Volume 20 Issue 4
Apr.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(4): 669-672
LU Le-miao, TIAN Xin. Application of transcutaneous electrical acupoint stimulation in improving nutrition, gastric motility and prognosis of patients with severe cerebrovascular disease[J]. Chinese Journal of General Practice, 2022, 20(4): 669-672. doi: 10.16766/j.cnki.issn.1674-4152.002426
Citation: LU Le-miao, TIAN Xin. Application of transcutaneous electrical acupoint stimulation in improving nutrition, gastric motility and prognosis of patients with severe cerebrovascular disease[J]. Chinese Journal of General Practice, 2022, 20(4): 669-672. doi: 10.16766/j.cnki.issn.1674-4152.002426
shu

Application of transcutaneous electrical acupoint stimulation in improving nutrition, gastric motility and prognosis of patients with severe cerebrovascular disease

doi: 10.16766/j.cnki.issn.1674-4152.002426
  • 1.

    Department of Acupuncture and Moxibustion, Lishui Central Hospital, Lishui, Zhejiang 323000, China

Funds:

 2020ZB299

 2019GYX19

  • Received Date: 2021-11-10
    Available Online: 2022-08-20
    Abstract
  •   Objective  To explore the role of early transcutaneous electrical acupoint stimulation (TEAS) in improving the nutritional status, gastric motility and prognosis of patients with severe cerebrovascular disease (SCVD), so as to provide references for clinical application.  Methods  A completely randomized double-blind controlled clinical trial method was adopted, and 80 patients with SCVD admitted to Lishui Central Hospital from January 1, 2018 to December 31, 2020 were selected as the research objects, and they were randomly divided into the conventional treatment group (40 cases) and the early TEAS group (40 cases). The nutritional indexes [hemoglobin (HGB), albumin (ALB), total protein (TP) and blood glucose(GLU)], total intragastric residues, ICU stay time, activity of daily living (ADL) and NIHSS scores were compared between the two groups were compared.  Results  There were no intergroup, time and interaction effects between the two groups of patients with HGB and GLU indicators (all P>0.05), there was no significant difference between the two groups at each time point (all P>0.05). There were inter group effects on TP, ALB and total daily residues in the stomach(all P < 0.05). In the early TEAS group, the improvement of nutrition and gastric motility was more significant (all P < 0.05), there was time effect (all P < 0.05), and there was interaction effect between grouping and time (all P < 0.05). The ICU stay time in the early TEAS group was (16.80±6.69) d, which was significantly shorter than that in the routine treatment group [(13.05±6.06) d]. After 14 days of treatment, the ADL score and NIHSS score of patients in the early TEAS group were significantly improved (all P < 0.05).  Conclusion  Early TEAS treatment can effectively improve the nutritional status, gastric motility and prognosis of SCVD patients, and can be used for interventional therapy at the early stage of the disease. It is safe, effective, economical and easy to implement, and has great clinical application value.

     

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