Postoperative Gastrointestinal Dysfunction after Laparoscopic Surgery
Conditions
Interventions
Ear Bean Group:Ear acupressure with beans 24 hours before surgery + one press 30 minutes before entering the operating room, continuing until 72 hours after surgery
Combined Group:Ear acupressure with beans + TAPB, ear acupressure with beans 24 hours before surgery + TAPB performed after anesthesia induction + one press 30 minutes before entering the operating ro
Sponsors
The Thirteenth People's Hospital of Chongqing
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Aged =18 years old; 2. Scheduled for non-gastrointestinal laparoscopic surgery under general anesthesia, with expected operation time of 60~120 min; 3. ASA physical status classification ?~?; 4. No life-threatening diseases such as severe hepatic/renal insufficiency or heart disease before surgery; 5. No gastrointestinal diseases or related surgical history within 6 months before surgery; 6. No use of drugs affecting gastrointestinal motility (probiotics, opioids, anticholinergics, etc.) within 3 months before surgery; 7. Patients and their families are informed and consent to participate in the study and sign the informed consent form
Exclusion criteria
Exclusion criteria: 1. Poor intraoperative compliance, unable to cooperate with auricular point pressure or ultrasound-guided TAPB; 2. Allergy to adhesive tape, vaccaria seeds, or local anesthetics; skin ulceration, infection, eczema, or rash on the auricle; 3. Long-term use of analgesics or history of chronic pain; previous history of open abdominal surgery; 4. Intraoperative conversion to open surgery or need for reoperation; postoperative severe complications (intra-abdominal hemorrhage, enteric fistula, severe infection, etc.); 5. Long-term use of analgesics, history of chronic pain, or previous open abdominal surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Serum motilin (MTL) concentration at 24 hours before surgery and 24 hours after surgery;Serum gastrin (GAS) concentration at 24 hours before surgery and 24 hours after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Surgical duration;Intraoperative fluid volume;Blood loss;Consumption of various anesthetic agents;PACU stay duration;Use of atropine, scopolamine, glycopyrrolate, neostigmine, and other drugs during surgery and anesthesia recovery period;Visual analog scale (VAS) score at 4, 12, 24, and 48 hours postoperatively;Patient-controlled analgesia (PCA) administration frequency;Types and doses of additional adjuvant analgesics used;Time to first flatus after surgery;Time to first defecation after surgery;Quality of recovery (QoR-15 scale) on postoperative day 1 and day 3;Length of hospital stay after surgery;Postoperative adverse events; | — |
Countries
China
Contacts
Public ContactChen Li
The Thirteenth People's Hospital of Chongqing
Outcome results
None listed