Transcutaneous electrical acupoint stimulation in adult patients receiving gastrectomy/colorectal resection: A randomized controlled trial

doi:10.4240/wjgs.v15.i7.1474

科研成果详情

题名	Transcutaneous electrical acupoint stimulation in adult patients receiving gastrectomy/colorectal resection: A randomized controlled trial
作者	Hou, Yuan-Tao 1; Pan, Yuan-Yuan 2; Wan, Lei 3; Zhao, Wen-Sheng 4; Luo, Ying 5; Yan, Qi 1; Zhang, Yi 1; Zhang, Wei-Xin 1; Mo, Yun-Chang 2; Huang, Lu-Ping ; Dai, Qin-Xue ; Jia, Dan-Yun ; Yang, Ai-Ming 6; An, Hai-Yan 1; Wu, An-Shi 5; Tian, Ming 3; Fang, Jian-Qiao 7; Wang, Jun-Lu ; Feng, Yi 1,8,9
发表日期	2023-07-27
发表期刊	WORLD JOURNAL OF GASTROINTESTINAL SURGERY 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Analgesia Bowel function Colorectal resection Gastrectomy Postoperative pain Transcutaneous electrical acupoint stimulation
其他关键词	NERVE-STIMULATION ; ACUPUNCTURE ; ELECTROACUPUNCTURE ; PATHOPHYSIOLOGY ; MANAGEMENT ; SURGERY
摘要	BACKGROUND Acupuncture promotes the recovery of gastrointestinal function and provides analgesia after major abdominal surgery. The effects of transcutaneous electrical acupoint stimulation (TEAS) remain unclear. AIM To explore the potential effects of TEAS on the recovery of gastrointestinal function after gastrectomy and colorectal resection. METHODS Patients scheduled for gastrectomy or colorectal resection were randomized at a 2:3:3:2 ratio to receive: (1) TEAS at maximum tolerable current for 30 min immediately prior to anesthesia induction and for the entire duration of surgery, plus two 30-min daily sessions for 3 consecutive days after surgery (perioperative TEAS group); (2) Preoperative and intraoperative TEAS only; (3) Preoperative and postoperative TEAS only; or (4) Sham stimulation. The primary outcome was the time from the end of surgery to the first bowel sound. RESULTS In total, 441 patients were randomized; 405 patients (58.4 +/- 10.2 years of age; 247 males) received the planned surgery. The time to the first bowel sounds did not differ among the four groups (P = 0.90; log-rank test). On postoperative day 1, the rest pain scores differed significantly among the four groups (P = 0.04; Kruskal-Wallis test). Post hoc comparison using the Bonferroni test showed lower pain scores in the perioperative TEAS group (1.4 +/- 1.2) than in the sham sti-mulation group (1.7 +/- 1.1; P = 0.04). Surgical complications did not differ among the four groups. CONCLUSION TEAS provided analgesic effects in adult patients undergoing major abdominal surgery, and it can be added to clinical practice as a means of accelerating postoperative rehabilitation of these patients.
资助项目	National Basic Research Program of China (Project 973) from The Ministry of Science and Technology of the People's Republic of China [2013CB531900]
出版者	BAISHIDENG PUBLISHING GROUP INC
ISSN	1948-9366
卷号	15 期号:7 页码:1474-1484
DOI	10.4240/wjgs.v15.i7.1474
页数	11
WOS类目	Gastroenterology & Hepatology ; Surgery
WOS研究方向	Gastroenterology & Hepatology ; Surgery
WOS记录号	WOS:001046814000021
收录类别	SCIE ; PUBMED
URL	查看原文
PubMed ID	37555116
通讯作者地址	[Feng, Yi]Peking Univ Peoples Hosp, Dept Anesthesiol, 11 Xizhimen South St, Beijing 100044, Peoples R China.
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/182272
专题	附属第一医院_麻醉科
通讯作者	Feng, Yi
作者单位	1.Peking Univ Peoples Hosp, Dept Anesthesiol, 11 Xizhimen South St, Beijing 100044, Peoples R China; 2.Wenzhou Med Univ, Affiliated Hosp 1, Dept Anesthesiol, Wenzhou 325000, Zhejiang, Peoples R China; 3.Capital Med Univ, Beijing Friendship Hosp, Dept Anesthesiol, Beijing 100050, Peoples R China; 4.Zhejiang Chinese Med & Western Med Integrated Hosp, Dept Pain Med, Hangzhou 310003, Zhejiang, Peoples R China; 5.Capital Med Univ, Beijing Chaoyang Hosp, Dept Anesthesiol, Beijing 100020, Peoples R China; 6.Zhejiang Univ, Affiliated Hosp 1, Sch Med, Dept Anesthesiol, Hangzhou 310003, Zhejiang, Peoples R China; 7.Zhejiang Chinese Med Univ, Key Lab Acupuncture & Neurol Zhejiang Prov, Hangzhou 310053, Zhejiang, Peoples R China; 8.Peking Univ Peoples Hosp, Dept Pain Med, Beijing 100044, Peoples R China; 9.Peking Univ, Key Lab Neurosci, Minist Educ, Natl Hlth Commiss China, Beijing 100083, Peoples R China
推荐引用方式 GB/T 7714	Hou, Yuan-Tao,Pan, Yuan-Yuan,Wan, Lei,et al. Transcutaneous electrical acupoint stimulation in adult patients receiving gastrectomy/colorectal resection: A randomized controlled trial[J]. WORLD JOURNAL OF GASTROINTESTINAL SURGERY,2023,15(7):1474-1484.
APA	Hou, Yuan-Tao., Pan, Yuan-Yuan., Wan, Lei., Zhao, Wen-Sheng., Luo, Ying., ... & Feng, Yi. (2023). Transcutaneous electrical acupoint stimulation in adult patients receiving gastrectomy/colorectal resection: A randomized controlled trial. WORLD JOURNAL OF GASTROINTESTINAL SURGERY, 15(7), 1474-1484.
MLA	Hou, Yuan-Tao,et al."Transcutaneous electrical acupoint stimulation in adult patients receiving gastrectomy/colorectal resection: A randomized controlled trial".WORLD JOURNAL OF GASTROINTESTINAL SURGERY 15.7(2023):1474-1484.