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Effect of electroacupuncture at bilateral Zusanli (ST36) acupoint on gastrointestinal function recovery after laparoscopic radical resection for colorectal cancer

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Titel: Effect of electroacupuncture at bilateral Zusanli (ST36) acupoint on gastrointestinal function recovery after laparoscopic radical resection for colorectal cancer
Autoren: Nan Hai’ou, Wang Ye, Wang Gang, Cai Yuling, Xu Pengyan, Ge Miaomiao, Li Jiayu, Sun Jianhua, Jiang Zhiwei
Quelle: 结直肠肛门外科, Vol 31, Iss 3, Pp 245-249 (2025)
Verlagsinformationen: Editorial Office of Journal of Colorectal & Anal Surgery, 2025.
Publikationsjahr: 2025
Bestand: LCC:Surgery
Schlagwörter: colorectal cancer, laparoscopic radical resection, electroacupuncture, postoperative gastrointestinal function, enhanced recovery after surgery, heart rate variability, Surgery, RD1-811
Beschreibung: [Objectives] To evaluate the effect of electroacupuncture (EA) at bilateral Zusanli (ST36) acupoint on gastrointestinal function recovery after laparoscopic radical resection for colorectal cancer (CRC). [Methods] A retrospective analysis included 110 CRC patients undergoing elective laparoscopic surgery at Affiliated Hospital of Nanjing University of Chinese Medicine (September 2022-September 2024). All received enhanced recovery after surgery (ERAS) perioperative management. Patients were divided into the EA group (n=55) and the control group (n=55) according to whether they received postoperative EA at bilateral ST36 acupoint. The following parameters were compared between the two groups: (1) time to first flatus, the incidence of postoperative intestinal obstruction, and postoperative hospital stay; (2) mean amplitude of glycemic excursions (MAGE) within 24 h/72 h postoperatively, and coefficient of glucose variation (CV) within 72 h postoperatively. Additionally, heart rate variability (HRV) measured preoperatively (24 h) and postoperatively (48-72 h) was compared between-group and within-group, including standard deviation of all normal sinus RR intervals (SDNN), standard deviation of the averaged normal sinus RR intervals for all 5-min segments (SDANN), percentage of successive normal sinus RR intervals >50 ms (PNN50), low frequency (LF), and high frequency (HF). [Results] The EA group had a shorter time to first flatus than the control group, with a statistically significant difference (P0.05). The MAGE within 24 h and 72 h postoperatively and CV within 72 h postoperatively in the EA group were smaller than those in the control group, with statistically significant differences (P0.05). The PNN50 and HF at 48-72 h postoperatively in the EA group were higher than those in the control group, with statistically significant differences (P0.05). The PNN50 at 48-72 h postoperatively in the control group was lower than that within 24 h preoperatively, with a statistically significant difference (P0.05). [Conclusion] EA at bilateral ST36 acupoint accelerates gastrointestinal function recovery in ERAS-managed CRC patients postoperatively.
Publikationsart: article
Dateibeschreibung: electronic resource
Sprache: Chinese
ISSN: 1674-0491
Relation: https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=762425293733498880&cateName=2025%E5%B9%B4%20%E7%AC%AC31%E5%8D%B7%20%E7%AC%AC3%E6%9C%9F; https://doaj.org/toc/1674-0491
DOI: 10.19668/j.cnki.issn1674-0491.2025.03.011
Zugangs-URL: https://doaj.org/article/ff907c9c1c9e409486b9f58bfd1fcbe4
Dokumentencode: edsdoj.ff907c9c1c9e409486b9f58bfd1fcbe4
Datenbank: Directory of Open Access Journals
Beschreibung
Abstract:[Objectives] To evaluate the effect of electroacupuncture (EA) at bilateral Zusanli (ST36) acupoint on gastrointestinal function recovery after laparoscopic radical resection for colorectal cancer (CRC). [Methods] A retrospective analysis included 110 CRC patients undergoing elective laparoscopic surgery at Affiliated Hospital of Nanjing University of Chinese Medicine (September 2022-September 2024). All received enhanced recovery after surgery (ERAS) perioperative management. Patients were divided into the EA group (n=55) and the control group (n=55) according to whether they received postoperative EA at bilateral ST36 acupoint. The following parameters were compared between the two groups: (1) time to first flatus, the incidence of postoperative intestinal obstruction, and postoperative hospital stay; (2) mean amplitude of glycemic excursions (MAGE) within 24 h/72 h postoperatively, and coefficient of glucose variation (CV) within 72 h postoperatively. Additionally, heart rate variability (HRV) measured preoperatively (24 h) and postoperatively (48-72 h) was compared between-group and within-group, including standard deviation of all normal sinus RR intervals (SDNN), standard deviation of the averaged normal sinus RR intervals for all 5-min segments (SDANN), percentage of successive normal sinus RR intervals >50 ms (PNN50), low frequency (LF), and high frequency (HF). [Results] The EA group had a shorter time to first flatus than the control group, with a statistically significant difference (P0.05). The MAGE within 24 h and 72 h postoperatively and CV within 72 h postoperatively in the EA group were smaller than those in the control group, with statistically significant differences (P0.05). The PNN50 and HF at 48-72 h postoperatively in the EA group were higher than those in the control group, with statistically significant differences (P0.05). The PNN50 at 48-72 h postoperatively in the control group was lower than that within 24 h preoperatively, with a statistically significant difference (P0.05). [Conclusion] EA at bilateral ST36 acupoint accelerates gastrointestinal function recovery in ERAS-managed CRC patients postoperatively.
ISSN:16740491
DOI:10.19668/j.cnki.issn1674-0491.2025.03.011