Paralytic Ileus
Conditions
Keywords
Lacer Acupuncture, Paralytic ileus
Brief summary
Ileus occurs from hypomotility of the gastrointestinal tract. Causes of Paralytic ileus include post-operation, stroke, and bed-ridden for a long time. Medicine treatment is less and less effective over time. Some study revealed that Moxibustion and Acupuncture are effective in Paralytic ileus. Investigators try to find other treatment except of medicine. Laser Acupuncture is a safe and non-invasive choice. This study is to evaluate effect of Laser Acupuncture on Paralytic ileus.
Detailed description
This study's sample consisted of 94 adult participants who had Paralytic ileus. Patients experiencing skin disease or wounds, pregnancy, less than 20 years old, and who take Immunosuppressants drugs or Morphine, Mechanical obstruction were excluded. These 94 patients were randomly divided into two groups: a Laser Acupuncture group and a control group. At the beginning of study, check X-ray(KUB), collect serum Gastrin, Motilin, and Pancreatic polypeptide, and record bowel sound per minute, frequent of enema, average amount of stool per day. 47 patients received Laser Acupuncture therapy three times a week in acupoints RN6, RN4, and RN12. The whole duration of treatment is 8 weeks. The control group patients receive pseudo laser acupuncture. In the end of 4th and 8th week, check X-ray(KUB), collect serum Gastrin, Motilin, and Pancreatic polypeptide, and record bowel sound per minute, observe the daily record and then calculate frequent of enema and average amount of stool per day. After the end of treatment, the investigators keep follow up for 4 weeks. The outcome parameters include: 1. KUB, 2. the average amount of stool every day, 3. frequency of bowel sound, 4. frequency of enema, (Indication of enema: the amount of stool less than 200g within 3 days), 5. the change of serum Gastrin, Motilin, and Pancreatic polypeptide.
Interventions
DEVICELaser Acupuncture group
47 participants receive 10 seconds of Laser Acupuncture(808nM/300mW) on acupoints RN6, RN4, and RN12. The whole duration of treatment is 3 times a week, for 8 weeks.
DEVICESham Laser Acupuncture group
The investigators apply the Laser Acupuncture pen (without pressing the Laser button) on other 47 participants' acupoints RN6, RN4, and RN12. The whole duration of treatment is 3 times a week, for 8 weeks.
Sponsors
China Medical University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Already sign test consent permit. * More than 20-year-old. * Doctors diagnosis as Paralysis ileus, and KUB report was improved as Paralysis ileus by Radiologists.
Exclusion criteria
* Pregnant. * Patients taking immunosuppressive or morphine analgesics. * Skin infections. * Without test consent permit. * mechanical ileus, mechanical obstruction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the changing of diameter of colon (KUB) | the 4th, 8th, 12th week | Definition of Ileus: Diameter of colon: \>6cm. Check KUB on the 4th, 8th, 12th week. Calculate the biggest diameter of colon. Is diameter of colon decreasing in Laser Acupuncture group? |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the average amount of stool per day(g/Day) | the 4th, 8th, 12th week | Is the average amount of stool per day elevating in laser group? |
Other
| Measure | Time frame | Description |
|---|---|---|
| serum Gastrin (pmol/L) elevation | the 4th, 8th, 12th week | Gastrin is secreted by G cell at stomach. It stimulates parietal cells of the stomach to secrete hydrochloric acid (HCl)/gastric acid. It also increases antral muscle mobility and promotes stomach contractions. Collect serum 3cc before study, and on the end of 4th, 8th, 12th week. Check serum Gastrin. Is serum Gastrin increased after Laser Acupuncture Therapy? |
| bowel sound | the 4th, 8th, 12th week | Record frequency of bowel sound. Is bowel sound increased after Laser Acupuncture |
| serum Pancreatic polypeptide (pmol/L) elevation | the 4th, 8th, 12th week | Pancreatic polypeptide is released mainly from the pancreas. Pancreatic polypeptide has been shown to stimulate colonic muscle contraction. Collect serum 3cc before study, and on the end of 4th, 8th, 12th week. Check serum Pancreatic polypeptide. Is serum Pancreatic polypeptide increased after Laser Acupuncture Therapy? |
| serum Motilin (pmol/L) elevation | the 4th, 8th, 12th week | Motilin is secreted by endocrine M cells that are numerous in crypts of the small intestine, especially in the duodenum and jejunum. It's the most important factor in controlling the inter-digestive migrating contractions. Collect serum 3cc before study, and on the end of 4th, 8th, 12th week. Check serum Motilin. Is serum Motilin increased after Laser Acupuncture Therapy? |
| frequency of enema | the 4th, 8th, 12th week | Is frequency of enema decreasing in laser group?(Indication of enema: the amount of |
Countries
Taiwan
Contacts
Primary ContactChing-Liang Hsieh, professor
Backup ContactSZU YU LIU, Doctor
Outcome results
None listed