Review Article

Effectiveness of Acupuncture for Early Recovery of Bowel Function in Cancer: A Systematic Review and Meta-Analysis

Table 1

Basic characteristics of the included studies.

Study (years)Cancer typeIntervention groupControl groupThe main pointsTreatment courseMain outcomeResultsSample size (I/N)

Garcia et al. 2008 [23]NRMANAST-36 (Zusanli), ST-25 (Tianshu), LI-4 (Hegu), SP-6 (Sanyinjiao), CV-6 (Qihai), CV-12 (Zhongwan)20 min, 2x/d for 4 d, on po-day 1(1) TFF/TFD
(2) OC/LH
(3) Pain
No reduction78 (38/40)

Yin et al. 2009 [24]Gastric cancerMA + decoctiondecoctionST-36 (Zusanli), SP-6 (Sanyinjiao), PC-6 (Neiguan), LR3 (Taichong)45 min, 1x/d for 7 d, on po-day 3(1) TFF/TFD
(2) TFB
Decreased TFF/TFD and TFB60 (30/30)

Meng et al. 2010 [25]Colorectal cancerEANAST-36 (Zusanli), ST-37 (Shangjuxu), TE-6 (Zhigou), GB-34 (Yanglingquan)20 min, 1x/d for 6 d, on po-day 1(1) TFF/TFD
(2) Pain
No reduction85 (44/41)

Chao et al. 2013 [26]Colorectal cancerACSACST-36 (Zusanli)3 min. 3x/d for 5 d, on po-day 1(1) TFF/TFDDecreased TFF60 (30/30)

Zhang and Du 2011 [27]Colorectal cancerMANAST-36 (Zusanli), SP-6 (Sanyinjiao), SP-9 (Yinlingquan), ST-37 (Shangjuxu), ST-39 (Xiajuxu)45 min, 1x/d for 10 d, on po-day 1(1) TFF/TFD
(2) TFB
Decreased TFF/TFD and TFB70 (35/35)

Ng et al. 2013 [28]Colorectal cancerEANA/SEAST-36 (Zusanli), SP-6 (Sanyinjiao), LI-4 (Hegu), TE-6 (Zhigou)20 min, 1x/d for 4 d, on po-day 1(1) TFF/TFD
(2) TFB
(3) Pain
(4) OC
Decreased TFD/DH165 (55/55/55)

Deng et al. 2013 [29]Colorectal cancerMASMAST-36 (Zusanli), PC-6 (Neiguan), LI-4 (Hegu), SP-6 (Sanyinjiao), SP-9 (Yinlingquan), ST-25 (Tianshu), auricular shenmen30 min, 2x/d for 3 d, on po-day 1(1) OC
(2) Pain
No reduction81 (39/42)

Zhang et al. 2014 [30]Colorectal cancerEASEAST-36 (Zusanli)30 min, 1x/d for 4 d, on po-day 1(1) TFF/TFB
(2) TFD
(3) OC/LH
Decreased TFF and TFB39 (19/20)

Tong et al. 2014 [31]Rectal cancerMANAST-36 (Zusanli), PC-6 (Neiguan), ST-37 (Shangjuxu), SP-4 (Gongsun)30 min, 1x/d, on po-day 1
(1) TFF/TFD
(2) TFB
Decreased TFF/TFD and TFB84 (42/42)

Hsiung et al. 2015 [32]Gastric cancerACNACST-36 (Zusanli), PC-6 (Neiguan)12 min. 1x/d for 3 d, on po-day 1(1) TFF/TFD
(2) Pain
Decreased TFF54 (26/28)

MA: manual acupuncture; SMA: sham manual acupuncture; EA: electroacupuncture; SEA: sham electroacupuncture; NA: no acupuncture or usual care; AC: acupressure; SAC: sham acupressure; NAC: no acupressure or usual care; I/C: intervention group versus control group; D: days; Min: minutes; PO: postoperative; NR: not reported; 2x/d for 3d, twice daily, 3 days; LH: length of hospital stay; OC: opioids consumption; TFF: time to first flatus; TFB: time to first bowel sound; TFD: time to first defecation.