Application of electric acupuncture therapy in laparoscopic sleeve gastrectomy for obesity

doi:10.3877/cma.j.issn.2095-8765.2023.03.002

Abstract

Abstract:

Objective

To investigate the effect of electroacupuncture on weight loss in obese patients pre-laparoscopic sleeve gastrectomy(LSG).

Methods

Clinical data of 50 obese patients who underwent LSG in Shanghai Ninth People's Hospital from August 2018 to May 2021 were included and analyzed. There were 25 cases received electroacupuncture combined with LSG (electroacupuncture combined with sleeve stomach group) and 25 cases received LSG (sleeve gastrectomy group). The clinical data of preoperative weight loss, length of LSG, hospital stay, complication rate and postoperative excess weight loss percentage were compared between the two groups.

Results

The preoperative weight loss effect of electroacupuncture combined with sleeve stomach group was significantly better than sleeve stomach group. The operation time, total hospital stay, postoperative hospital stay and postoperative complication rate of electroacupuncture combined with sleeve stomach group were significantly lower than those of sleeve gastrectomy group. The %EWL of electroacupuncture combined with sleeve stomach group was significantly better than that of sleeve gastrectomy group at 6 and 12 months after LSG.

Conclusion

Electroacupuncture can significantly reduce the preoperative weight of obese patients before LSG, shorten the operation time and improve the postoperative weight loss effect. However, further RCTs of multi-center and large sample are still needed for verification.

Key words: Obesety, Electric acupuncture, Laparoscopic sleeve gastrectomy

Jianjun Yang, Dongsheng Hou, Liqi Zhao, Wenpei Dong, Zhicheng Song, Dongchao Yang, Yan Gu. Application of electric acupuncture therapy in laparoscopic sleeve gastrectomy for obesity[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2023, 10(03): 121-124.

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References 15

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组别	例数	性别（男/女）	年龄（岁,）	身高（m,）	体质量（kg,）	体质量指数（kg/m²,）	合并症（%）
组别	例数	性别（男/女）	年龄（岁,）	身高（m,）	体质量（kg,）	体质量指数（kg/m²,）	Ⅱ型糖尿病	高血压病	睡眠呼吸暂停综合征	高尿酸血症	高脂血症
针灸联合减重手术组	25	18/7	30.2±8.2	1.63±0.1	102.8±14.2	38.5±3.8	8.0	20.0	44.0	28.0	24.0
减重手术组	25	17/8	28.6±7.2	1.66±0.1	105.6±17.9	38.3±3.1	8.0	24.0	48.0	36.0	28.0
P值		0.636	0.163	0.702	0.561	0.605	0.762	0.553	0.612	0.525	0.421

组别	例数	性别（男/女）	年龄（岁,）	身高（m,）	体质量（kg,）	体质量指数（kg/m²,）	合并症（%）
组别	例数	性别（男/女）	年龄（岁,）	身高（m,）	体质量（kg,）	体质量指数（kg/m²,）	Ⅱ型糖尿病	高血压病	睡眠呼吸暂停综合征	高尿酸血症	高脂血症
针灸联合减重手术组	25	18/7	30.2±8.2	1.63±0.1	102.8±14.2	38.5±3.8	8.0	20.0	44.0	28.0	24.0
减重手术组	25	17/8	28.6±7.2	1.66±0.1	105.6±17.9	38.3±3.1	8.0	24.0	48.0	36.0	28.0
P值		0.636	0.163	0.702	0.561	0.605	0.762	0.553	0.612	0.525	0.421

指标	电针灸联合袖状胃组（n=25）	袖状胃组（n=25）	P值
术前减重（kg，）	6.3±2.3	1.5±0.6	P<0.05
术前体质量减少百分比（%，）	6.1±1.5	1.42±0.8	P<0.05
手术时间（min，）	61.2±13.2	75.6±15.1	P<0.05
总住院时间（d，）	3.9±0.3	4.9±0.7	P<0.05
术后住院时间（d，）	1.9±0.2	2.5±0.3	P<0.05
术后短期并发症率（%）	32	48	P=0.09
术后6个月EWL%（%，）	70.2±13.2	63.8±9.3	P<0.05
术后12个月EWL%（%，）	80.1±15.6	72.2±10.1	P<0.05

指标	电针灸联合袖状胃组（n=25）	袖状胃组（n=25）	P值
术前减重（kg，）	6.3±2.3	1.5±0.6	P<0.05
术前体质量减少百分比（%，）	6.1±1.5	1.42±0.8	P<0.05
手术时间（min，）	61.2±13.2	75.6±15.1	P<0.05
总住院时间（d，）	3.9±0.3	4.9±0.7	P<0.05
术后住院时间（d，）	1.9±0.2	2.5±0.3	P<0.05
术后短期并发症率（%）	32	48	P=0.09
术后6个月EWL%（%，）	70.2±13.2	63.8±9.3	P<0.05
术后12个月EWL%（%，）	80.1±15.6	72.2±10.1	P<0.05

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