Effect of electroacupuncture on the inflammatory response in patients with acute pancreatitis: an exploratory study

Acupunct Med. 2015 Apr;33(2):115-20. doi: 10.1136/acupmed-2014-010646. Epub 2014 Dec 17.

Abstract

Objectives: To examine the effects of electroacupuncture (EA) on inflammatory responses in patients with acute pancreatitis (AP).

Methods: Eighty patients with mild or severe AP were randomly allocated to a control group or an EA group. All patients were managed conservatively. In addition, the EA group received acupuncture for 30 min per day for 7 days at bilateral points ST36, LI4, TE6, ST37 and LR3. Interleukin (IL)-6, IL-10 and C-reactive protein (CRP) levels were measured on admission and on day 7. The time to re-feeding and length of stay in hospital were also recorded.

Results: A total of 58 patients provided complete data. The characteristics of the patients in the EA and control groups were similar. After 7 days the serum concentrations of IL-10 were higher in the EA group than in the control group (mild AP: 6.2±1.2 vs 5.2±0.9 pg/mL, p<0.05; severe AP: 14.9±7.8 vs 7.9±6.3 pg/mL, p<0.05). For patients with severe AP, the CRP level in the EA group was lower than in the control group (p<0.05).

Conclusions: EA may reduce the severity of AP by inducing anti-inflammatory effects and reducing the time to re-feeding; however, it did not reduce the length of hospital stay.

Trial registration number: ChiCTR-TRC-13003572.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acupuncture Points
  • Adult
  • Aged
  • C-Reactive Protein / immunology
  • Electroacupuncture*
  • Female
  • Humans
  • Interleukin-10 / immunology
  • Interleukin-6 / immunology
  • Male
  • Middle Aged
  • Pancreatitis / genetics
  • Pancreatitis / immunology*
  • Pancreatitis / therapy*
  • Prospective Studies
  • Young Adult

Substances

  • IL10 protein, human
  • IL6 protein, human
  • Interleukin-6
  • Interleukin-10
  • C-Reactive Protein