the Effect of Transcutaneous Electrical Acupoint Stimulation on Postoperative Gastrointestinal Dysfunction After Urological Laparoscopic Surgery
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Transcutaneous electrical acupoint stimulation, Sham transcutaneous Electrical Acupoint Stimulation.
- Кому может быть актуально
- Состояния в реестре: Postoperative Gastrointestinal Dysfunction (POGD). Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
The Effect of Transcutaneous Electrical Acupoint Stimulation on Postoperative Gastrointestinal Dysfunction After Urological Laparoscopic Surgery
Обзор
The purpose of this clinical trial is to understand the effect of percutaneous acupoint electrical stimulation on postoperative gastrointestinal dysfunction. It will also investigate the safety of percutaneous acupoint electrical stimulation. The main questions that this trial aims to answer are: Can percutaneous acupoint electrical stimulation alleviate postoperative gastrointestinal dysfunction? Through which mechanisms do they function? Participants will: Preoperatively, patients were either given or not given percutaneous acupoint electrical stimulation. Record their symptoms and biological indicators within 5 days after the operation.
Вмешательства
- Устройство Transcutaneous electrical acupoint stimulation
Before the operation, the patient received transcutaneous electrical acupoint stimulation (TEAS) at bilateral Zusanli (ST 36), Neiguan (PC 6), and Ciliao (BL 32) acupoints with sterilized electrode patches. The stimulation intensity and current intensity that gave the patient an effective pricking sensation ("deqi") were maintained for 30 minutes. The stimulation method in the post-anesthesia care unit (PACU) was consistent with that before the operation. - Устройство Sham transcutaneous Electrical Acupoint Stimulation
Before the operation, disinfection patches with electrodes were applied to Zusanli (ST 36), Neiguan (PC 6), and Ciliao (BL 32) acupointst, but no electrical stimulation was conducted. The stimulation method in the post-anesthesia care unit (PACU) was the same as that before the operation.
Первичные конечные точки
- I-FEED(Intake, Feeling nauseated, Emesis, physical Exam, and Duration of symptoms)Score [Срок оценки: Three days after the operation]
Вторичные конечные точки (10)
- The time of the first postoperative defecation and flatus expulsion [Срок оценки: postoperative 3 days]
- The concentrations of motilin (MTL) [Срок оценки: postoperative 5 days]
- Platelet/lymphocyte ratio (PLR) [Срок оценки: postoperative 5 days]
- Visual analogue scale (VAS) Score [Срок оценки: postoperative 5 days]
- Quality-of-recovery 15 (Qor-15) Score [Срок оценки: postoperative 5 days]
- miR-10b-5p [Срок оценки: postoperative 5 days]
- Interleukin-6 (IL-6) [Срок оценки: postoperative 5 days]
- Interleukin-10 (IL-10) [Срок оценки: postoperative 5 days]
- Acetylcholine (Ach) [Срок оценки: postoperative 5 days]
- Norepinephrine (NE) [Срок оценки: postoperative 5 days]
Критерии участия
Критерии включения
- Age > 18 years
- BMI < 28 kg/m2
- ASA classification is I-III grade
- Laparoscopic urological procedures under general anesthesia, including but not limited to laparoscopic nephrectomy and laparoscopic radical prostatectomy for prostate cancer
- Normal comprehension ability, and the patient or his/her family members can cooperate in filling out the questionnaire
- Voluntary to sign the informed consent form
Критерии исключения
- Comprehensive assessment of severe cardiovascular, pulmonary and cerebrovascular diseases (such as severe coronary heart disease, valve diseases, respiratory failure, cerebral hemorrhage, cerebral infarction, etc.)
- Preoperative use of analgesic and gastrointestinal motility drugs
- TEAS contraindications (having electronic devices in the body, skin damage or infection at the stimulation site)
- Previous history of TEAS or electro-acupuncture treatment
- Previous history of gastrointestinal surgery, long-term gastrointestinal motility disorders and severe intestinal diseases
- Pregnancy
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
Китай · 1 центр
- The First affiliated Hospital of Xiamen University — Xiamen
Публикации
- Wang L, Qiu G, Li Y, Chen L, Yang B. Effect of transcutaneous electrical acupoint stimulation on postoperative gastrointestinal dysfunction following laparoscopic urological surgery: a protocol for a randomised, controlled trial. BMJ Open. 2026 Jul 29;16(7):e113118. doi: 10.1136/bmjopen-2025-113118. PMID 42526917
Идентификаторы
NCT: NCT07133620 · FirstAHXiamenU-YB-4