Electroacupuncture Treatment Conduced Before and After Surgery Is Better in Promoting Recovery of Gastrointestinal Function in Colorectal Cancer Patients Undergoing Radical Resection
WANG Tian-yuan, MENG Jin-hai, MAI Si-cong. Electroacupuncture Treatment Conduced Before and After Surgery Is Better in Promoting Recovery of Gastrointestinal Function in Colorectal Cancer Patients Undergoing Radical Resection[J]. Acupuncture research, 2018, 43(12): 797-800.
WANG Tian-yuan, MENG Jin-hai, MAI Si-cong. Electroacupuncture Treatment Conduced Before and After Surgery Is Better in Promoting Recovery of Gastrointestinal Function in Colorectal Cancer Patients Undergoing Radical Resection[J]. Acupuncture research, 2018, 43(12): 797-800. DOI: 10.13702/j.1000-0607.170381.
Objective To investigate the effect of electroacupuncture(EA)at different time-points on postoperative gastrointestinal function in patients undergoing colorectal cancer surgery.Methods Eighty patients with colorectal cancer undergoing laparotomy were randomly assigned to intravenous anesthesia
EA A
EA B
and EA C groups(n=20 cases in each group).All the patients in the four groups received intravenous anesthesia with midazolam
sufentanil
cisatracurium besylate and Propofol
postoperative gastrointestinal decompression and drug analgesia.EA(2-3 mA
2 Hz)was applied to Zhongwan(CV 12)and Tianshu(ST 25)
Neiguan(PC 6)
Zusanli(ST 36)
Shangjuxu(ST 37)
Xiajuxu(ST 39)on the right side for 30 min
once(one day before surgery)in the EA A group
twice(one day and 30 min before surgery)in the EA B group
and 3 times(one day
30 min before and one day after surgery)in the EA C group.The acupoints used after surgery were PC 6
ST 36
ST 37 and ST 39.The time of postoperative ventilation
defecation
food-intake and water drinking
stomach tube removal and abdominal drainage tube removal
the volumes of stomach tube drainage and abdominal drainage
and postoperative adverse reactions were recorded.Results The first ventilation time
after surgery in the EA C group was significantly earlier than those in the intravenous anesthesia
EA A and EA B groups(P<0.05);and the water intake and abdomicnal drainage tube removal time after surgery in the EA C group were significantly earlier than those in the intravenous anesthesia group(P<0.05).No significant differences were found among the 4 groups in the time of defecation
food intake
stomach tube removal
stomach tube drainage and abdominal drainage volumes
and numbers of patients with nausea
vomiting
fever and other adverse reactions(P>0.05).Conclusion EA treatment combined with intravenous anesthesia conducted before and after surgery is effective in promoting the recovery of gastrointestinal function in patients undergoing colorectal cancer laparotomy
and is obviously better than simple pre-operative EA.