difference of the changes in symptoms compared with pretreatment in the acupuncture group was observed (p < 0.05, 0.01). In 25 subjects in the acupuncture group, incontinence improved from 2.4 to 1.4. In the sham acupuncture group, incontinence deteriorated from 2.2 to 2.3. CONCLUSIONS: Our pilot study has provided evidence that acupuncture may be clinically useful for the radical treatment of DBD.

OBJECTIVE: The objective of this study was to investigate the effects of acupuncture on diabetic bladder dysfunction (DBD). METHODS: This study compared 30 cases in the acupuncture group with 15 cases in the sham acupuncture group (n = 45 total). The effects of acupuncture were observed on urodynamic measurements, as well as a variety of symptoms associated with DBD. RESULTS: In the acupuncture group, five of the six urodynamic measures (maximal detrusor pressure, bladder compliance, maximal bladder capacity, bladder volume at desire to void and urge to void) demonstrated significant improvement (p < 0.05, 0.01) over the 15-day treatment period. Only one measure (bladder volume at urge to void) significantly improved (p < 0.05) in the sham acupuncture group. There were significant differences after therapy in four measures (bladder compliance, maximal bladder capacity, bladder volume at desire to void, and urge to void) between the groups (p < 0.05, 0.01). A significant difference of the changes in symptoms compared with pretreatment in the acupuncture group was observed (p < 0.05, 0.01). In 25 subjects in the acupuncture group, incontinence improved from 2.4 to 1.4. In the sham acupuncture group, incontinence deteriorated from 2.2 to 2.3. CONCLUSIONS: Our pilot study has provided evidence that acupuncture may be clinically useful for the radical treatment of DBD.

OBJECTIVE: To observe the effect of acupuncture on the urodynamics of bladder dysfunction in patients with radial hysterectomy. METHODS: A total of 64 cases of bladder dysfunction patients with radial hysterectomy were divided into urinary canal indwelling group (control group, 19 cases), Sanyinjiao (SP 6) group (23 cases) and Baliao (bilateral BL 31, BL 32, BL 33 and BL 34) group (22 cases). EA (4 Hz, 4-6 V) was applied to the abovementioned acupoints for 30 min, once daily. Catheters were replaced on the 7th day after surgical operation in all the patients and then removed after 5 days' treatment. Postvoid residual urine volume (PVR), maximum cystometric capacity (MCC), and average flow rate (Q(ave)) of urine were detected after seven days' treatment. RESULTS: On the 7th day after operation, no significant differences were found among 3 groups in PVR, MCC and Q(ave). On the 12th day, PVR of 3 groups decreased significantly (P<0.05) and Q(ave) of SP6 and Baliao groups increased considerably (P<0.05). In comparison with control group, PVR of SP6 and Baliao groups decreased considerably, while Q(ave) of the two acupuncture groups increased significantly (P<0.05), and the therapeutic effects of Baliao group were obviously superior to those of SP6 group (P<0.05). Of the 19, 23 and 22 patients with urinary canal indwelling in control, SP6 and Baliao groups, 16 (84.21%), 18 (78.26%) and 7 (31.82%) had no marked improvement in the bladder function on the 12th day after operation. On the 7th and 12th day after operation, the urinary tract infection was found in 1 and 10 cases in control group, 2 and 8 cases in SP6 group, and 2 and 6 cases in Baliao group respectively. CONCLUSION: Acupuncture has a good therapeutic effect in improving the urodynamics of the bladder in radial hysterectomy patients, and the action of Baliao is the best.

OBJECTIVE: To probe into a better therapy for diabetic neurogenic bladder. METHODS: The patients were randomly divided into a treatment group and a control group, 35 cases in each group. The control group were treated with intramuscular injection of Methycobal 250 microg, once every other day; the treatment group were treated with intramuscular injection of Methycobal 250 microg, once every other day, and acupuncture at Guanyuan (CV 4), Shenshu (BL 23), Ciliao (BL 32), Huiyang (BL 35), once every day. The residual urine were compared before and after treatment in the two groups; the effective rate for improvement of symptoms were compared between the two groups. The mental and healthy nursing were conducted for the patients. RESULTS: After treatment, the improving rate for the urgency of urination, frequency of micturition, dribbling urination, urinary incontinence and dysuria in the treatment group was significantly better than that in the control group, but with no significant difference between the two groups in prolongation of urination time. After treatment, the residual urine in the bladder significantly improved in the two groups with more significantly improved in the treatment group than in the control group. CONCLUSION: Methycobal plus acupuncture has a better result than the simple Methyeobal for treatment of diabetic neurogenic bladder, and strengthening nursing care in the treatment can significantly enhance life quality of the patient.

OBJECTIVE: To probe into a better therapy for diabetic neurogenic bladder. METHODS: The patients were randomly divided into a treatment group and a control group, 35 cases in each group. The control group were treated with intramuscular injection of Methycobal 250 microg, once every other day; the treatment group were treated with intramuscular injection of Methycobal 250 microg, once every other day, and acupuncture at Guanyuan (CV 4), Shenshu (BL 23), Ciliao (BL 32), Huiyang (BL 35), once every day. The residual urine were compared before and after treatment in the two groups; the effective rate for improvement of symptoms were compared between the two groups. The mental and healthy nursing were conducted for the patients. RESULTS: After treatment, the improving rate for the urgency of urination, frequency of micturition, dribbling urination, urinary incontinence and dysuria in the treatment group was significantly better than that in the control group, but with no significant difference between the two groups in prolongation of urination time. After treatment, the residual urine in the bladder significantly improved in the two groups with more significantly improved in the treatment group than in the control group. CONCLUSION: Methycobal plus acupuncture has a better result than the simple Methyeobal for treatment of diabetic neurogenic bladder, and strengthening nursing care in the treatment can significantly enhance life quality of the patient.