TEAS: Transcutaneous Electrical Acupoint Stimulation on Gastrointestinal Function After Cesarean Section
Study Details
Study Description
Brief Summary
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: TEAS group TEAS are performed by a specific investigator on the specially acupoint. |
Device: 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.
Other Names:
|
| Sham Comparator: Sham group TEAS are performed by a specific investigator on the non-acupoint. |
Device: 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.
Other Names:
|
| Placebo Comparator: Control group Only place cutted electrodes but do not give any electrical stimulation. |
Device: 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.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- 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 [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
Secondary Outcome Measures
- Electrogastrogram [The first and second days after surgery]
- Rate of nausea, vomiting, cramping abdominal pain, abdominal distension [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
- length of postoperative hospital stay [Participants will be followed for the duration of hospital stay, an expected average of 5 days]
- Quality of life during 30 days after surgery [One month]
This is a scale to evaluate the quality of life after surgery
Eligibility Criteria
Criteria
Inclusion Criteria:
-
ASA physical status 1or2, scheduled for elective cesarean section under combined spinal epidural anesthesia
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Gestational age ≥38 weeks
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Provide written informed consent
Exclusion Criteria:
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ASA status≥Ⅲ
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Patients undergoing surgery within 12 h of admission to hospital
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Patients with fetal anomaly，medical or obstetric complications such as Diabetes mellitus、Hypertension、Obesity(BMW≥35)
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Patients suffered from drug addiction or impaired mental state
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Patients who have a history of gastrointestinal surgery or chronic gastrointestinal disease.
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Patients with contraindications to the use of electro-acupuncture, such as skin damage or infection at the acupoints
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Patients with experience of transcutaneous electrical stimulation treatment
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Participate in the other clinical trial 3 months before the enrollment
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Not suitable to participate in this experiment
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Xijing Hospital
- Northwest Women's and Children's Hospital, Xi'an, Shaanxi
Investigators
- Study Chair: Qiang Wang, Xijing Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Cheong KB, Zhang JP, Huang Y. The effectiveness of acupuncture in postoperative gastroparesis syndrome--a systematic review and meta-analysis. Complement Ther Med. 2014 Aug;22(4):767-86. doi: 10.1016/j.ctim.2014.05.002. Epub 2014 May 12. Review.
- Dresang LT, Leeman L. Cesarean delivery. Prim Care. 2012 Mar;39(1):145-65. doi: 10.1016/j.pop.2011.11.007. Review.
- Kotani N, Hashimoto H, Sato Y, Sessler DI, Yoshioka H, Kitayama M, Yasuda T, Matsuki A. Preoperative intradermal acupuncture reduces postoperative pain, nausea and vomiting, analgesic requirement, and sympathoadrenal responses. Anesthesiology. 2001 Aug;95(2):349-56.
- Larson JD, Gutowski KA, Marcus BC, Rao VK, Avery PG, Stacey DH, Yang RZ. The effect of electroacustimulation on postoperative nausea, vomiting, and pain in outpatient plastic surgery patients: a prospective, randomized, blinded, clinical trial. Plast Reconstr Surg. 2010 Mar;125(3):989-94. doi: 10.1097/PRS.0b013e3181ccdc23.
- Oshima M, Aoyama K, Warabi K, Akazawa T, Inada E. Electrogastrography during and after cesarean delivery. J Anesth. 2009;23(1):75-9. doi: 10.1007/s00540-008-0692-5. Epub 2009 Feb 22.
- Xijing H
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