Effects of Intraoperative Stimulation of Acupoints on Postoperative Gastrointestinal Motility Recovery
1 other identifier
interventional
600
0 countries
N/A
Brief Summary
- 1.Research name: Effects of intraoperative stimulation of acupoints on postoperative gastrointestinal motility recovery in patients undergoing non-gastrointestinal abdominal surgery.
- 2.Research center: Multicenter research
- 3.Research design: A randomized controlled study method would be used in this study, in which the investigators would provide electroacupuncture on the basis of general anesthesia for non-gastrointestinal abdominal surgery. The effects of electroacupuncture on postoperative gastrointestinal motility recovery in patients undergoing non-gastrointestinal abdominal surgery will be observed and compared with the control group.
- 4.Research population: Patients who are greater or equal to 18 years old and less than 64 years old , meanwhile intend to receive selective/limited non-gastrointestinal surgery under general anesthesia.
- 5.Number of participants: 600
- 6.Interventions: The treatment group received electroacupuncture intervention 30 minutes before induction of anesthesia. In the treatment group, bilateral Neiguan point, bilateral Zusanli point and bilateral Hegu point were selected, then electroacupuncture was applied and the needle was retained until the end of operation. The control group was treated with non-acupoint shallow acupuncture method. The needle was inserted 5 cm beside the acupoint and the needling depth was less than 2 mm. At the same time, the manual stimulation was avoided, "Deqi" was not obtained, electroacupuncture was applied, electric current was regulated, and the needle was retained until the end of the operation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2019
Typical duration for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 28, 2018
CompletedFirst Posted
Study publicly available on registry
October 30, 2018
CompletedStudy Start
First participant enrolled
March 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2021
CompletedMarch 8, 2019
March 1, 2019
2.7 years
October 28, 2018
March 6, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
postoperative venting
Record the time from the end of the procedure to the patient's first venting after operation
an average of 1 year
Secondary Outcomes (3)
Biochemical tests
12 months
bowel sounds and defecation
an average of 1 year
Postoperative nausea and vomiting
12 months
Study Arms (2)
acupuncture treatment
EXPERIMENTALPatients in the TAES treatment group received Transcutaneous Acupoint Electrical Stimulation(TAES) 30 minutes before induction of anesthesia. Bilateral Neiguan(PC6), bilateral Zusanli(ST36)and bilateral Hegu (LI4)point were selected by electroacupuncture stimulation apparatus (HANS G6805-2, Huayi Co, Shanghai, China).After "Deqi", electroacupuncture stimulation apparatus is connected and maintained until the end of operation.
Sham acupuncture treatment
SHAM COMPARATORThe control group was treated with non-acupoint shallow acupuncture method. The needle was inserted 5 cm beside the acupoint and the needling depth was less than 2 mm. At the same time, the manual stimulation and "Deqi" was avoided.
Interventions
TAES treatment 30 minutes before induction of anesthesia. Bilateral Neiguan(PC6), bilateral Zusanli(ST36)and bilateral Hegu (LI4)point were selected by electroacupuncture stimulation apparatus (HANS G6805-2, Huayi Co, Shanghai, China).After "Deqi", electroacupuncture stimulation apparatus is connected and maintained until the end of operation.
Participants in the sham acupuncture group received shallow needling (0.30mm×25mm) at bilateral sham points(nonacupoints located 5cm beside acupoints, about 20mm). The control group was treated with non-acupoint shallow acupuncture method and the needling depth was less than 2 mm. At the same time, the manual stimulation and "Deqi" was avoided.
Eligibility Criteria
You may qualify if:
- Subjects enrolled in this study must accord with all of the following criteria:
- Age ≥ 18 years old and \<64 years old, gender, ethnicity is not limited;
- It is intended to selective/limited non-gastrointestinal surgery under general anesthesia;
- Agree to participate in the study and sign an informed consent form;
You may not qualify if:
- Refusing to participate in this study;
- Patients with cardiac pacemakers and some special groups, such as pregnant women and those who have had many long-term acupuncture treatment experience;
- Patients with peptic ulcer, perforation or obstruction;
- Patients with chronic liver and renal dysfunction, and those who use β-blockers or antihypertensive drugs;
- The attending doctors or researchers believe that there are other unsuitable situations for the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (3)
Lee CH, Kim DK, Yook TH, Sasaki M, Kitamura N. Effectiveness of electroacupuncture at Zusanli (ST36) on the immunohistochemical density of enteroendocrine cells related to gastrointestinal function. J Acupunct Meridian Stud. 2012 Apr;5(2):63-71. doi: 10.1016/j.jams.2012.01.002. Epub 2012 Feb 4.
PMID: 22483184BACKGROUNDWang CP, Kao CH, Chen WK, Lo WY, Hsieh CL. A single-blinded, randomized pilot study evaluating effects of electroacupuncture in diabetic patients with symptoms suggestive of gastroparesis. J Altern Complement Med. 2008 Sep;14(7):833-9. doi: 10.1089/acm.2008.0107.
PMID: 18721079BACKGROUNDGungorduk K, Ozdemir IA, Gungorduk O, Gulseren V, Gokcu M, Sanci M. Effects of coffee consumption on gut recovery after surgery of gynecological cancer patients: a randomized controlled trial. Am J Obstet Gynecol. 2017 Feb;216(2):145.e1-145.e7. doi: 10.1016/j.ajog.2016.10.019. Epub 2016 Oct 22.
PMID: 27780709BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Yu Jianbo, Professor
Nankai Hospital of Tianjin
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Department of Anesthesiology, Director, Chief physician, Professor, Doctoral tutor Affiliation: Tianjin Nankai Hospital
Study Record Dates
First Submitted
October 28, 2018
First Posted
October 30, 2018
Study Start
March 1, 2019
Primary Completion
November 1, 2021
Study Completion
November 1, 2021
Last Updated
March 8, 2019
Record last verified: 2019-03
Data Sharing
- IPD Sharing
- Will not share