Evidence map›Paper›PMID 41178875›Full record

ArticleWorld journal of gastrointestinal surgery2025

Study on the neuroimmune regulatory mechanism of electroacupuncture at Zusanli acupoint for postoperative intestinal paralysis after gastrointestinal surgery.

Jing-Yan Xu, Cheng Li

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Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Jing-Yan XuDepartment of Acupuncture and Moxibustion, Jiangnan University Affiliated Hospital, Wuxi 214000, Jiangsu Province, China.
Cheng LiDepartment of Acupuncture and Moxibustion, Jiangnan University Affiliated Hospital, Wuxi 214000, Jiangsu Province, China. lc13812003897@yeah.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative intestinal paralysis is common in gastrointestinal surgery, and the study of electroacupuncture mechanisms is of great significance.

aimTo explore the neuroimmune regulatory mechanism of electroacupuncture at the Zusanli acupoint (ST36) in postoperative intestinal paralysis following gastrointestinal surgery.

methodsA total of 156 patients admitted to the Affiliated Hospital of Jiangnan University between January 2022 and October 2024 for postoperative intestinal paralysis following gastrointestinal surgery were randomly divided into two groups: A control group and an electroacupuncture group, with 75 patients in each. The control group received conventional Western medical treatment, while the electroacupuncture group received electroacupuncture in addition to this, at the bilateral Zusanli acupoints. Both groups received treatment for 7 days. Clinical efficacy, gastrointestinal function recovery, and gastrointestinal hormone [motilin (MTL), gastrin (GAS)], neurotransmitter [vasoactive intestinal peptide (VIP), nitric oxide (NO)], and inflammatory cytokine [tumor necrosis factor-α (TNF-α), serum interleukin-6 (IL-6), interleukin-1β (IL-1β)] levels were compared between the two groups before and seven days after treatment. Adverse reactions were also recorded.

resultsThe electroacupuncture group demonstrated a higher overall treatment effectiveness rate and faster recovery of bowel sounds, as well as faster first defecation and first flatus than the control group (

conclusionElectroacupuncture at the Zusanli acupoint can enhance clinical efficacy, promote the recovery of gastrointestinal function, and regulate the neuroimmune microenvironment in patients with intestinal paralysis after gastrointestinal surgery. This mechanism may involve excitation of the vagus nerve and activation of the cholinergic anti-inflammatory pathway through electroacupuncture stimulation of the Zusanli acupoint.

Indexed as

ClinicElectroacupunctureGastrointestinal surgeryNeuroimmune regulatory mechanismPostoperative intestinal paralysisZusanli

Identifiers

PMID41178875
PMCPMC12576624

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.