Acupoint Transcutaneous Electrical Nerve Stimulation in Hospitalized COPD Patients with Severe Dyspnoea: A Randomized Controlled Trial.

IF 3.3 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Evidence-based Integrative Medicine Pub Date : 2023-01-01 DOI:10.1177/2515690X231198308

Carles Fernández-Jané, Jordi Vilaró, Lluís Costa-Tutusaus

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Abstract

Objective: To evaluate the effect of acupuncture transcutaneous electrical nerve stimulation (acuTENS) on the reduction of dyspnoea during acute exacerbation of chronic obstructive pulmonary disease (AECOPD).

Methods: A multicentric randomized control trial with masked patients and evaluators was carried out. During hospitalization, AECOPD patients received 45 min of acuTENS (experimental group) or sham acuTENS (controls) daily on 5 consecutive days. The trial was conducted at the Hospital del Mar, Barcelona, and Hospital Sant Joan de Déu, Manresa (both in Spain). Dyspnoea and peak expiratory flow were measured daily from the first to fifth days. Length of stay, readmissions at 3 months and adverse events were also analysed.

Results: Finally, 19 patients with moderately to severely exacerbated COPD were included. Although some tendencies in dyspnoea during day 1 and length of hospital stay were found favouring acupuncture, no significant differences were shown between groups.

Conclusions: The acuTENS intervention was feasible#well tolerated in AECOPD patients and no important side effects were reported.

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穴位经皮电刺激治疗COPD合并严重呼吸困难住院患者：一项随机对照试验。

目的：评价针刺经皮神经电刺激（acuTENS）减轻慢性阻塞性肺疾病（AECOPD）急性加重期呼吸困难的效果。住院期间，AECOPD患者接受了45 连续5天每天给予acuTENS分钟（实验组）或假acuTENS（对照组）。试验在巴塞罗那的德尔马医院和曼雷萨的圣琼医院（均在西班牙）进行。从第一天到第五天每天测量呼吸困难和呼气峰流量。还分析了住院时间、3个月时再次入院和不良事件。结果：最终纳入19例中度至重度COPD患者。尽管在第1天的呼吸困难和住院时间中发现了一些倾向于针灸的趋势，但各组之间没有显示出显著差异。结论：acuTENS干预对AECOPD患者是可行的，耐受性良好，无重要副作用报告。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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