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Effect of Transcutaneous Electrical Acupoint Stimulation on One-Lung Ventilation-Induced Lung Injury in Patients Undergoing Esophageal Cancer Operation.
Evid Based Complement Alternat Med. 2020; 2020:9018701.EB

Abstract

Objective

To investigate the effect of transcutaneous electrical acupoint stimulation (TEAS) on one-lung ventilation-induced injury in patients undergoing esophageal cancer operation.

Methods

The participants (n = 121) were randomly assigned into TEAS and sham groups. The TEAS group was given transcutaneous electrical stimulation therapy. The acupoints selected were Feishu (BL13), Hegu (L14), and Zusanli (ST36) and were treated 30 minutes before induction of anesthesia; treatment lasts 30 minutes. The sham group was connected to the electrode on the same acupoints, but electronic stimulation was not applied. The levels of oxygenation index (PaO2/FiO2) and alveolar-arterial oxygen tension difference (A-aDO2) before one-lung ventilation (T1), 30 minutes after one-lung ventilation (T2), 2 hours after one-lung ventilation (T3), and 1 hour after the operation (T4) and the levels of serum tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and interleukin-10 (IL-10) at T1, T2, T3, and 24 hours after the operation (T5) were taken as the primary endpoints. The incidence of postoperative pulmonary complications, removal time of thoracic drainage tube, and length of hospital stay were taken as the secondary endpoints.

Results

Compared with that, in the sham group, the level of PaO2/FiO2 in the TEAS group was significantly increased at T2, T3, and T4, and the level of A-aDO2 was significantly reduced at T2 and T3 (P < 0.05). Besides, compared with that, in the sham group, the level of serum TNF-α at T2, T3, and T5, as well as the level of serum IL-6 at T3 and T5, was significantly reduced, whereas the level of serum IL-10 at T3 was significantly increased (P < 0.05). The incidences of pulmonary infection and pleural effusion in the TEAS group were significantly lower than that in the sham group, and the removal time of thoracic drainage tube and the length of hospital stay in the TEAS group were significantly shorter than that in the sham group (P < 0.05).

Conclusions

TEAS could effectively increase the levels of PaO2/FiO2 and IL-10, reduce the levels of A-aDO2, TNF-α, and IL-6, and reduce the incidence of pulmonary complications. Moreover, it could also contribute to shorten the removal time of thoracic drainage tube and the length of hospital stay.

Authors+Show Affiliations

Department of Thoracic Surgery, Tangshan People's Hospital, North China University of Science and Technology, Tangshan 063000, China.Department of Clinical Medicine, North China University of Science and Technology, Tangshan 063000, China.Department of Cancer Comprehensive Therapy, Tangshan People's Hospital, North China University of Science and Technology, Tangshan 063000, China.Department of Thoracic Surgery, Tangshan People's Hospital, North China University of Science and Technology, Tangshan 063000, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32595749

Citation

Zhao, Fangchao, et al. "Effect of Transcutaneous Electrical Acupoint Stimulation On One-Lung Ventilation-Induced Lung Injury in Patients Undergoing Esophageal Cancer Operation." Evidence-based Complementary and Alternative Medicine : ECAM, vol. 2020, 2020, p. 9018701.
Zhao F, Wang Z, Ye C, et al. Effect of Transcutaneous Electrical Acupoint Stimulation on One-Lung Ventilation-Induced Lung Injury in Patients Undergoing Esophageal Cancer Operation. Evid Based Complement Alternat Med. 2020;2020:9018701.
Zhao, F., Wang, Z., Ye, C., & Liu, J. (2020). Effect of Transcutaneous Electrical Acupoint Stimulation on One-Lung Ventilation-Induced Lung Injury in Patients Undergoing Esophageal Cancer Operation. Evidence-based Complementary and Alternative Medicine : ECAM, 2020, 9018701. https://doi.org/10.1155/2020/9018701
Zhao F, et al. Effect of Transcutaneous Electrical Acupoint Stimulation On One-Lung Ventilation-Induced Lung Injury in Patients Undergoing Esophageal Cancer Operation. Evid Based Complement Alternat Med. 2020;2020:9018701. PubMed PMID: 32595749.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of Transcutaneous Electrical Acupoint Stimulation on One-Lung Ventilation-Induced Lung Injury in Patients Undergoing Esophageal Cancer Operation. AU - Zhao,Fangchao, AU - Wang,Zengying, AU - Ye,Chengyuan, AU - Liu,Jianming, Y1 - 2020/06/07/ PY - 2019/11/18/received PY - 2020/03/04/revised PY - 2020/03/16/accepted PY - 2020/6/30/entrez SP - 9018701 EP - 9018701 JF - Evidence-based complementary and alternative medicine : eCAM JO - Evid Based Complement Alternat Med VL - 2020 N2 - Objective: To investigate the effect of transcutaneous electrical acupoint stimulation (TEAS) on one-lung ventilation-induced injury in patients undergoing esophageal cancer operation. Methods: The participants (n = 121) were randomly assigned into TEAS and sham groups. The TEAS group was given transcutaneous electrical stimulation therapy. The acupoints selected were Feishu (BL13), Hegu (L14), and Zusanli (ST36) and were treated 30 minutes before induction of anesthesia; treatment lasts 30 minutes. The sham group was connected to the electrode on the same acupoints, but electronic stimulation was not applied. The levels of oxygenation index (PaO2/FiO2) and alveolar-arterial oxygen tension difference (A-aDO2) before one-lung ventilation (T1), 30 minutes after one-lung ventilation (T2), 2 hours after one-lung ventilation (T3), and 1 hour after the operation (T4) and the levels of serum tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and interleukin-10 (IL-10) at T1, T2, T3, and 24 hours after the operation (T5) were taken as the primary endpoints. The incidence of postoperative pulmonary complications, removal time of thoracic drainage tube, and length of hospital stay were taken as the secondary endpoints. Results: Compared with that, in the sham group, the level of PaO2/FiO2 in the TEAS group was significantly increased at T2, T3, and T4, and the level of A-aDO2 was significantly reduced at T2 and T3 (P < 0.05). Besides, compared with that, in the sham group, the level of serum TNF-α at T2, T3, and T5, as well as the level of serum IL-6 at T3 and T5, was significantly reduced, whereas the level of serum IL-10 at T3 was significantly increased (P < 0.05). The incidences of pulmonary infection and pleural effusion in the TEAS group were significantly lower than that in the sham group, and the removal time of thoracic drainage tube and the length of hospital stay in the TEAS group were significantly shorter than that in the sham group (P < 0.05). Conclusions: TEAS could effectively increase the levels of PaO2/FiO2 and IL-10, reduce the levels of A-aDO2, TNF-α, and IL-6, and reduce the incidence of pulmonary complications. Moreover, it could also contribute to shorten the removal time of thoracic drainage tube and the length of hospital stay. SN - 1741-427X UR - https://www.unboundmedicine.com/medline/citation/32595749/Effect_of_Transcutaneous_Electrical_Acupoint_Stimulation_on_One-Lung_Ventilation-Induced_Lung_Injury_in_Patients_Undergoing_Esophageal_Cancer_Operation L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/32595749/ DB - PRIME DP - Unbound Medicine ER -
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