Postoperative gastrointestinal dysfunction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. patients undergo for lumbar spinal fusion scheduled operation under general anesthesia; 2. ASA I-III; 3. age 18-79 years old, both sexes; 4. BMI in the 18.5-34.5 kg/m^2 range; 5. first lumbar spinal fusion; 6. All subjects voluntarily participated in this study and signed informed consent.
Exclusion criteria
Exclusion criteria: 1. The skin at the stimulation site of the ear vagus nerve may be damaged, swollen or infected due to the injury; 2. Preoperative malnutrition (the nutritional assessment standard mainly relies on serum albumin, with albumin < 35g/L); 3. Preoperative moderate or above anemia; 4. Preoperative gastrointestinal dysfunction or disorder, chronic gastrointestinal diseases, including chronic gastritis, gastric ulcers, etc.; 5. Preoperative tinnitus, arrhythmia, etc.; 6. Patients with artificial devices such as cardiac pacemakers; 7. History of major abdominal surgery in the past; 8. Chronic pain, neuropathic pain, and those who have been using analgesics or other psychotropic drugs for a long time; 9. Comorbid with neurological and mental disorders, infections, severe cardiovascular and cerebrovascular diseases, liver and kidney dysfunction, hematological diseases, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time of the first flatus after the surgery;The time of the first defecation after the operation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Serum gastrin level;Gastrointestinal symptom score;The time of the first meal after surgery;Pain score;The levels of inflammatory factors in the blood;Restoration Quality Score;Depression score;Sleep Quality Index;Postoperative nausea and vomiting score;Length of hospital stay;Hospitalization expenses;The time of the first postoperative ambulation ;The number of patients who received postoperative rescue analgesia and the dosage of drugs used; | — |
Countries
China
Contacts
Huzhou Central Hospital