Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/17442
Title: An adjunct intervention for management of acute exacerbation of chronic obstructive pulmonary disease (AECOPD)
Authors: Ngai, SPC 
Jones, AYM
Hui-Chan, CWY
Ko, FWS
Hui, DSC
Issue Date: 2013
Publisher: Mary Ann Liebert Inc.
Source: Journal of alternative and complementary medicine, 2013, v. 19, no. 2, p. 178-181 How to cite?
Journal: Journal of alternative and complementary medicine 
Abstract: Objectives: Application of transcutaneous electrical nerve stimulation over acupuncture points (Acu-TENS) is a noninvasive intervention that has recently been shown to alleviate dyspnea in patients with stable chronic obstructive pulmonary disease (COPD). This case report aims to explore the role of Acu-TENS in patients diagnosed with COPD during the acute exacerbation. Study design: The study design was a case report. Setting: The study was conducted in an inpatient setting. Subject: The subject was a 74-year-old man admitted to the hospital due to acute exacerbation of COPD (AECOPD). Intervention: Treatment consisted of application of TENS on EX-B1 (Dingchuan) for 45 minutes. Outcome measures: Oxygen saturation, heart rate, and dyspnea score were measured before, immediately after, and 45 minutes after Acu-TENS intervention. Other than the physiologic measures, 10 mL of venous blood was taken from the cubital vein for assessment of ?]-endorphin level, white blood cell count, tumor necrosis factor-?\ (TNF-?\), and C-reactive protein (CRP) level before and immediately postintervention. Results: Postintervention, improved oxygen saturation, and reduction in heart rate and dyspneic sensation were observed accompanied by a raised blood ?]-endorphin level but the level of white blood cell count, TNF-?\, and CRP remain unchanged. Conclusions: Application of 45 minutes Acu-TENS appeared to alleviate symptoms in a patient with AECOPD. The role of adjunctive
URI: http://hdl.handle.net/10397/17442
ISSN: 1075-5535
EISSN: 1557-7708
DOI: 10.1089/acm.2011.0222
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