Clinical Study Of TEAS On Promoting Gastrointestinal Injury Of Critically Ill Patients

ObjectiveTo study the effect of transcutaneous acupoint electrical stimulation(TEAS)on gastrointestinal injury and severity of critically ill patients.MethodsExperimental design and case source:a randomized controlled trial was adopted in this study,53 critically ill patients in the intensive care unit(ICU)of traditional Chinese medicine hospital of Jiangsu Provence were collected from December 2019 to February 2021.Intervention program:All the patients in intensive care unit included in the study were given conventional treatment.The both groups received transcutaneous acupoint electrical stimulation on bilateral Zusanli and Sanyinjiao on the first day of admission to the ICU.The stimulation parameters were intermittent waves,25Hz of frequency,15mA of current intensity,The time lasts for 1 hour,once a day,for 3 consecutive days.The the same intervention method was administered to the control group,but off-powered.Main effect indicators:(1)Record the acute gastrointestinal injury(AGI)grades before treatment on day 1,day 2 and day 3 after treatment;(2)on day 1,day 2 and On the 7th day,the Electrogastrogram(EGG)was performed for 30 minutes respectively,3 times in total.Secondary effect indicators:Acute Physiology and Chronic Health Score System Ⅱ(APACHE Ⅱ),sequential organ failure assessment(SOFA),multiple organ dysfunction syndrome(MODS)score were recorded before treatment on day 1,day 2,day 3 after treatment.Results1.Main effect indicators:1.1 AGI:After 3 days of continuous TEAS treatment,analyzed the AGI grade between two groups,there was no statistically significant(P>0.05).1.2 EGG:After 3 consecutive days of TEAS treatment,on the first channel of the ECG:The variance rate on the 2nd day compared with the 1 st day of normal gastric electricity rhythm ratio between the two groups has statistical significance(P<0.05),the proportion of normal gastric electricity rhythm increased in both groups,but the clinic trial group was more significant.Similarly,the variance rate on the 3rd day compared with the 1st day of normal gastric electricity ratio between the two groups has statistical significance(P<0.001),the proportion of normal gastric electricity rhythm increased in both groups,but more remarkable in the clinic trial group On the third channel:the variance rate on the 3rd day compared with the 1st day of normal gastric electricity ratio between the two groups has statistically significant difference(P<0.001),the ratio of normal gastric electricity was both increased,and the clinic trial group increased more remarkably than control group,the variance rate on the 3rd day compared with the 1st day of gastric electric tachycardia ratio between two groups has statistically significant difference,(P<0.05),gastric electric tachycardia ratio of the clinic trial group was decreased,conversely in the control group;On the fourth channel:the difference of the variance rate on the 3rd day compared with the 1st day of gastric myoelectric arrhythmias has statistically significance(P<0.05),it was decreased in control group,but ascendant in the clinic trial group;there was no statistically significant difference between the second channel of two groups(p>0.05).2.Secondary effect indicators:SOFA scores of test group were reduced more significant compared with the control group,it was a difference between the two groups on the second day of treatment(P<0.05),and significantly on the third day(P<0.001);Compared the MODS scores and APACHEII scores between two groups was no statistically significant(P>0.05).ConclusionTEAS stimulates bilateral Zusanli and Sanyinjiao in critically ill patients to regulate the rhythm of gastric electricity rhythm,increase the ratio of normal gastric electricity rhythm,and promote gastric emptying,thereby improving gastrointestinal symptoms and improving the severity of the disease.