Gastrointestinal dysfunction in moderate to severe acute pancreatitis
Conditions
Interventions
Trial Group:Routine treatment and nursing care based on ERAS concept combined with acupoint massage and flatus exercise
Control Group:Routine treatment and nursing care based on ERAS concept
Sponsors
The First Affiliated Hospital of Dalian Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Clinically diagnosed with MSAP. 2. Presence of gastrointestinal dysfunction (e.g., abdominal distension, pain, nausea, vomiting, hypoactive or absent bowel sounds), confirmed by clinical assessment. 3. Conscious and able to cooperate with treatment and rehabilitation, including understanding and performing acupoint massage and deflation exercises. 4. Expected hospital stay = 5 days to facilitate observation of intervention effects. 5. Voluntary participation with signed informed consent. 6. Aged 18–75 years, regardless of gender. 7. No contraindications to acupoint massage (e.g., local skin lesions, coagulation disorders). 8. No recent receipt of other treatments that could affect the trial results.
Exclusion criteria
Exclusion criteria: 1. Severe dysfunction of important organs such as the heart, brain, liver and kidneys; 2. Previous history of abdominal surgery; 3. There are diseases that affect gastrointestinal motility; 4. Flatulence occurred before joining the group; 5. Severe complications occur, such as abdominal infection, anastomotic fistula, intestinal perforation, etc., requiring special treatment or prolonged hospital stay;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to first bowel movement;Time to first flatus;Time to return of bowel sounds; | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first intake of liquid diet;Motilin level;Gastrin level;C-reactive protein level;Interleukin-6 level;Abdominal distension severity;CT follow-up findings (intestinal gas accumulation);Length of hospital stay;Hospitalization cost;Incidence of complications;Abdominal pain, nausea, and vomiting status; | — |
Countries
China
Contacts
Public ContactXie Mingzhen
The First Affiliated Hospital of Dalian Medical University
Outcome results
None listed