Gastrointestinal Motility, Postoperative Nausea and Vomiting
Conditions
Keywords
Gastrointestinal Motility, Recovery of Function, PONV
Brief summary
The aim of this study was to investigate the effect of implementing snap-needle therapy combined with ginger paste during anesthesia recovery on the recovery of gastrointestinal function after gynecological laparoscopy.
Interventions
OTHERAcupuncture therapy
After disinfecting (alcohol or 0.9% Normal saline) the skin at the acupuncture point, use small tweezers to clip the handle of the needle, remove the adhesive tape and stab the acupuncture point at a perpendicular angle, and then press the thumb with moderate pressure on the snap-needle embedded needle site in order for the patient to feel localized soreness and distension as appropriate. The snap-needle was removed after 24 hours, and the pressing time point remained unchanged.
OTHERGinger Acupuncture Point Patch
Ginger was thinly sliced and then cut into 2-3cm diameter ginger discs according to a circular mold and covered with a sterile circular dressing. The ginger compress was removed within 6 hours.
Sponsors
Weifang People's Hospital
Weifang Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. ASA I or II; 2. Performing gynecologic laparoscopic procedures under general anesthesia;
Exclusion criteria
1. Age ≤ 18 or ≥65; 2. The patient has a previous history of PONV, digestive disorders, etc; 3. Ulcers, infections, and skin tears at acupressure and acupuncture (snap-needle) treatment sites; 4. Patients allergic to ginger； 5. Inability to follow protocol or refusal to participant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative nausea and vomiting | Measured at 0.5 hours postoperatively. | The Index of Nausea and Vomiting and Retching (INVR) was used in this study. The scale consists of 8 items with 3 dimensions, which can quantify the number of occurrences, duration and severity of symptoms. The scale is scored using the Likert method, with a total of 32 points on a 5-point scale ranging from 0 to 4. The higher the score, the more severe the symptoms of nausea, vomiting, and dry heaving (entries 1, 6, and 7 are reverse scored). According to the score, nausea, vomiting and dry heaving symptoms can be categorized into five grades: 0, I, II, III and IV, and grade ≥I means that the symptom occurs. The severity and incidence of PONV at 0.5 hours postoperatively. |
| Abdominal distention | Measured at 0.5 hours postoperatively. | The severity and incidence of Abdominal distention at 0.5 hours postoperatively. |
| Time to first flatus | Approximately 24 hours after surgery. | Record the time of the first flatus. The earlier the time of first flatus, the earlier the time of recovery of gastrointestinal function. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain response | Measured at 0.5 hours postoperatively. | The Visual Analog Score was used to assess pain response at 0.5 hours postoperatively. The score ranges from 0 (pain free or no pain) to 10 (worst pain). |
| Time to first defecation | Approximately 24 hours after surgery. | Record the time of first defecation. |
| Consumption of postoperative analgesic | Approximately 24 hours after surgery. | Record the type and dosage of postoperative analgesic within 24 hours after surgery. |
| Consumption of postoperative rescue antiemetic | Approximately 24 hours after surgery | Record the type and dosage of postoperative rescue antiemetic within 24 hours after surgery. |
Countries
China
Contacts
Primary ContactLin Cheng, B.S
Outcome results
None listed