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Transcutaneous Electrical Acupoint Stimulation on Gastrointestinal Function After Cesarean Section (TEAS)

7. august 2017 opdateret af: wangqiang, Xijing Hospital

Effect of Perioperative Transcutaneous Electrical Acupoint Stimulation on Gastrointestinal Function After Cesarean Section

To determine whether treating by transcutaneous electrical acupoint stimulation (TEAS) during perioperative could alleviate the postoperative gastrointestinal complications after cesarean section under combined spinal epidural anesthesia compared with control and non-acupoint group.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Acupuncture is a traditional Chinese medical technique that involves the insertion of needles at acupoints to treat diseases.Clinical evidence supports the efficacy of acupuncture treatment in many applications. Some previous studies reported that stimulation at some acupoint exerted good effects on the digestive system.Compared with acupuncture, transcutaneous electric acupoint stimulation(TEAS) is a non-invasive technique that has similar effects to acupuncture.We hypothesize that TEAS before anesthesia and during surgery would decrease the morbidity and mortality of postoperative complications in 30 days after Cesarean section.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

150

Fase

  • Ikke anvendelig

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Kvinde

Beskrivelse

Inclusion Criteria:

  1. ASA physical status 1or2, scheduled for elective cesarean section under combined spinal epidural anesthesia
  2. Gestational age ≥38 weeks
  3. Provide written informed consent

Exclusion Criteria:

  1. ASA status≥Ⅲ
  2. Patients undergoing surgery within 12 h of admission to hospital
  3. Patients with fetal anomaly，medical or obstetric complications such as Diabetes mellitus、Hypertension、Obesity(BMW≥35)
  4. Patients suffered from drug addiction or impaired mental state
  5. Patients who have a history of gastrointestinal surgery or chronic gastrointestinal disease.
  6. Patients with contraindications to the use of electro-acupuncture, such as skin damage or infection at the acupoints
  7. Patients with experience of transcutaneous electrical stimulation treatment
  8. Participate in the other clinical trial 3 months before the enrollment
  9. Not suitable to participate in this experiment

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Forebyggelse
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: TEAS group
TEAS are performed by a specific investigator on the specially acupoint.
Enhed: TEAS
According to ancient Chinese medical books, acupoints SP6 and ST36 are chosen and identified.The patients in TEAS group received electrical stimulation with the 'disperse-dense' waves. Non-acupoint is located 2cm interior to the ST36 and SP6.For group TEAS and Sham, TEAS will be administered 30 minutes prior to surgery and continued until the end of the surgery.Control patients will receive the same treatment without electrical stimulation.
Andre navne:
  • Transcutaneous electrical acupoint stimulation
Sham-komparator: Sham group
TEAS are performed by a specific investigator on the non-acupoint.
Enhed: TEAS
According to ancient Chinese medical books, acupoints SP6 and ST36 are chosen and identified.The patients in TEAS group received electrical stimulation with the 'disperse-dense' waves. Non-acupoint is located 2cm interior to the ST36 and SP6.For group TEAS and Sham, TEAS will be administered 30 minutes prior to surgery and continued until the end of the surgery.Control patients will receive the same treatment without electrical stimulation.
Andre navne:
  • Transcutaneous electrical acupoint stimulation
Placebo komparator: Control group
Only place cutted electrodes but do not give any electrical stimulation.
Enhed: TEAS
According to ancient Chinese medical books, acupoints SP6 and ST36 are chosen and identified.The patients in TEAS group received electrical stimulation with the 'disperse-dense' waves. Non-acupoint is located 2cm interior to the ST36 and SP6.For group TEAS and Sham, TEAS will be administered 30 minutes prior to surgery and continued until the end of the surgery.Control patients will receive the same treatment without electrical stimulation.
Andre navne:
  • Transcutaneous electrical acupoint stimulation

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Time to the presence of bowel sound, time to the first passage of flatus, time to the first passage of stool , time to the start of regular diet
Tidsramme: Participants will be followed for the duration of hospital stay, an expected average of 5 days
This is a composite outcome to estimate the gastrointestinal motility function
Participants will be followed for the duration of hospital stay, an expected average of 5 days

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Electrogastrogram
Tidsramme: The first and second days after surgery
The first and second days after surgery
Rate of nausea, vomiting, cramping abdominal pain, abdominal distension
Tidsramme: Participants will be followed for the duration of hospital stay, an expected average of 5 days
This is a composite outcome to estimate the complication of digestive system
Participants will be followed for the duration of hospital stay, an expected average of 5 days
length of postoperative hospital stay
Tidsramme: Participants will be followed for the duration of hospital stay, an expected average of 5 days
Participants will be followed for the duration of hospital stay, an expected average of 5 days
Quality of life during 30 days after surgery
Tidsramme: One month
This is a scale to evaluate the quality of life after surgery
One month

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Xijing Hospital

Samarbejdspartnere

Northwest Women's and Children's Hospital, Xi'an, Shaanxi

Efterforskere

  • Studiestol: Qiang Wang, Xijing Hospital

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. september 2015

Primær færdiggørelse (Faktiske)

1. marts 2016

Studieafslutning (Faktiske)

26. marts 2016

Datoer for studieregistrering

Først indsendt

2. april 2015

Først indsendt, der opfyldte QC-kriterier

14. april 2015

Først opslået (Skøn)

15. april 2015

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. august 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. august 2017

Sidst verificeret

1. august 2017

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • Xijing H (XijingH)
  • mazuike (Anden identifikator: Xijing Hospital)

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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