Postoperative Intestinal Obstruction
Conditions
Keywords
postoperative intestinal obstruction;TEAS
Brief summary
Postoperative intestinal obstruction (POI) is one of the most common complications in the gastrointestinal surgery. Compared with the conventional control group, transcutaneous acupoint electrical stimulation(TEAS) is possible to reduce the incidence of POI and accelerate the rapid recovery of the gastrointestinal tract.
Detailed description
Participants will be randomly assigned, in a 1:1 ratio, to receive TEAS or Blank treatment (acupoints selection are same with the experimental group, connect stimulator for patients, but not don't give stimulus). The randomization sequence will be computer-generated, and randomization will be performed in blocks and will be stratified according to participating center. TEAS will be performed in a series of time periods after operation. Time of first fart and food-taking ,time of have normal diet after the transplantation will be recorded. The participation of each patient is scheduled for 30 days.
Interventions
Transcutaneous acupoint electrical stimulation is same to the traditional Chinese medicine acupuncture treatment,treat diseases by stimulate different acupuncture points.
DEVICEno transcutaneous acupoint electrical stimulation
the choice of acupoints are same with TEAS group,tape over the electrode but don't give electroacupuncture stimulation.
Sponsors
Shaanxi Provincial People's Hospital
Xi'an Central Hospital
Ankang Hospital of Traditional Chinese Medicine
Affiliated Hospital of Shaanxi University of traditional Chinese Medicine
Ankang Central Hospital
Weinan Central Hospital
Central Railway Group of Xi'an Central Hospital
Xi'an Hospital of Traditional Chinese Medicine
Yan'an University Affiliated Hospital
First Affiliated Hospital Xi'an Jiaotong University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
Randomised Controlled Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All the patients signed the informed consent before treatment; * Age ≥ 18 years old,American society of Anesthesiologists(ASA)grade are between I and III; * Plan to perform elective colon and rectal tumor resection under general anesthesia; * not involved in other clinical studies; * no cognitive impairment, mental disorders,communication disorders.
Exclusion criteria
* Pregnancy, breast-feeding; * The history of intestinal surgery; * Test point skin injury, infection, allergies to tape; * have undergone external enterostomy; * Chief surgeon refuse to cooperate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of POI | 72 hours after surgery | Whether or not to exhaust in 72 hours after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative gastrointestinal function recovery | once a week for 30 days after surgery | the time of postoperative exhaustion and defecation. |
| recovery of bowel sounds | 1-3 days after surgery | the recovery time of bowel sounds |
| adverse reactions of digestive after surgery | 1-3 days after surgery | the incidence and score of distention, abdominal pain, nausea and vomiting after surgery. |
| surgery complications | once a week for 30 days after surgery | wound infection ,pneumonia, anastomotic leakage,urethritis,uroschesis |
| recovery index | once a week for 30 days after surgery | the leaving bed time,normal diet recovery time,post-operative hospitalization duration |
Countries
China
Outcome results
None listed