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Electroacupuncture or transcutaneous electroacupuncture for postoperative ileus after abdominal surgery: A systematic review and meta-analysis.
Chen, Kai-Bo; Huang, Yi; Jin, Xiao-Li; Chen, Guo-Feng.
Affiliation
  • Chen KB; Department of General Surgery, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310000, China.
  • Huang Y; Department of General Surgery, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310000, China.
  • Jin XL; Department of General Surgery, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310000, China.
  • Chen GF; Department of General Surgery, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310000, China. Electronic address: 189691424463@zju.edu.cn.
Int J Surg ; 70: 93-101, 2019 Oct.
Article in En | MEDLINE | ID: mdl-31494334
BACKGROUND: At present, there is no ideal treatment for postoperative ileus (POI) after abdominal surgery. This meta-analysis aims to evaluate the efficacy of electroacupuncture (EA) and transcutaneous electroacupuncture (TEA) in improving postoperative POI. METHODS: We systematically screened randomized controlled trials (RCTs) from multiple databases and included 15 high quality RCTs. Two investigators independently conducted data extraction, risk of bias assessment and statistical analysis. Meta-analysis was performed by a random- (REM) or fixed-effect (FIXED) model. RESULTS: A total of 15 trials involving 965 participates were included. Meta-analysis results favored EA/TEA treatment for POI by analysis of time to first flatus [mean difference (MD) -11.60 h, I2 = 94%, REM)], time to first defecation (MD -12.94 h, I2 = 90%, REM), time to bowel sound recovery (MD -7.25 h, I2 = 85%, REM), time to first oral feeding (MD -15.76 h, I2 = 47%, REM) and length of hospital stay (MD -1.19 d, I2 = 44%, REM). Subgroup analysis of laparoscopic surgery patients also favored EA/TEA by analysis of time to first flatus (MD -2.46 h, I2 = 0%, FIXED), time to first oral feeding (MD -10.73 h, I2 = 0%, FIXED) and length of hospital stay (MD -1.30 d, I2 = 32%, REM). ST36 (Zusanli), ST37 (Shangjuxu) and ST39 (Xiajuxu) are preferred EA/TEA acupoints for treating POI. There was no significant difference in postoperative analgesic consumption between EA and control groups (P = 0.39). No severe adverse events associated with EA/TEA were reported. CONCLUSION: This meta-analysis suggests that EA/TEA is a safe, effective treatment for POI after abdominal surgeries including laparoscopic surgery, and that EA/TEA does not relieve postoperative pain after abdominal surgery. There is significant heterogeneity of research on this subject, thus, a professional consensus is needed to establish a standard protocol for use of this technique.
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Full text: 1 Database: MEDLINE Traditional Medicines: Medicinas_tradicionales_de_asia / Medicina_china Therapeutic Methods and Therapies TCIM: Terapias_energeticas Main subject: Postoperative Complications / Electroacupuncture / Ileus / Abdomen Type of study: Clinical_trials / Guideline / Systematic_reviews Language: En Journal: Int J Surg Year: 2019 Type: Article Affiliation country: China

Full text: 1 Database: MEDLINE Traditional Medicines: Medicinas_tradicionales_de_asia / Medicina_china Therapeutic Methods and Therapies TCIM: Terapias_energeticas Main subject: Postoperative Complications / Electroacupuncture / Ileus / Abdomen Type of study: Clinical_trials / Guideline / Systematic_reviews Language: En Journal: Int J Surg Year: 2019 Type: Article Affiliation country: China