Nursing Experience of Treating One Case of Neurogenic Bladder after Spinal Cord Injury with Tongyuan Umbilical Moxibustion Combined with Low-Frequency Electrical Stimulation of Bladder

LIU Xian; WU Meng; WEI Xia; CHEN Xiaoting; YU Yang

doi:10.12209/CAIM202508300001

您当前的位置：

首页 >

文章列表页 >

Nursing Experience of Treating One Case of Neurogenic Bladder after Spinal Cord Injury with Tongyuan Umbilical Moxibustion Combined with Low-Frequency Electrical Stimulation of Bladder

更新时间：2025-12-30

- Nursing Experience of Treating One Case of Neurogenic Bladder after Spinal Cord Injury with Tongyuan Umbilical Moxibustion Combined with Low-Frequency Electrical Stimulation of Bladder
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  广州中医药大学深圳医院（福田）康复科，广东深圳， 518000
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202508300001
  CLC：
- Received：30 August 2025，
  
  Revised：2025-10-26，
  
  Accepted：27 October 2025，
  
  Published Online：30 December 2025，
- 稿件说明：
移动端阅览
LIU Xian, WU Meng, WEI Xia, et al. Nursing Experience of Treating One Case of Neurogenic Bladder after Spinal Cord Injury with Tongyuan Umbilical Moxibustion Combined with Low-Frequency Electrical Stimulation of Bladder[DB/OL].Clinical Archives of Integrative Medicine, 2025.
DOI：

LIU Xian, WU Meng, WEI Xia, et al. Nursing Experience of Treating One Case of Neurogenic Bladder after Spinal Cord Injury with Tongyuan Umbilical Moxibustion Combined with Low-Frequency Electrical Stimulation of Bladder[DB/OL].Clinical Archives of Integrative Medicine, 2025. DOI： 10.12209/CAIM202508300001.

摘要

为探讨通元脐灸联合膀胱低频电刺激在脊髓损伤后神经源性膀胱患者护理中的应用价值，护理团队对1例C3-C4水平脊髓损伤后神经源性膀胱患者实施中西医结合护理方案。在常规护理基础上，为患者辅以通元脐灸温阳益气，搭配低频电刺激调节膀胱功能，同时配合制定个体化饮水计划、指导盆底肌训练并开展情志调护，全程动态监测患者排尿症状变化，同步评估其生活质量改善情况。经14 d干预，患者膀胱残余尿量由456 mL降至27 mL，排尿障碍得到显著改善，睡眠及情绪状态保持良好。实践证明，通元脐灸与低频电刺激相结合可有效改善神经源性膀胱功能，助力患者康复，提升生活质量，充分体现中西医结合护理的独特优势，具有较高的临床推广价值。

Abstract

To explore the application value of Tongyuan umbilical moxibustion combined with bladder low-frequency electrical stimulation in nursing care for patients with neurogenic bladder after spinal cord injury， the nursing team implemented an integrated Chinese and Western medicine nursing plan for a patient with neurogenic bladder after C3-C4 level spinal cord injury. On the basis of routine nursing， the patient was given Tongyuan umbilical moxibustion for warming yang and benefiting qi， combined with low-frequency electrical stimulation to regulate bladder function. Meanwhile， an individualized drinking plan was formulated， pelvic floor muscle training was guided， and emotional care was provided. During the whole process， the changes of the patient's urination symptoms were dynamically monitored， and the improvement of their quality of life was evaluated synchronously. After 14 days of intervention， the patient's residual bladder urine volume decreased from 456 mL to 27 mL， the dysuria was significantly improved， and the sleep and emotional state remained good. Practice has proved that the combination of Tongyuan umbilical moxibustion and low-frequency electrical stimulation can effectively improve the function of neurogenic bladder， facilitate the patient's rehabilitation， and improve their quality of life， which fully reflects the unique advantages of integrated Chinese and Western medicine nursing and has high clinical promotion value.

