Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study aims to verify the therapeutical effect and mechanism of acupoint application on postoperative ileus.
Postoperative ileus (POI) is a common disorder of gastrointestinal motility characterized by abdominal distension, nausea, vomiting and delayed passage of flatus or stool, which develops after every abdominal surgical procedure. POI increases risk of developing postoperative complications, decreases the bed turnover rate and prolongs the average duration of hospitalization, increasing the expense of both patients and hospitals. Although the Pathophysiological mechanism of POI remains unclear, recent researches suggests the inflammatory responses after surgery might be responsible for the gastrointestinal motility disorder. Acupoint application is a traditional chinese intervention which has been used in treating gastrointestinal motility disorder resulted from other causes. In this study, we aims to verify the therapeutical effect and mechanism of acupoint application on postoperative ileus.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention arm | Experimental | Receiving the acupoint application and optimal supports. The patients start using the acupoint application on the umbilical Shenque point in 2 hours after surgery, 1 or 2 times a day, lasting 5 days. All patients will receive optimal supports during the observation period, including preoperative gastrointestinal preparation, inserting gastric tube, postoperative fasting, necessary antibiotic use, rational fluid management, detaining drainage tube, etc. |
|
| Placebo arm | Placebo Comparator | Receiving the fake acupoint application and optimal supports. The fake acupoint is The patients start using the fake acupoint application on the umbilical Shenque point in 2 hours after surgery, 1 or 2 times a day, lasting 5 days. All patients will receive optimal supports during the observation period, including preoperative gastrointestinal preparation, inserting gastric tube, postoperative fasting, necessary antibiotic use, rational fluid management, detaining drainage tube, etc. |
|
| Control arm | No Intervention | Receiving the optimal supports. All patients will receive optimal supports during the observation period, including preoperative gastrointestinal preparation, inserting gastric tube, postoperative fasting, necessary antibiotic use, rational fluid management, detaining drainage tube, etc. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acupoint application | Other | Acupoint application: The patients start using the acupoint application on the umbilical Shenque point in 2 hours after surgery, 1 or 2 times a day, lasting 5 days. |
| Measure | Description | Time Frame |
|---|---|---|
| time to defecate and tolerate for food (TF+D) | Defined as the first time that the patient could both defecate and tolerate orally taking food after surgery. | End of surgery to time to defecate and tolerate for food(from 5 to 7 days) |
| Measure | Description | Time Frame |
|---|---|---|
| time to return of bowel sounds | Defined as the first time hear the bowel sound after surgery. | End of surgery to the first bowel sound (from 1 to 5 days) |
| time to report of first flatus | Defined as the first time flatus happens. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| xiong Li, M.D | Contact | +86-13787782059 | lixionghn@163.com |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Xiangya Hospital of Central South University | Changsha | Hunan | 410016 | China |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Intervention arm：receiving acupoint application and regular therapy; Placebo arm: receiving fake acupoint application and regular therapy; control arm: receiving regular therapy.
Not provided
Not provided
Not provided
| Fake acupoint application | Other | Fake acupoint application: The patients start using the fake acupoint application on the umbilical Shenque point in 2 hours after surgery, 1 or 2 times a day, lasting 5 days. |
|
| End of surgery to the first flatus (from 1 to 5 days) |
| time to report of first defecation | Defined as the first time defecation happens. | End of surgery to the first defecation. (from 1 to 7 days) |
| length of postoperative hospitalization | Defined as the length hospitalization after surgery | End of surgery to hospital discharge. (from 5 to 7 days) |