ABSTRACT
OBJECTIVES: To observe the clinical efficacy of timing umbilical therapy for neurogenic bladder after spinal cord injury based on the midnight-noon and ebb-flow doctrine. METHODS: Sixty patients with neurogenic bladder after spinal cord injury were randomly divided into a trial group and a control group, with 30 patients in each group. In the trial group, based on the midnight-noon and ebb-flow doctrine, umbilical therapy was given at the time zone, 15:00 to 17:00. In the control group, umbilical therapy was delivered at any time zones except the period 15:00 to 17:00. The herbal plaster was remained on the umbilicus for 4 h each time, once daily. One course of treatment was composed of 2 weeks and the treatment lasted 4 weeks. Before and after treatment, the urodynamic indexes (maximum urinary flow rate [Qmax], maximum detrusor pressure [Pdet-max], residual urine volume [RUV]), voiding diary (average daily number of voiding, average daily number of leakage, average daily voided volume), neurogenic bladder symptom score (NBSS), the score of urinary symptom distress scale (USDS) and the score of World Health Organization quality of life assessment-BREF (WHOQOL-BREF) were compared between the two groups; and the clinical efficacy of the two groups was assessed. RESULTS: After treatment, Qmax, Pdet-max, the average daily voided volume and the scores of WHOQOL-BREF were increased (P<0.05); and RUV, the average daily number of voiding, the average daily number of leakage, NBSS and the scores of USDS were all reduced (P<0.05) in comparison with those before treatment in the two groups. When compared with those in the control group, Qmax, Pdet-max, the average daily voided volume and the score of WHOQOL-BREF were all higher (P<0.05); and RUV, the average daily number of voiding, the average daily number of leakage, NBSS and the score of USDS were lower (P<0.05) in the trial group. The total effective rate was 96.7% (29/30) in the trial group, higher than that (76.7%, 23/30) in the control group (P<0.05). CONCLUSIONS: Timing umbilical therapy, based on the midnight-noon and ebb-flow doctrine, effectively relieves the symptoms of dysuria and improves the quality of life in patients with neurogenic bladder after spinal cord injury.
Subject(s)
Spinal Cord Injuries , Urinary Bladder, Neurogenic , Humans , Urinary Bladder, Neurogenic/etiology , Urinary Bladder, Neurogenic/therapy , Quality of Life , Umbilicus , Urinary Bladder , Spinal Cord Injuries/complicationsABSTRACT
Green roof is widely used in advanced stormwater management as a major measure now. Taking Huxi catchment in Chongqing University as the study area, the relationships between green roof installation with runoff volume and water quality in urban region were investigated. The results showed that roof greening in the urban region contributed to reducing the runoff volume and pollution load. In addition, the spatial distribution and area of green roof also had effects on the runoff water quality. With the conditions that the roof area was 25% of the total watershed area, rainfall duration was 15 min and rainfall intensity was 14.8 mm x h(-1), the peak runoff and total runoff volume were reduced by 5.3% and 31%, the pollution loads of total suspended solid (TSS), total phosphorus (TP) and total nitrogen (TN) decreased by 40.0%, 31.6% and 29.8%, their peak concentrations decreased by 21.0%, 16.0% and -12.2%, and the EMCs (event mean concentrations) were cut down by 13.1%, 0.9% and -1.7%, respectively, when all impervious roofs were greened in the research area. With the increase of roof greening rate, the reduction rates of TSS and TP concentrations increased, while the reduction rate of TN concentration decreased on the whole. Much more improvement could be obtained with the use of green roofs near the outlet of the watershed.