关键词

Keywords

references

PEREZ N E ， GODBOLE N P ， AMIN K ， et al . Neurogenic bladder physiology， pathogenesis， and management after spinal cord injury ［J］. J. Pers. Med. ， 2022 ， 12 （ 6 ）： 968 .

SAMMAK SEL ， MICHALOPOULOS G D ， ARYA N ， et al . Prediction model for neurogenic bladder recovery one year after traumatic spinal cord injury ［J］. World Neurosurg ， 2023 ， 179 ： e222 - e231 .

李庆琳，李晓宁，梅继林 . 针刺治疗脊髓损伤神经源性膀胱尿潴留疗效的Meta分析［J］. 广州中医药大学学报， 2022 ， 39 （ 8 ）： 1841 - 1851 .

LI Q L ， LI X N ， MEI J L . Effects of acupuncture for neurogenic bladder urinary retention in spinal cord injury： a meta-analysis ［J］. J Guangzhou Univ Tradit Chin Med ， 2022 ， 39 （ 8 ）： 1841 - 1851 . （in Chinese）

PANICKER J N . Neurogenic bladder： epidemiology， diagnosis， and management ［J］. Semin Neurol ， 2020 ， 40 （ 5 ）： 569 - 579 .

刘晓荣，张鼎，沙艳霞，等 . 以问题为导向实施靶向性康复护理训练结合聚焦解决模式对脊髓损伤神经源性膀胱患者排尿功能及自护能力的影响［J］. 临床医学研究与实践， 2024 （ 5 ）： 123 - 126 .

LIU X R ， ZHANG D ， SHA Y X ， et al . The influence of problem-oriented targeted rehabilitation nursing training combined with the solution-focused approach on the urination function and self-care ability of patients with neurogenic bladder due to spinal cord injury ［J］. Clinical Medical Research and Practice ， 2024 （ 5 ）： 123 - 126 . （in Chinese）

张燕琴，王小丽，许佳，等 . 子午流注理论下脐灸配合膀胱功能训练在脊髓损伤神经源性膀胱病人中的应用研究［J］. 全科护理， 2023 （ 24 ）： 3370 - 3372 .

ZHANG Y Q ， WANG X L ， XU J ， et al . Study on the application of meridian stream theory lower umbilical moxibustion combined with bladder function training in patients with neurogenic bladder after spinal cord injury ［J］. General Nursing ， 2023 （ 24 ）： 3370 - 3372 . （in Chinese）

李小艳，闻明，侯国花 . 低频脉冲电刺激与新斯的明对产后尿潴留的疗效［J］. 河北医学， 2022 （ 7 ）： 1087 - 1091 .

LI X Y ， WEN M ， HOU G H . Effect of low frequency pulse electrical stimulation and neostigmine on postpartum urinary retention ［J］. Hebei Medical University ， 2022 （ 7 ）： 1087 - 1091 . （in Chinese）

傅燕，徐月，吴海霞，等 . 董氏奇穴针法联合药物治疗肛瘘术后并发症：随机对照试验［J］. 中国针灸， 2023 （ 8 ）： 916 - 920 .

FU Y ， XU Y ， WU H X ， et al . Dong's Extraordinary Points Acupuncture Combined with Medication for Postoperative Complications of Anal Fistula： A Randomized Controlled Trial ［J］. Chinese Acupuncture & Moxibustion ， 2023 （ 8 ）： 916 - 920 . （in Chinese）

XIANG L ， LI H ， XIE Q Q ， et al . Rehabilitation care of patients with neurogenic bladder after spinal cord injury： a literature review ［J］. World J Clin Cases ， 2023 ， 11 （ 1 ）： 57 - 64 .

刘家庆，张泓，刘桐言，等 . 经皮胫神经电刺激治疗神经源性膀胱功能障碍的系统评价［J］. 中国康复医学杂志， 2018 （ 12 ）： 1451 - 1456 .

