Cardiovascular disease
Conditions
Interventions
Experimental group:Implementation of a postoperative gastrointestinal function rehabilitation intervention program for patients with acute type A aortic dissection on the basis of routine care in the
Control group:Implementation of routine care programs
Sponsors
Fujian Medical University Union Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients who were clearly diagnosed as ATAAD based on imaging data and intraoperative diagnosis and underwent CPB aortic repair; 2. Age >= 18 years.
Exclusion criteria
Exclusion criteria: 1. Preoperative comorbidities of acute and chronic gastrointestinal diseases, such as gastrointestinal bleeding, diarrhea, pancreatitis, cholecystitis, biliary system stones, peptic ulcer, and digestive system tumors; 2. Inability to obtain intestinal ultrasound images due to abdominal trauma (trauma, surgical wounds, etc.), deformity, previous surgery, etc; 3. Neurological diseases or organic brain damage, deep coma; 4. Limb fracture, lower limb venous thrombosis, limb paralysis or amputation; 5. Deep venous thrombosis or pulmonary embolism treatment <48h; 6. Traumatic injuries such as incompetent limbs, body fractures or unstable multiple fractures of limbs; 7. Increased intracranial pressure (such as the presence of severe headache, projectile vomiting and optic nerve disk edema, etc.), active hemorrhage (postoperative bleeding from the drainage tube up to 150-200 ml in 3-5h); 8. Installation of a pacemaker or concurrent use of other electrical stimulation therapy; 9. Participation in other intervention studies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative AGI; | — |
Secondary
| Measure | Time frame |
|---|---|
| Acute Gastrointestinal Injury Ultrasound Score;AGI duration within 7 days postoperatively;Incidence of gastrointestinal complications;Nutrition Risk Screening-2002;Incidence of intolerance to enteral nutrition feeding;Number of interruptions of enteral nutrition;Nutritional indicators;Gastrokinetic drug utilization;Acute Physiology and Chronic Health Evaluation;postoperative pain;Duration of mechanical ventilation;Number of days in ICU; | — |
Countries
China
Contacts
Public ContactLin Yanjuan
Fujian Medical University Union Hospital
Outcome results
None listed