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经皮电刺激治疗胃肠动力障碍。

Transcutaneous electrical stimulation for gastrointestinal motility disorders.

机构信息

Division of Gastroenterology and Hepatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.

Department of Internal Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.

出版信息

Neurogastroenterol Motil. 2023 Nov;35(11):e14618. doi: 10.1111/nmo.14618. Epub 2023 Jun 8.

Abstract

BACKGROUND/PURPOSE: Gastrointestinal (GI) dysmotility is categorized by muscle or nerve dysfunctions in any portion of the GI tract, which leads to abnormalities in GI motor and sensory function. Symptoms may vary depending on the organ affected and can be debilitating. Treatment usually involves diet and lifestyle changes. Pharmacotherapy is limited in effectiveness with various side effects. Transcutaneous electrical stimulation (TES), a noninvasive, needleless technique that provides electrical stimulation using cutaneous non-needle electrodes, has become increasingly popular. It has been shown to be beneficial in treating GI motility disorders.

METHODS

This review paper navigates through the different TES techniques, including transcutaneous peripheral nerve (vagal/sacral/tibial nerves) electrical stimulation, transcutaneous electrical acustimulation (stimulation via acupuncture point), transcutaneous interferential current therapy, and transcutaneous electrical nerve stimulation.

KEY RESULTS

As we delve deeper, we explore the promising effects of TES on dysphagia, gastroesophageal reflux disease, functional dyspepsia, gastroparesis, postoperative ileus, constipation, and irritable bowel syndrome. The literature at hand speaks volumes about the therapeutic prowess of this noninvasive technique.

CONCLUSION & INFERENCES: The time is ripe to evaluate further the full therapeutic potential of TES, a noninvasive, nonpharmaceutical, nonsurgical, and home-based self-administrative technique in managing GI motility disorders.

摘要

背景/目的:胃肠道(GI)动力障碍是指胃肠道任何部位的肌肉或神经功能障碍,导致胃肠道运动和感觉功能异常。症状可能因受影响的器官而异,可能会使人衰弱。治疗通常包括饮食和生活方式的改变。药物治疗的效果有限,且有各种副作用。经皮电刺激(TES)是一种非侵入性、无针技术,使用皮肤非针电极提供电刺激,越来越受欢迎。它已被证明对治疗胃肠道动力障碍有益。

方法

本文通过不同的 TES 技术,包括经皮外周神经(迷走神经/骶神经/胫神经)电刺激、经皮电声刺激(通过穴位刺激)、经皮干扰电流治疗和经皮神经电刺激,探讨 TES 技术。

主要结果

随着我们深入研究,我们探讨了 TES 对吞咽困难、胃食管反流病、功能性消化不良、胃轻瘫、术后肠梗阻、便秘和肠易激综合征的有前景的治疗效果。现有文献充分说明了这种非侵入性技术的治疗功效。

结论和推断

现在是时候进一步评估 TES 的全部治疗潜力了,TES 是一种非侵入性、非药物、非手术和基于家庭的自我管理技术,可用于治疗胃肠道动力障碍。

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