LIU J Q ， ZHANG H ， LIU T Y ， et al . Systematic Review on Percutaneous Tibial Nerve Electrical Stimulation for Treating Neurogenic Bladder Dysfunction ［J］. Chinese Journal of Rehabilitation Medicine ， 2018 （ 12 ）： 1451 - 1456 . （in Chinese）

龙雨阳，杜春萍，张建梅，等 . 神经源性膀胱症状评分表的汉化及信效度检验［J］. 护理研究， 2021 （ 19 ）： 3426 - 3429 .

LONG Y Y ， DU C P ， ZHANG J M ， et al . The Chinese Adaptation and Validity and Reliability Test of the Neurogenic Bladder Symptom Rating Scale ［J］. Nursing Research ， 2021 （ 19 ）： 3426 - 3429 . （in Chinese）

施慎逊，吴文源 . 中国焦虑障碍防治指南［M］. 2版 . 北京：中华医学电子音像出版社， 2023 .

邓丽琼，马梦晖，钟丽婵，等 . 脐灸联合低频脉冲电治疗对脊髓损伤后神经源性膀胱患者的护理观察［J］. 护理实践与研究， 2024 （ 2 ）： 179 - 185 .

DENG L Q ， MA M H ， ZHONG L C ， et al . Observation on the Nursing of Patients with Neurogenic Bladder after Spinal Cord Injury Treated by Abdominal Acupoint Therapy Combined with Low-Frequency Pulsed Electrical Therapy ［J］. Nursing Practice and Research ， 2024 （ 2 ）： 179 - 185 . （in Chinese）

王淑梅，赵继红，刘英 . 综合康复护理联合心理干预对脊髓损伤后神经源性膀胱患者的影响［J］. 国际精神病学杂志， 2024 （ 1 ）： 310 - 313 .

WANG S M ， ZHAO J H ， LIU Y . The Impact of Comprehensive Rehabilitation Nursing Combined with Psychological Intervention on Patients with Neurogenic Bladder after Spinal Cord Injury ［J］. International Journal of Psychiatry ， 2024 （ 1 ）： 310 - 313 . （in Chinese）

黄健，张旭 . 中国泌尿外科和男科疾病诊断治疗指南2022版［M］. 北京：科学出版社， 2022 .

HAYES L C ， SAUNDERS R A ， CHOUNG K ， et al . Facilitators and challenges to transitioning to self-catheterization： Patient and caregiver perspectives ［J］. Neurourol Urodyn ， 2023 ， 42 （ 6 ）： 1399 - 1410 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing Experience of Low-Frequency Electrical Stimulation Combined with Traditional Chinese Medicine Nursing in the Rehabilitation of a Spinal Cord Injury Patient

Nursing Experience of Fire Dragon Cupping Combined with Intermittent Catheterization Based on the "Lifting the Pot Lid" Method in Treating a Patient with Neurogenic Bladder

Nursing Experience of Treating a Case of Elderly Patient with Spinal Cord Injury-induced Neurogenic Bladder Urination Retention by Sanjiao Moxibustion

A Nursing Report on the Application of Du Meridian Moxibustion Combined with Intermittent Catheterization in a Patient with Neurogenic Bladder after Spinal Cord Injury

Integrated Chinese and Western Medicine Nursing for a Patient with Disseminated Herpes Zoster after Myelodysplastic Syndrome Transplantation

Related Author

FENG Wenying

ZHANG Xiaohong

CHEN Weiran

BAI Nana

ZHANG Yanqiu

ZHI Mingguang

ZHU Caihong

LIU Bei

Related Institution

Department of Nursing， Beijing Daxing Integrated Traditional Chinese and Western Medicine Hospital

Department of Critical Care Medicine， Beijing Daxing Integrated Traditional Chinese and Western Medicine Hospital

Department of Rehabilitation， Beijing Daxing Integrated Traditional Chinese and Western Medicine Hospital

Department of Rehabilitation Medicine， Beijing Hospital of Integrated Traditional Chinese and Western Medicine

Department of Nursing， First Teaching Hospital of Tianjin University of Traditional Chinese Medicine

⁰