Acupuncture Versus Transcutaneous Electrical Nerve Stimulation on Pain Post Upper Abdominal Surgeries

Обзор

This study was done to: * Determine the therapeutic efficacy of acupuncture as physical therapy approach in minimizing pain post upper abdominal surgeries. * Determine the therapeutic efficacy of transcutaneous electrical nerve stimulation in minimizing pain post upper abdominal surgeries. * Compare the efficacy and safety of Transcutaneous electrical nerve stimulation versus acupuncture in minimizing pain post upper abdominal surgeries.

Подробное описание

Postoperative pain is caused by tissue damage from surgical incisions, triggering acute nociceptive activity in sensory nerve endings. Pain sensations reach the brain through dorsal horn, where it is recognized and interpreted. Management modalities include pharmacologic and non-pharmacologic methods. This study aims to provide a guideline on the effect of acupuncture and transcutaneous electrical nerve stimulation on pain reduction after upper abdominal surgeries.

Вмешательства

• Другое Acupuncture
  Cholecystectomy involves a procedure where patients' spines are kept in position and skin around the acupoints is disinfected with 75% alcohol. Acupuncture treatment is given when patients return to units within 2 hours after surgery. The needles are inserted using disposable sterile needles and manipulated to induce a sense of "De qi" (soreness, numbness, distension, or heaviness). Gastrectomy involves daily acupuncture sessions for 5 consecutive days, starting on postoperative day 1. The needl
• Другое Transcutaneous electrical nerve stimulation
  Patients will receive a transcutaneous electrical nerve stimulation unit (ENNRAF) for up to 48 hours post-surgery, with instructions to self-titrate intensity for pain relief. Postoperative stimulation will be 20-40 milliampere and pulse width 5
• Другое drugs
  analgesics and nonsteroidal anti-inflammatory drugs

Первичные конечные точки

• assessment of change of postoperative quality of recovery [Срок оценки: At baseline and 4 weeks]

Вторичные конечные точки (1)

• assessment of change of pressure pain threshold [Срок оценки: At baseline and 4 weeks]

Критерии участия

Критерии включения

• Patients who will have pain after upper abdominal surgery.
• Adult patients will be between 20 and 45 years of age.
• Both sexes will be included.
• Patients have no contraindications for acupuncture or transcutaneous electrical nerve stimulation.
• Patients with good compliance and fit for treatment.
• This study will be applied on upper abdominal surgeries \[laparoscopic cholecystectomy, Gastrectomy\].
• Physical therapy will be used for up to 48 hours after surgery or until the time of discharge.

Критерии исключения

• Patients with other causes of pain other than that after upper abdominal surgery.
• Patients who will have any contraindication for both therapies used.
• Patients with cardiovascular disease, liver, or renal disease.
• Patients with malignant tumors.
• Patients with metal or electronic implants.
• Patients with autoimmune disease.
• Pregnancy, postpartum period, breastfeeding.
• Patients with recent injury in the treatment area

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Mansoura international hospital — Al Mansurah

Идентификаторы

NCT: NCT07036393 · Samar-005748

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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