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Stimulation at acupoints could be of beneficial effects during the perioperative period. In this study the investigators tend to verify the effect of dual acupoints stimulation on pulmonary complications after abdominal surgery in aged patients.
Postoperative pulmonary complications contributes to the high morbidity of aged patients. The incidence could be as high as 30~50% in those undergoing abdominal surgery. Stimulation at acupoints have been to alleviate inflammatory response,improve pain management and decrease consumption of opioids, indicating a beneficial effect on pulmonary complications. In this study the investigators tend to verify the effect of dual acupoints stimulation on pulmonary complications after abdominal surgery in aged patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acupoint stimulation | Experimental | Acupoint Zhongfu and Zusanli are stimulated by transcutaneous electrical stimulation |
|
| no treatment | Sham Comparator | Electrodes are attached to Acupoint Zhongfu and Zusanli, but no stimulation is given |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| acupoint stimulation | Device | Acupoint Zhongfu and Zusanli are stimulated through electrodes attached on the skin |
|
| Measure | Description | Time Frame |
|---|---|---|
| incidence of pulmonary complications in 30d post-surgery | incidence of pulmonary complications including pneumonia,atelectasis, pleural effusion and respiratory failure | from end of surgery to Day 30 after surgery, totally 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| ICU admission after surgery | incidence of patients admitted to ICU unexpectedly | from end of surgery to Day 30 after surgery, commonly in 24h after surgery |
| ICU stay after surgery | Time of patients stayed in ICU |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lize Xiong, Prof. | Contact | 86-29-84775001 | mzkxlz@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Hailong Dong, Prof. | Air Force Military Medical University, China | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First Afiliated Hospital of Chongqing Medical University | Not yet recruiting | Chongqing | Chongqing Municipality | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24548361 | Background | Rajamanickam T. Peri-operative care for the elderly. Anaesthesia. 2014 Mar;69(3):284-5. doi: 10.1111/anae.12616. No abstract available. | |
| 26641378 | Background | Guay J, Ochroch EA. Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of stay and lung injury in patients without acute lung injury. Cochrane Database Syst Rev. 2015 Dec 7;(12):CD011151. doi: 10.1002/14651858.CD011151.pub2. |
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| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| no treatment | Device | electrodes are attached, but no stimulation is given |
|
|
| from admission to ICU to being discharged from ICU,averagely 2 days |
| Mortality in 30 days after surgery | death of all causes | from end of surgery to Day 30 after surgery, totally 30 days |
| incidence of pulmonary complications in 3 days post-surgery | incidence of pulmonary complications including pneumonia,atelectasis, pleural effusion and respiratory failure | from end of surgery to Day 3 after surgery, totally 3 days |
| Hospital stay after surgery | Time of patients stayed in hospital after surgery | from end of surgery to being discharged from hospital,averagely 5 days |
| expense after surgery | expense of patients after surgery | from end of surgery to being discharged from hospital,averagely 5 days |
| First Afiliated Hospital of Zhengzhou University | Not yet recruiting | Zhengzhou | Henan | 450052 | China |
|
| Xijing Hospital, Fourth Military Medical University | Recruiting | Xi'an | Shaanxi | 710032 | China |
|
| 25466352 | Background | Serpa Neto A, Hemmes SN, Barbas CS, Beiderlinden M, Fernandez-Bustamante A, Futier E, Hollmann MW, Jaber S, Kozian A, Licker M, Lin WQ, Moine P, Scavonetto F, Schilling T, Selmo G, Severgnini P, Sprung J, Treschan T, Unzueta C, Weingarten TN, Wolthuis EK, Wrigge H, Gama de Abreu M, Pelosi P, Schultz MJ; PROVE Network investigators. Incidence of mortality and morbidity related to postoperative lung injury in patients who have undergone abdominal or thoracic surgery: a systematic review and meta-analysis. Lancet Respir Med. 2014 Dec;2(12):1007-15. doi: 10.1016/S2213-2600(14)70228-0. Epub 2014 Nov 13. |
| 26170347 | Background | Lu Z, Dong H, Wang Q, Xiong L. Perioperative acupuncture modulation: more than anaesthesia. Br J Anaesth. 2015 Aug;115(2):183-93. doi: 10.1093/bja/aev227. |
| 30514358 | Derived | Lu ZH, Dong HL, Huang-Fu JW, Fan XJ, Zhao WX, Min S, Zhang W, Liu MF, Wang YH, Wang LN, Xiong LZ. Effect of dual-acupoint and single-acupoint electric stimulation on postoperative outcomes in elderly patients subjected to gastrointestinal surgery: study protocol for a randomized controlled trial. Trials. 2018 Dec 4;19(1):669. doi: 10.1186/s13063-018-3052-2. |