PMID- 36239783 OWN - NLM STAT- MEDLINE DCOM- 20230308 LR - 20230308 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 280 IP - 4 DP - 2023 Apr TI - Transcutaneous electrical acupoint stimulation for suspected laryngopharyngeal reflux disease. PG - 1815-1825 LID - 10.1007/s00405-022-07698-9 [doi] AB - PURPOSE: To determine the efficacy of transcutaneous electrical acupoint stimulation (TEAS) combined with proton pump inhibitor (PPI) therapy on symptoms and signs of patients with suspected laryngopharyngeal reflux disease (LPRD). METHODS: This was a prospective randomized controlled study. Seventy patients with reflux symptom index (RSI) > 13 and reflux finding score (RFS) > 7 were recruited and received PPI alone (control group) or TEAS combined with PPI (experimental group) for 12 weeks. Patients in the experimental group received TEAS at Tiantu (RN22), Renying (ST9), and Neiguan (PC6) once a day, five times a week. RSI, RFS, throat pain visual analog score (VAS), and LPR-health-related quality-of-life (LPR-HRQL) scores were evaluated at baseline and after 4 and 12 weeks. RESULTS: The decreases in total RSI and RFS, along with several subscores, were significantly higher in the experimental group than in the control group after 12 weeks (P < 0.05). The throat pain VAS and LPR-HRQL scores decreased significantly at 4 and 12 weeks after treatment in both groups, with significant differences between the groups (P < 0.001). No severe adverse events occurred, and the rates of adverse events were similar between the two groups. CONCLUSION: Compared with PPI alone, TEAS combined with PPI showed a significantly greater improvement in symptoms, signs, and quality of life in the treatment of LPRD without increasing the occurrence of adverse effects. Therefore, TEAS could serve as a useful and safe treatment method for LPRD. TRIAL REGISTRATION: Chinese Clinical Trial Registry, ChiCTR2100046755. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Shen, Hailong AU - Shen H AD - Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, No. 81 Meishan Road, Shushan District, Hefei, Anhui, 230000, People's Republic of China. FAU - Han, Yanxun AU - Han Y AD - Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, No. 81 Meishan Road, Shushan District, Hefei, Anhui, 230000, People's Republic of China. FAU - Yao, Changyu AU - Yao C AD - Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, No. 81 Meishan Road, Shushan District, Hefei, Anhui, 230000, People's Republic of China. FAU - Tao, Ye AU - Tao Y AD - Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, No. 81 Meishan Road, Shushan District, Hefei, Anhui, 230000, People's Republic of China. FAU - Wu, Jing AU - Wu J AD - Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, No. 81 Meishan Road, Shushan District, Hefei, Anhui, 230000, People's Republic of China. FAU - Gao, Chaobing AU - Gao C AD - Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, No. 81 Meishan Road, Shushan District, Hefei, Anhui, 230000, People's Republic of China. FAU - Wu, Feihu AU - Wu F AD - Department of Otolaryngology, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, People's Republic of China. FAU - Liu, Yehai AU - Liu Y AUID- ORCID: 0000-0003-3977-2481 AD - Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, No. 81 Meishan Road, Shushan District, Hefei, Anhui, 230000, People's Republic of China. liuyehai@ahmu.edu.cn. LA - eng GR - AHWJ2021b160/the Scientific Research Project of the Anhui Provincial Health Commission/ GR - KJ2018ZD021/the 2018 University Scientific Research Project/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20221014 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 RN - 0 (Proton Pump Inhibitors) SB - IM CIN - Eur Arch Otorhinolaryngol. 2022 Nov 11;:. PMID: 36357611 MH - Humans MH - *Laryngopharyngeal Reflux/therapy/drug therapy MH - Proton Pump Inhibitors/therapeutic use MH - Prospective Studies MH - Quality of Life MH - Acupuncture Points OTO - NOTNLM OT - Laryngopharyngeal reflux disease OT - Proton pump inhibitor OT - Transcutaneous electrical acupoint stimulation OT - Treatment EDAT- 2022/10/15 06:00 MHDA- 2023/03/09 06:00 CRDT- 2022/10/14 11:14 PHST- 2022/08/29 00:00 [received] PHST- 2022/10/07 00:00 [accepted] PHST- 2022/10/15 06:00 [pubmed] PHST- 2023/03/09 06:00 [medline] PHST- 2022/10/14 11:14 [entrez] AID - 10.1007/s00405-022-07698-9 [pii] AID - 10.1007/s00405-022-07698-9 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2023 Apr;280(4):1815-1825. doi: 10.1007/s00405-022-07698-9. Epub 2022 Oct 14.