Blood Fluidity Enhancement by Electrical Acupuncture Stimulation is Related to an Adrenergic Mechanism

Objectives To investigate the anaesthetic and analgesic effect of multipoint transcutaneous electrical acupuncture stimulation (TEAS) during supratentorial tumour resection for postoperative recovery and side effects. Methods In a blinded clinical trial, 92 patients scheduled for supratentorial craniotomy under general anaesthesia were randomly allocated into either a multipoint TEAS (n=46) or a sham TEAS group (n=46). All patients received total intravenous anaesthesia (TIVA) with propofol and sufentanil. The target concentration of sufentanil was adjusted and recorded according to mean arterial pressure (MAP), heart rate (HR) and bispectral index (BIS). Patients in the TEAS group received TEAS 30 min before anaesthesia induction and this was maintained throughout the operation at four pairs of acupuncture points. Postoperative pain, recovery and side effects were evaluated. Results Eighty-eight patients completed the study. Continuous monitoring of MAP, HR and BIS showed stable values with no significant differences between the two groups (p>0.05). Sufentanil target plasma concentration in TEAS patients was significantly lower at some time points during supratentorial craniotomy, and total sufentanil consumption was significantly higher in the sham group (p<0.05). Postoperative recovery and pain were significantly improved by TEAS (p<0.001), without the postoperative side effects. Conclusions Multipoint TEAS at both proximal and distal points combined with TIVA can significantly decrease intraoperative sufentanil requirements, increase pain relief on postoperative day 1 and improve postoperative recovery of patients during supratentorial tumour resection, with no significant increase of side effects. These findings suggest that multipoint TEAS may be clinically effective as an adjunct to analgesia in intraoperative anaesthesia and postoperative pain treatment and may speed recovery. Trial Registration Number Chinese Clinical Trial Registry (registration number ChiCTR-TRC-10001078).

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Transcranial Electrical Acupuncture Stimulation (TEAS) on the Treatment of Autism

North American Journal of Medicine and Science ◽

10.7156/v2i2p067 ◽

2009 ◽

Vol 2 (2) ◽

pp. 67

Author(s):

Jing Liu ◽

Keyword(s):

Acupuncture Stimulation ◽

Electrical Acupuncture

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Transcutaneous Electrical Acupuncture Stimulation as a Countermeasure against Cardiovascular Deconditioning during 4 days of Head-Down Bed Rest in Humans

Acupuncture in Medicine ◽

10.1136/acupmed-2014-010730 ◽

2015 ◽

Vol 33 (5) ◽

pp. 381-387 ◽

Cited By ~ 5

Author(s):

Jing Sun ◽

Xiaotao Li ◽

Changbin Yang ◽

Yongchun Wang ◽

Fei Shi ◽

...

Keyword(s):

Cardiac Function ◽

Plasma Volume ◽

Bed Rest ◽

Control Group ◽

Acupuncture Stimulation ◽

Cardiovascular Deconditioning ◽

Electrical Acupuncture ◽

Before And After ◽

Registration Number ◽

Plasma Hormones

Objective Spaceflight is associated with cardiovascular deregulation. However, the influence of microgravity on the cardiovascular system and its mechanisms and countermeasures remain unknown. Our previous studies have demonstrated that transcutaneous electrical acupuncture stimulation (TEAS) is effective in improving orthostatic tolerance (OT). The purpose of this study was to determine if TEAS treatment can attenuate cardiovascular deconditioning induced by a 4-day −6° head-down bed rest (HDBR). Methods Fourteen healthy male subjects were randomly allocated to a control group (control, n=6, 4 days HDBR without countermeasures) and a TEAS treatment group (TEAS, n=8, 4 days HDBR with TEAS at Neiguan (PC6) for 30 min each day for 4 consecutive days during HDBR). OT, plasma hormones, plasma volume and heart rate variability were assessed before and after HDBR. Cardiac function and cerebral blood flow were measured before, during and after HDBR. Results The data showed that TEAS treatment mitigated the decrease in OT that was observed in the control group and cardiac function, alleviated autonomic dysfunction, and partially prevented plasma volume reduction after HDBR. Angiotensin II and aldosterone were significantly increased by 129.3% and 133.3% after HDBR in the TEAS group (p<0.05). Conclusions These results indicate that 30 min of daily TEAS treatment at PC6 is partially effective in maintaining OT, probably due to increased plasma volume-regulating hormones and activation of the peripheral sympathetic nervous system. TEAS treatment appears effective at reducing cardiovascular deconditioning induced by HDBR for 4 days. Trial Registration Number NCT02300207.

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Effect of low frequency electrical acupuncture stimulation to ciliao (B-32) on the peripheral circulation of lower legs. Comparison of Ciliao to the other acupuncture points.

Zen Nihon Shinkyu Gakkai zasshi (Journal of the Japan Society of Acupuncture and Moxibustion) ◽

10.3777/jjsam.39.391 ◽

1989 ◽

Vol 39 (4) ◽

pp. 391-399

Author(s):

Hisashi KOUDA ◽

Masahiro IWA ◽

Daisaku KUDOH ◽

Katsuyuki WATANABE ◽

Keisou ISHIMARU ◽

...

Keyword(s):

Low Frequency ◽

Peripheral Circulation ◽

The Other ◽

Acupuncture Points ◽

Acupuncture Stimulation ◽

Electrical Acupuncture

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Transcutaneous Electrical Acupuncture Stimulation (TEAS) for gastrointestinal dysfunction in adults undergoing abdominal surgery: study protocol for a prospective randomized controlled trial

10.21203/rs.3.rs-19311/v2 ◽

2020 ◽

Author(s):

Ya-Fan Bai ◽

Chao Gao ◽

Wen-Jing Li ◽

Yi Du ◽

Li-Xin An

Keyword(s):

Randomized Controlled Trial ◽

Abdominal Surgery ◽

Perioperative Complications ◽

Controlled Trial ◽

Secondary Outcome ◽

Gut Peptides ◽

Randomized Controlled ◽

Acupuncture Stimulation ◽

Function Recovery ◽

Electrical Acupuncture

Abstract Background : Postoperative gastrointestinal (GI) dysfunction (PGD) is a common problem after abdominal surgery. PGD can increase the length of hospital stay and may lead to serious complications. Acupuncture and moxibustion are alternative therapies for PGD that have been used in some settings. However, the effect of preventive application of acupuncture or transcutaneous electrical acupuncture stimulation (TEAS) is still uncertain. The purpose of this study is to investigate the efficacy of the continuous application of TEAS on GI function recovery in adults undergoing abdominal surgery. At the same time, we will try to confirm the mechanism of TEAS through the brain-gut axis. Methods/design : This study is a prospective, single-center, two-arm, randomized controlled trial that will be performed in a general hospital. In total, 280 patients undergoing abdominal surgery were stratified by type of surgery (i.e., gastric or colorectal procedure) and randomized into two treatment groups. The experimental group will receive TEAS stimulation at L14 and PC6, ST36 and ST37. The sham group will receive pseudo-TEAS at sham acupoints. The primary outcome will be the recovery time of postoperative bowel sounds, flatus, bowel movements and the changes in perioperative brain-intestinal peptides. The secondary outcome will be postoperative pain, perioperative complications, and hospitalization duration. Discussion : The results of this study will demonstrate that continuous preventive application of TEAS can improve the GI function recovery in patients undergoing abdominal surgery and that this effect may act through brain-gut peptides.

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