Use of transcutaneous electrical acupoint stimulation in pulmonary surgery for patients with tuberculosis.

J Clin Tuberc Other Mycobact Dis

Department of Pain Medicine, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine, Hang Zhou 310003, China.

Published: May 2022

Objective: This study aimed to analyze the effects of transcutaneous electrical acupoint stimulation (TEAS) on the immune function in patients with pulmonary tuberculosis (PT) and the inflammatory response following one-lung ventilation surgery by comparing the levels of inflammatory mediators, such as tumor necrosis factor alpha (TNF-α), interleukin 6 (IL-6), and interleukin 8 (IL-8); T lymphocyte subsets, including CD3, CD4, CD8, and CD4/CD8 cells; and natural killer cells (NK cells).

Methods: We randomly divided 62 patients who underwent general anesthesia for thoracotomy into two groups: TEAS and sham TEAS. Patients in the TEAS group underwent bilateral acupoint electrical stimulation at the HouXi, ZhiGou, NeiGuan, and HeGu acupoints from 30 min before anesthesia induction until the end of surgery. TEAS was continuously maintained throughout the procedure with a dilatational wave at 2/100 Hz. Those in the sham TEAS group underwent the same management but without stimulation, and the anesthesia induction and maintenance methods were the same in both groups. Venous blood was drawn to monitor inflammatory mediators and lymphocyte subsets before anesthesia induction and 5 days after the surgery.

Results: There was no statistical difference in the general conditions between the two groups ( > 0.05). Before anesthesia induction, the levels of inflammatory factors (IL-6, IL-8, and TNF-α), lymphocyte subsets (CD3, CD4, and CD4/CD8), and NK cells did not statistically differ between the two groups ( > 0.05). Compared to the sham TEAS group, the levels of IL-6, IL-8, TNF-α, and CD8 were lower in the TEAS group, while those of CD3, CD4, CD4/CD8, and NK cells were higher; however, only the change in TNF-α was significant ( < 0.05).

Conclusion: TEAS at the HouXi, ZhiGou, NeiGuan, and HeGu acupoints at 2 Hz/100 Hz can reduce the inflammatory response during one-lung ventilation but has no significant effect on the immune function in patients with tuberculosis.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8921341PMC
http://dx.doi.org/10.1016/j.jctube.2022.100298DOI Listing

Publication Analysis

Top Keywords

teas group
16
anesthesia induction
16
lymphocyte subsets
12
cd3 cd4
12
cd4/cd8 cells
12
sham teas
12
transcutaneous electrical
8
electrical acupoint
8
acupoint stimulation
8
teas
8

Similar Publications

In this study, the effects were explored of digestive enzymes and pH on the bioaccessibility of polyphenols, flavonoids, and antioxidant activities in Hojicha (roasted green tea, RT) infusions during simulated in vitro digestion. Roasting modifies its polyphenolic profile and reduces bitterness, making it a popular variation of green tea. In this study, RT was used for assessing how the roasting-induced changes influenced the tea's bioaccessibility and stability under digestive conditions.

View Article and Find Full Text PDF

Objective: To examine the effect of physiologic insulin resensitization (PIR) on the cost of treating patients with diabetes and chronic kidney disease (CKD).

Study Design: The mean 1-year cost of treating 66 Medicare Advantage patients with diabetes and CKD who were receiving PIR was compared with that of treating 1301 Medicare Advantage patients with diabetes and CKD not receiving PIR. Differences in disease severity were compared using mean risk adjustment factor scores.

View Article and Find Full Text PDF

The purpose of the current study was to investigate the potential ameliorating murine reproductive effects of herbal tea extracts against bisphenol A-induced (BPA) cytotoxicity. A comparative study was applied among red, green and blue teas in mice groups. Samples were coded as RTE, GTE and BTE groups, respectively.

View Article and Find Full Text PDF

Importance: Limb spasticity is a common issue among stroke patients. Transcutaneous electrical acupoint stimulation (TEAS) is recommended as an alternative therapy for managing upper limb spasticity after stroke; however, its potential effects and feasibility remain uncertain.

Objective: To investigate the potential effects and feasibility of TEAS on motor function in patients with upper limb spasticity after stroke.

View Article and Find Full Text PDF

Background: Postoperative cognitive dysfunction (POCD) is associated with an increased risk of dementia and may lead to chronic neurodegeneration. The utilization of intraoperative Transcutaneous Electrical Acupoint Stimulation (TEAS) in conjunction with anesthesia is expected to become an effective preventive measure for POCD in clinical practice.

Methods: We conducted a comprehensive literature review focusing on the use of TEAS in the prevention of POCD during surgical anesthesia.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!