Electroacupuncture at St36 Accelerates the Recovery of Gastrointestinal Motility after Colorectal Surgery: A Randomised Controlled Trial

Zhang, Zhaodi; Wang, Changsong; Li, Quanyi; Zhang, Mingyue; Zhao, Heng; Li, Dong; Wang, Guonian; Jin, Yan

doi:10.1136/acupmed-2013-010490

Cited by 52 publications

(72 citation statements)

References 14 publications

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“…Among them, 5 studies29549095107 were published between 1992 and 1999; 33 studies22242527303138454752535657586768717273747778818384929397104105106110111 were published between 2000 and 2010; the remaining 56 studies1819202123262832333435363739404142434446484950515559606162636465666970757679808285868788899194969899100101102103108109 were reported from 2010 to 2015 (Fig. 2).…”

Section: Resultsmentioning

confidence: 99%

“…2). Indications for EA included pain (32 studies)1819212426273133363740424547515256606667727682848890929697103110111, anesthesia (8 studies)46507374868994102, stroke (7 studies)2528293462105106, depression (6 studies)235359656880, obesity (4 studies)32495470, primary dysmenorrheal/menstrual pain (4 studies)619899101, substance abuse (heroin or smoking) (3 studies)6495107, osteoarthritis (2 studies)22104, migraine (2 studies)3978, nausea and vomiting (2 studies)3857, postoperative ileus (2 studies)3591, insomnia (2 studies)6381, benign prostate hyperplasia (2 studies)7987, diabetic mellitus related diseases (2 studies)83109, carpal tunnel syndrome (1 study)100, rheumatoid arthritis (1 study)93, whiplash-associated disorders (1 study)69, constipation (1 study)48, multiple sclerosis (1 study)41, tinnitus (1 study)20, auditory hallucination (1 study)30, attention deficit hyperactivity disorder (1 study)…”

Section: Resultsmentioning

confidence: 99%

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Sham Electroacupuncture Methods in Randomized Controlled Trials

Chen

Zhang

et al. 2017

Sci Rep

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Sham electroacupuncture (EA) control is commonly used to evaluate the specific effects of EA in randomized-controlled trials (RCTs). However, establishing an inert and concealable sham EA control remains methodologically challenging. Here, we aimed to systematically investigate the sham EA methods. Eight electronic databases were searched from their inception to April 2015. Ten out of the 17 sham EA methods were identified from 94 RCTs involving 6134 participants according to three aspects: needle location, depth of needle insertion and electrical stimulation. The top three most frequently used types were sham EA type A, type L and type O ordinally. Only 24 out of the 94 trials reported credibility tests in six types of sham EA methods and the results were mainly as follows: sham EA type A (10/24), type B (5/24) and type Q (5/24). Compared with sham EA controls, EA therapy in 56.2% trials reported the specific effects, of which the highest positive rate was observed in type N (3/4), type F (5/7), type D (4/6) and type M (2/3). In conclusion, several sham EA types were identified as a promising candidate for further application in RCTs. Nonetheless, more evidence for inert and concealable sham EA control methods is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Sham Electroacupuncture Methods in Randomized Controlled Trials

Chen

Zhang

et al. 2017

Sci Rep

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“…For example, in a randomised controlled trial ST36 has been shown to accelerate the recovery of gastrointestinal motility after colorectal surgery. 2 Acupuncture at ST36 may also attenuate the inflammatory response and regulate gastrointestinal function. Furthermore, ST25 is known to share its segmental innervation with the small intestine.…”

Section: Discussionmentioning

confidence: 99%

Effect of Acupuncture on Postoperative Adhesive Intestinal Obstruction

Tseng

2015

Acupunct Med

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“…Zhang et al applied electrical stimulation to ST36 in 20 patients after colorectal surgery and compared them with 20 patients randomised to the sham control procedure. 4 In the electroacupuncture group the times from surgery to the first bowel movement and passage of flatus were clearly shorter than in the control group.…”

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confidence: 94%

Perioperative Acupuncture: Why Are We Not Using It?

Usichenko

Streitberger

2014

Acupunct Med

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Acupuncture is mostly known to the general readership for its analgesic effects. 1 Focusing on the treatment of acute postoperative pain, a meta-analysis of 15 randomised controlled trials (RCTs) comparing acupuncture with sham control in the management of postoperative pain showed that acupuncture decreased both pain intensity and opioid consumption up to 72 h after surgery. 2 This opioid reduction effect was associated with a decreased incidence of opioid-related side effects such as nausea, dizziness, sedation, pruritus and urinary retention. More evidence is provided by two trials 3 4 which suggest that the perioperative administration of acupuncture may be a useful adjunct for postoperative analgesia.The study by Ntritsou et al 3 confirms the conclusions of this meta-analysis and again demonstrates the benefits of postoperative acupuncture listed above. Besides the importance of confirming the evidence from previous studies, there are several interesting aspects in this investigation which are worthy of comment.Ntritsou et al used a pragmatic approach, where acupuncture for postoperative pain relief was performed immediately at the end of surgery in the operating room. This postoperative approach means that acupuncture interferes much less with the running of the operation. The results confirm the previously described effect of acupuncture point stimulation on postoperative pain 5 and suggest the same effectiveness as when the stimulation is started before surgery. 6 Moreover, the choice of acupuncture points was more practical than in other investigations in which acupuncture point stimulation was superior to a variety of control conditions. 2 Points LI4 and ST36 are easier to access for stimulation during the surgery than segmental paravertebral points, although both locations produce the same clinical effect in the treatment of postoperative pain after abdominal surgery. 5

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Electroacupuncture at St36 Accelerates the Recovery of Gastrointestinal Motility after Colorectal Surgery: A Randomised Controlled Trial

Abstract: JJ22011-15.

Cited by 52 publications

References 14 publications

Sham Electroacupuncture Methods in Randomized Controlled Trials

Sham Electroacupuncture Methods in Randomized Controlled Trials

Effect of Acupuncture on Postoperative Adhesive Intestinal Obstruction

Perioperative Acupuncture: Why Are We Not Using It?

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