Transcutaneous electroacupuncture alleviates postoperative ileus after gastrectomy: A randomized clinical trial.

Autor:	Chen KB; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Lu YQ; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Chen JD; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Shi DK; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Huang ZH; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Zheng YX; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Jin XL; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Wang ZF; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Zhang WD; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Huang Y; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Wu ZW; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Zhang GP; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Zhang H; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Jiang YH; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China., Chen L; Kai-Bo Chen, Di-Ke Shi, Yi-Xiong Zheng, Xiao-Li Jin, Yi-Huang, Zhi-Wei Wu, Hang Zhang, Li Chen, Department of General Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China. li-chen@zju.edu.cn.; Yi-Qiao Lu, Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.; Jian-De Chen, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD 21224, United States.; Zhi-Hui Huang, Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhe-Fang Wang, Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne 50937, Germany.; Wei-Dong Zhang, Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo 315000, Zhejiang Province, China.; Guo-Ping Zhang, Department of Chinese Medicine Rehabilitation, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.; Ying-Hao Jiang, Department of General Surgery, First People's Hospital of Wenling, Taizhou 317500, Zhejiang Province, China.
Jazyk:	angličtina
Zdroj:	World journal of gastrointestinal surgery [World J Gastrointest Surg] 2018 Feb 27; Vol. 10 (2), pp. 13-20.
DOI:	10.4240/wjgs.v10.i2.13
Abstrakt:	Aim: To investigate the efficacy and safety of transcutaneous electroacupuncture (TEA) to alleviate postoperative ileus (POI) after gastrectomy. Methods: From April 2014 to February 2017, 63 gastric cancer patients were recruited from the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. After gastrectomy, the patients were randomly allocated to the TEA ( n = 33) or control ( n = 30) group. The patients in the TEA group received 1 h TEA on Neiguan (ST36) and Zusanli (PC6) twice daily in the morning and afternoon until they passed flatus. The main outcomes were hours to the first flatus or bowel movement, time to nasogastric tube removal, time to liquid and semi-liquid diet, and hospital stay. The secondary outcomes included postoperative symptom assessment and complications. Results: Time to first flatus in the TEA group was significantly shorter than in the control group (73.19 ± 15.61 vs 82.82 ± 20.25 h, P = 0.038), especially for open gastrectomy (76.53 ± 14.29 vs 87.23 ± 20.75 h, P = 0.048). Bowel sounds on day 2 in the TEA group were significantly greater than in the control group (2.30 ± 2.61/min vs 1.05 ± 1.26/min, P = 0.017). Time to nasogastric tube removal in the TEA group was earlier than in the control group (4.22 ± 1.01 vs 4.97 ± 1.67 d, P = 0.049), as well as the time to liquid diet (5.0 ± 1.34 vs 5.83 ± 2.10 d, P = 0.039). Hospital stay in the TEA group was significantly shorter than in the control group (8.06 ± 1.75 vs 9.40 ± 3.09 d, P = 0.041). No significant differences in postoperative symptom assessment and complications were found between the groups. There was no severe adverse event related to TEA. Conclusion: TEA accelerated bowel movements and alleviated POI after open gastrectomy and shortened hospital stay. Competing Interests: Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Databáze:	MEDLINE
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