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Current Neurovascular Research

Editor-in-Chief

ISSN (Print): 1567-2026
ISSN (Online): 1875-5739

Research Article

The Effect of Acupuncture on Enteral Nutrition and Gastrointestinal Dynamics in Patients Who Have Suffered a Severe Stroke

Author(s): Liang Qin, Xin-Xin Zhang, Xin Jin, Cai-Hong Cui and Chun-Zhi Tang*

Volume 19, Issue 3, 2022

Published on: 04 October, 2022

Page: [275 - 281] Pages: 7

DOI: 10.2174/1567202619666220822123023

Price: $65

Abstract

Objective: This study aimed to explore and analyze the effect of acupuncture on improving the enteral nutrition level and gastrointestinal dynamics in patients who had suffered a severe stroke.

Methods: A total of 122 patients who experienced a severe stroke who were treated in the intensive care unit of the Affiliated Hospital of Hebei University (China) between September 2021 and March 2022 were randomly divided into two groups as follows: 1) the observation group, the participants of which received acupuncture combined with early enteral nutrition (61 cases); 2) the control group, the participants of which received early enteral nutrition (61 cases). Following treatment, the hemoglobin, neutrophil count, blood glucose, albumin, pre-albumin, immediate postprandial antral area, antral contraction frequency (at 2 min), and antral motility index on days 1 and 7 of treatment were compared between the two groups.

Results: The total clinical effective rate was 96.72% in the observation group and 77.05% in the control group. The curative effect comparison between the two groups after seven days of treatment showed a lower probability of gastrointestinal bleeding, faster recovery of gastrointestinal motility, and a higher level of nutrient absorption in the observation group. Serum albumin, pre-albumin, hemoglobin, total lymphocyte count, immediate postprandial maximum (max) and minimum (mix) area of the gastric antrum, antral contraction frequency (at 2 min), and antral motility index were higher in the observation group than in the control group (P < 0.05). The difference in blood glucose levels between the two groups was not statistically significant (P > 0.05).

Conclusion: Acupuncture improved the enteral nutrition status of patients who had suffered a severe stroke and promoted gastrointestinal motility. The combination of acupuncture and early enteral nutrition could reduce damage to the gastrointestinal mucosal barrier caused by stress, changes in metabolism, and improved gastrointestinal function.

Keywords: Acupuncture, severe stroke, enteral nutrition status, gastrointestinal dynamics, gastrointestinal mucosal, barrier enteral nutrition.

[1]
Jie ZG, Liao XF, Xie XP, et al. Relationship between jejunum mucosal structure changes and early postoperative enteral nutritional tolerance in gastric cancer patients of different ages. Zhonghua Wei Chang Wai Ke Za Zhi 2008; 2008(06): 558.
[2]
Jiang YY, Xu Q, Song YB, et al. Analysis of enteral nutrition tolerance in ICU patients and nursing strategy. Chinese J Pract Nurs 2011; 2011(02): 17-9.
[3]
Chen P, Liu CZ, Wang GL, et al. “Experienced ten acupoints” from “golden needle” wang leting. World Chinese Med 2012; 7(05): 430-1.
[4]
General Administration of Quality Supervision, Inspection and Quarantine of the People’s Republic of China, the National Standardization Dardization Administration of China. National standards of the People’s Republic of China (GB/T12346-2006) names and positions of acupoints. Beijing: China Standards Press 2006.
[5]
Chen YQ, Bian Y, Zhao YY, et al. Effect of acupuncture at zusanli (ST36) on antral contraction function under ultrasound guidance: A randomized controlled trial. Trials 2021; 23(05): 1463-9.
[6]
Reintam Blaser A, Starkopf J, Alhazzani W, et al. Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines. Intensive Care Med 2017; 43(3): 380-98.
[http://dx.doi.org/10.1007/s00134-016-4665-0] [PMID: 28168570]
[7]
Singer P, Blaser AR, Berger MM, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr 2019; 38(1): 48-79.
[http://dx.doi.org/10.1016/j.clnu.2018.08.037] [PMID: 30348463]
[8]
McClave SA, Taylor BE, Martindale RG, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient. J Parenter Enteral Nutr 2016; 40(2): 159-211.
[http://dx.doi.org/10.1177/0148607115621863] [PMID: 26773077]
[9]
Li S, Yang YQ, Zhou XY, et al. Explore the therapeutic mechanism of regulating spleen and stomach acupuncture on diabetic gastroparesis based on the changes of gastrointestinal hormones. Tianjin J Tradit Chin Med 2021; 38(04): 474-8.
[10]
Han G, Ko SJ, Park JW, et al. Acupuncture for functional dyspepsia: Study protocol for a two-center, randomized controlled trial. Trials 2014; 15(1): 89.
[http://dx.doi.org/10.1186/1745-6215-15-89] [PMID: 24655542]
[11]
Han G, Leem J, Lee H, Lee J. Electroacupuncture to treat gastroesophageal reflux disease: Study protocol for a randomized controlled trial. Trials 2016; 17(1): 246.
[http://dx.doi.org/10.1186/s13063-016-1371-8] [PMID: 27188910]
[12]
Jia Y, Li T, Han P, Chen Y, Pan L, Jia C. Effects of different courses of moxibustion treatment on intestinal flora and inflammation of a rat model of knee osteoarthritis. J Integr Med 2022; 20(2): 173-81.
[http://dx.doi.org/10.1016/j.joim.2022.01.004] [PMID: 35101368]
[13]
Guo Y, Xu Z-F, Hong S-H, et al. Neuroendocrine-immune regulating mechanisms for the anti-inflammatory and analgesic actions of acupuncture. World J Tradit Chin Med 2020; 6(4): 384-92.
[http://dx.doi.org/10.4103/wjtcm.wjtcm_41_20]
[14]
Li Y-H, Sun Y, Wang M, et al. Effects of dachaihu decoction and its “prescription elements” on intestinal flora of nonalcoholic fatty liver disease model rats. World J Tradit Chin Med 2020; 6(1): 97-105.
[http://dx.doi.org/10.4103/wjtcm.wjtcm_38_19]
[15]
Powell A, Armstrong P. Plasma biomarkers for early diagnosis of acute intestinal ischemia. Semin Vasc Surg 2014; 27(3-4): 170-5.
[http://dx.doi.org/10.1053/j.semvascsurg.2015.01.008] [PMID: 26073827]
[16]
Duan H, Hao C, Fan Y, et al. The role of neuropeptide Y and aquaporin 4 in the pathogenesis of intestinal dysfunction caused by traumatic brain injury. J Surg Res 2013; 184(2): 1006-12.
[http://dx.doi.org/10.1016/j.jss.2013.03.096] [PMID: 23622727]
[17]
Lavrentieva A, Kontakiotis T, Bitzani M. Enteral nutrition intolerance in critically ill septic burn patients. J Burn Care Res 2014; 35(4): 313-8.
[http://dx.doi.org/10.1097/BCR.0b013e3182a22403] [PMID: 24879397]

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