ObjectiveTo investigate the effect of transcutaneous electrical acupoint stimulation (TEAS) on pulmonary function, exercise endurance and clinical symptoms in patients with chronic obstructive pulmonary disease (COPD). MethodsRandomized controlled trials on the effect of TEAS on COPD were systematically searched in CNKI, Wanfang Data, VIP Database, SinoMed, PubMed, Embase and Cochrane Library from inception to March, 2025. Two researchers independently screened the literature and extracted data. The methodological quality of the included researches was assessed using the Cochrane Handbook for Systematic Reviews of Interventions version 5.1.0 risk-of-bias tool and the PEDro scale. Statistical analysis was performed using RevMan 5.4. ResultsA total of eleven studies involving 542 patients were included. Scores of PEDro scale ranged from five to nine. TEAS significantly improved forced expiratory volume in one second (FEV₁) (MD = 0.19, 95%CI 0.08 to 0.29, P < 0.001), FEV₁/forced vital capacity (MD = 5.15, 95%CI 4.21 to 6.09, P < 0.001), FEV₁% predicted (MD = 8.46, 95%CI 5.71 to 11.22, P < 0.001), peak expiratory flow (MD = 0.18, 95%CI 0.05 to 0.31, P = 0.006), and COPD Assessment Test (CAT) score (MD = -3.60, 95%CI -4.81 to -2.40, P < 0.001). Distance of 6-minute walk test increased significantly (MD = 25.97, 95%CI 7.88 to 44.05, P = 0.005), however, after sensitivity analysis, the magnitude of improvement was limited and did not reach the minimal clinically important difference threshold. Subgroup analysis showed that multi-acupoint intervention was more effective than single-acupoint intervention (MD = 0.29 vs. 0.12), and one to two weeks of intervention was the most effective (MD = 0.37). TEAS combined with conventional medication or exercise training showed synergistic benefits. ConclusionTEAS helps improve pulmonary function and clinical symptoms in patients with COPD. TEAS combined with conventional interventions may produce synergistically enhanced effects.

The cumulative exposure of sunlight can accelerate skin aging and canceration. It changes the biological and clinical reactions of the skin, including acute damage(sunburn)and chronic damage(photoaging, photocarcinogenesis, or pigmentation, etc.). This article summarizes the research progress in the effects of ultraviolet rays on skin photoaging and photocarcinogenesis in recent years. The mechanism of photoaging and photocarcinogenesis is the generation of ROS and DNA damage through ultraviolet irradiation, resulting cell damage, inflammation, immunosuppression, extracellular matrix remodeling and changes of angiogenesis. It provides help for the clinical prevention and treatment of photoaging and photocarcinogenesis.

The cumulative exposure of sunlight can accelerate skin aging and canceration. It changes the biological and clinical reactions of the skin, including acute damage(sunburn)and chronic damage(photoaging, photocarcinogenesis, or pigmentation, etc.). This article summarizes the research progress in the effects of ultraviolet rays on skin photoaging and photocarcinogenesis in recent years. The mechanism of photoaging and photocarcinogenesis is the generation of ROS and DNA damage through ultraviolet irradiation, resulting cell damage, inflammation, immunosuppression, extracellular matrix remodeling and changes of angiogenesis. It provides help for the clinical prevention and treatment of photoaging and photocarcinogenesis.