Effects of Intraoperative Stimulation of Acupoints on Postoperative Gastrointestinal Motility Recovery

NCT ID: NCT03724656

Last Updated: 2019-03-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-31

Study Completion Date

2021-11-30

Brief Summary

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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.

Detailed Description

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This study is a large sample, randomized, double-blinded, placebo-controlled and long-term follow-up design. In this study, bilateral Neiguan(PC6), bilateral Zusanli(ST36)and bilateral Hegu (LI4)points were selected for perioperative TAES treatment. accompanied with evaluating the postoperative gastrointestinal motility, the incidence of postoperative nausea and vomiting , as well as the effects on postoperative NRS pain and sleep quality scores . To clarify the effect of TAES on the postoperative spontaneous voiding in patients for laparoscopic surgery is of great significance to the clinical applications and popularization of traditional acupuncture treatment perioperatively across the world.

Conditions

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Gastrointestinal Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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acupuncture treatment

Patients 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.

Group Type EXPERIMENTAL

acupuncture treatment

Intervention Type DEVICE

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.

Sham acupuncture treatment

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 and "Deqi" was avoided.

Group Type SHAM_COMPARATOR

sham acupuncture treatment

Intervention Type DEVICE

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.

Interventions

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acupuncture treatment

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.

Intervention Type DEVICE

sham acupuncture treatment

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.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Subjects enrolled in this study must accord with all of the following criteria:

1. Age ≥ 18 years old and \<64 years old, gender, ethnicity is not limited;
2. It is intended to selective/limited non-gastrointestinal surgery under general anesthesia;
3. Agree to participate in the study and sign an informed consent form;

Exclusion Criteria

1. Refusing to participate in this study;
2. Patients with cardiac pacemakers and some special groups, such as pregnant women and those who have had many long-term acupuncture treatment experience;
3. Patients with peptic ulcer, perforation or obstruction;
4. Patients with chronic liver and renal dysfunction, and those who use β-blockers or antihypertensive drugs;
5. The attending doctors or researchers believe that there are other unsuitable situations for the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tianjin Nankai Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jianbo Yu

Department of Anesthesiology, Director, Chief physician, Professor, Doctoral tutor Affiliation: Tianjin Nankai Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yu Jianbo, Professor

Role: STUDY_CHAIR

Nankai Hospital of Tianjin

Central Contacts

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Zhang Yuan, PhD

Role: CONTACT

13642066361

Yu Jianbo, Professor

Role: CONTACT

(022)27435008

References

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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.

Reference Type BACKGROUND
PMID: 22483184 (View on PubMed)

Wang 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.

Reference Type BACKGROUND
PMID: 18721079 (View on PubMed)

Gungorduk 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.

Reference Type BACKGROUND
PMID: 27780709 (View on PubMed)

Other Identifiers

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Gastrointestinal RCT

Identifier Type: -

Identifier Source: org_study_id

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