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Sleeping model can be affected after surgery. Anesthetics may be involved in the change. The changing of sleeping mode may exert adverse effect on postoperative recovery. Acupuncture and related techniques has been used for treating sleeping disorder. In this study, the effect of transcutaneous electrical acupoint stimulation on sleeping model after general anesthesia will be observed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acupoint stimulation | Experimental | transcutaneous electrical acupoint stimulation is one of the many forms of acupuncture, and is a distinctive part of Chinese medicine that has been practiced in China for thousands of years. It is employed by placing electrodes on acupoint and electrical stimulation is given after anesthetic induction to the end of the surgery |
|
| Control | Sham Comparator | Electrodes are placed on same acupoints as the experimental group, and will receive the "optimal intensity test" before the anesthesia induction, but no electrical stimulation is given during the operation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| transcutaneous electrical stimulation | Other | electrical stimulation is given through electrodes attached to the skin |
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| Measure | Description | Time Frame |
|---|---|---|
| total sleeping time during the first postoperative night | the first postoperative night, on an average of 12 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Total sleep time during the first 24 hours after surgery | from discharge from post-anesthesia care unit to 24 hours later, totally 24 hours | |
| The Epworth Sleepiness Scale (ESS) score at 24 hours after surgery | 24 hours after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xijing Hospital, Air Force Medical University | Xi'an | Shaanxi | 710032 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37510483 | Background | Hsu WT, Hsu CM, Hung SC, Hung SY. Acupuncture Improves Sleep Disorders and Depression among Patients with Parkinson's Disease: A Meta-Analysis. Healthcare (Basel). 2023 Jul 17;11(14):2042. doi: 10.3390/healthcare11142042. | |
| 37409464 | Background | El Iskandarani S, Sun L, Li SQ, Pereira G, Giralt S, Deng G. Acupuncture improves certain aspects of sleep in hematopoietic stem cell transplantation patients: a secondary analysis of a randomized controlled trial. Acupunct Med. 2023 Dec;41(6):319-326. doi: 10.1177/09645284231181403. Epub 2023 Jul 6. |
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| ID | Term |
|---|---|
| D004561 | Transcutaneous Electric Nerve Stimulation |
| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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| electrodes attachment | Other | electrodes are attached to the skin area of Neiguan acupoint, which is located on 3cm above the transverse crease of the wrist |
|
| The Athens Insomnia Scale (AIS) score at 24 hours after surgery | 24 hours after surgery |
| The Athens Insomnia Scale (AIS) score at 48 hours after surgery | 48 hours after surgery |
| The Epworth Sleepiness Scale (ESS) score at 48 hours after surgery | 48 hours after surgery |
| The Athens Insomnia Scale (AIS) score at discharge from hospital | the last day before discharge from hospital, at an average of 12 hours |
| The Epworth Sleepiness Scale (ESS) score at discharge from hospital | the last day before discharge from hospital, at an average of 12 hours |
| sleep efficiency(%) during the first postoperative night | sleep efficiency is defined as the ratio of total sleep time to time in bed | the first postoperative night, at an average of 12 hours |
| duration of rapid eye movement sleep during the first postoperative night | The unit of duration of rapid eye movement sleep is by minutes | the first postoperative night, at an average of 12 hours |
| number of wake during the first postoperative night | the first postoperative night, at an average of 12 hours |
| incidence of delirium during hospitalization | From end of surgery to discharge from hospital, assessed up to 7 days |
| length of postoperative hospital stay | From end of surgery to discharge from hospital, at an average of 5 days |
| number of needs for rescue analgesia by 24 hours after surgery | from discharge from operation room to 24 hours later, totally 24 hours |
| Number of participants with major complications during hospitalization, including cardiac failure, cardiac infarction, respiratory failure | From end of surgery to discharge from hospital, assessed up to 7 days |
| Scale of quality of recovery at discharge from hospital | Scale of quality of recovery is measured by the Quality-of-recovery 15 item scale (QoR-15) | the last day before discharge from hospital, at an average of 12 hours |
| D000698 |
| Analgesia |
| D000760 | Anesthesia and Analgesia |