Delayed Gastric Emptying
Conditions
Interventions
Sham group:Routine treatment control - Metoclopramide intravenous infusion
Sponsors
Quanzhou Orthopedic-traumatological Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Patients with fractures scheduled for emergency surgery; ASA Class I-III; Full stomach
Exclusion criteria
Exclusion criteria: Age 60 years; Body mass index (BMI) 30 kg/m²; Inability to obtain clear gastric ultrasound images or unable to maintain a semi-reclining position; Pre-existing delayed gastric emptying conditionssuch as diabetes pregnancy and opioid use; Gastrointestinal diseases associated with delayed gastric emptying (gastroparesis functional dyspepsia); History of previous gastrointestinal surgery; History of surgery at Zusanli (ST36) or Neiguan (PC6) acupoints or along the respective meridians; Skin lesions at the acupoints on the healthy side; History of nerve injury in the limbs on the healthy side; Presence of severe systemic diseases; Patients with spinal fractures or spinal cord injuries; Fractures with severe injuries to other organs (e.g. abdominal injuries cranial injuries etc.); Patients with disabilities as defined by law (blindness deafness mute intellectual disabilities mental disorders); Suspicion of or confirmed history of alcohol or drug abuse; Need for immediate emergency surgery resulting in insufficient study time (less than 4 hours); Patient or family member does not consent to participate in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| average gastric emptying rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| The properties of gastric contents at different time points (T0 T1 T2 T3 T4) in the two groups.;The changes in gastrin and ghrelin levels in the two groups during the T0-3 time periods.;The gastric emptying rates of the two groups at each hour (T0-1 T1-2 T2-3 T3-4).;The nausea and vomiting scores on the first postoperative day in the two groups.;The incidence of gastric fullness at the T4 time point.;The postoperative blood glucose levels in the two groups.;The neutrophil/lymphocyte and platelet/lymphocyte ratios in the two groups postoperatively.;The QOR-15 scores at 24 hours postoperatively.;Adverse reactions during the study periodhypersensitivity at the stimulation site skin allergies headache after stimulation gastrointestinal symptoms and airway adverse reactions (coughing airway spasms).;The Hospital Anxiety and Depression Scale-Anxiety (HADS-A) scores at different time points (T4 and the first postoperative day) in the two groups.; | — |
Countries
China
Contacts
Public ContactGuopan Zhang
Quanzhou Orthopedic-traumatological Hospital
Outcome results
None listed