25854017
OBJECTIVE	To explore the effects of early intervention of acupuncture on urinary function reconstruction of neurogenic bladder after spinal cord injury , so as to find the optimal treatment timing of acupuncture .
METHODS	Fifty-three patients of neurogenic bladder after spinal cord injury were randomly divided into a prior-to-catheter group ( 25 cases ) and a posterior-to-catheter group ( 28 cases ) .
METHODS	For the prior-to-catheter group , one week before the removal of catheter , acupoints on the abdomen and back such as Guanyuan ( CV 4 ) , Zhongji ( CV 3 ) , Baliao ( Shangliao ( BL 31 ) , Ciliao ( BL 32 ) , Zhongliao ( BL 33 ) , Xialiao ( BL 34 ) , Jiaji ( EX-B 2 ) and acupoints at distal end such as Zusanli ( ST 36 ) and Sanyinjiao ( SP 6 ) were selected ; after the catheter removal , simple method .
METHODS	of water column was used to measure bladder capacity pressure to classify the type of bladder , and then different acupuncture manipulations were given ; intermittent catheterization was performed if condition was allowed .
METHODS	The posterior-to-catheter group applied identical treatment after removal of catheter as the prior-to-catheter group .
METHODS	The treatment was given 5 times per week ; after one-month treatment , five aspects including the time of first effective urination , time of establishing reflex urination , average residual volume of urine , time of residual urine less than 100 mL and quality of life ( QOL ) were evaluated .
RESULTS	After treatment , the time of first effective urination , time of establishing reflex urination , average residual volume of urine and time of residual urineless than 100 mL in the prior-to-catheter group were all superior to those in the posterior-to-catheter group ( all P < 0.05 ) ; the score of QOL was improved in two groups after treatment ( both P < 0.01 ) , but the difference between two groups was not statistically significant ( P > 0.05 ) ; each index of urination function was not significant among patients with different injured segments of spinal cord ( all P > 0.05 ) .
CONCLUSIONS	The early intervention of acupuncture ( prior to catheter ) has obvious improving function on establishing balanced bladder in patients with neurogenic bladder after spinal cord injury , which is superior to acupuncture intervention after removal of catheter , however , the effects of different injured segments on establishing balanced bladder are not different .

