穴位刺激对于术后恶心呕吐高危患者的围术期影响

注册号:

Registration number:

ChiCTR2300070022 

最近更新日期:

Date of Last Refreshed on:

2023-07-09 13:52:24 

注册时间:

Date of Registration:

2023-03-31 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

穴位刺激对于术后恶心呕吐高危患者的围术期影响

Public title:

Perioperative effects of acupoint stimulation on high-risk patients with postoperative nausea and vomiting

注册题目简写:

English Acronym:

研究课题的正式科学名称:

穴位刺激对于术后恶心呕吐高危患者的围术期影响

Scientific title:

Perioperative effects of acupoint stimulation on high-risk patients with postoperative nausea and vomiting

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

谢凯 

研究负责人:

吕安庆 

Applicant:

Xie Kai 

Study leader:

Lyv Anqing 

申请注册联系人电话:

Applicant telephone:

+86 177 6974 0822

研究负责人电话:

Study leader's
telephone:

+86 137 3537 3573

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

xiekai8024215@126.com

研究负责人电子邮件:

Study leader's E-mail:

515812382@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

浙江省绍兴市中兴北路568号

研究负责人通讯地址:

浙江省绍兴市中兴北路568号

Applicant address:

568 Zhongxing Road North, Yuecheng District, Shaoxing, Zhejiang

Study leader's address:

568 Zhongxing Road North, Yuecheng District, Shaoxing, Zhejiang

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

绍兴市人民医院

Applicant's institution:

Shaoxing People's Hospital

研究负责人所在单位:

绍兴市人民医院

Affiliation of the Leader:

Shaoxing People's Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2022-研385-01

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

绍兴市人民医院学术伦理委员会

Name of the ethic committee:

Academic Ethics Committee of Shaoxing People's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2022-11-11 00:00:00

伦理委员会联系人:

缪小燕

Contact Name of the ethic committee:

Miao Xiaoyan

伦理委员会联系地址:

浙江省绍兴市中兴北路568号

Contact Address of the ethic committee:

568 Zhongxing Road North, Yuecheng District, Shaoxing, Zhejiang

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 575 88559250

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

绍兴市人民医院

Primary sponsor:

Shaoxing People's Hospital

研究实施负责(组长)单位地址:

浙江省绍兴市中兴北路568号

Primary sponsor's address:

568 Zhongxing Road North, Yuecheng District, Shaoxing, Zhejiang

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

浙江

市(区县):

绍兴市

Country:

China

Province:

Zhejiang

City:

Shaoxing

单位(医院):

绍兴市人民医院

具体地址:

中兴北路568号

Institution
hospital:

Shaoxing People's Hospital

Address:

568 Zhongxing Road North, Yuecheng District

经费或物资来源:

浙江省医药卫生科技计划2023KY351

Source(s) of funding:

Zhejiang Medical and Health Science and Technology Plan 2023KY351

研究疾病:

术后恶心呕吐  

Target disease:

PONV

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

使用经皮穴位电刺激结合术后揿针疗法是否可以减少PONV高危人群术后恶心呕吐的发生率和严重程度。能否加速PONV高危人群术后胃肠道功能恢复,促进排气、排便、减少肠胀气时间。改善PONV高危人群术后应激水平,调节自主神经平衡,提高患者满意度。  

Objectives of Study:

Can the use of transcutaneous acupoint electrical stimulation combined with postoperative press acupuncture therapy reduce the incidence and severity of postoperative nausea and vomiting in high-risk groups with PONV. Can it accelerate the recovery of gastrointestinal function in high-risk population with PONV after surgery, promote exhaust and defecation, and reduce the time of intestinal flatulence. Improve the postoperative stress level of high-risk population with PONV, adjust the balance of autonomic nervous system, and improve patient satisfaction.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.术前1个月内曾接受穴位刺激治疗; 2.穴位处皮肤感染、破损者; 3.不能配合术后揿针穴位按摩患者; 4.手术时间超过2小时或术中转开腹者。

Exclusion criteria:

1. Have received acupoint stimulation treatment within 1 month before surgery; 2. People with skin infection or damage at acupoints; 3. Unable to cooperate with pressing acupuncture points to massage patients after surgery; 4. Those who have undergone surgery for more than 2 hours or have undergone conversion to laparotomy.

研究实施时间:

Study execute time:

From 2023-04-03 00:00:00 To 2023-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-04-01 00:00:00 To 2023-12-31 00:00:00

干预措施:

Interventions:

组别:

止吐药组

样本量:

38

Group:

Antiemetic group

Sample size:

干预措施:

手术结束前昂丹司琼8mg静注

干预措施代码:

Intervention:

Ondansetron 8 mg intravenously administered before the end of surgery

Intervention code:

组别:

经皮穴位电刺激组

样本量:

38

Group:

Transcutaneous acupoint electrical stimulation group

Sample size:

干预措施:

麻醉诱导结束后内关、合谷、足三里经皮穴位电刺激30min

干预措施代码:

Intervention:

After anesthesia induction, percutaneous electrical stimulation of Neiguan, Hegu, and Zusanli acupoints for 30 minutes

Intervention code:

组别:

经皮穴位电刺激联合揿针组

样本量:

38

Group:

Percutaneous acupoint electrical stimulation combined with pressing needle group

Sample size:

干预措施:

经皮穴位电刺激联合术后内关、合谷、足三里穴位揿针治疗按摩

干预措施代码:

Intervention:

Percutaneous acupoint electrical stimulation combined with postoperative pressing acupuncture at Neiguan, Hegu, and Zusanli points for treatment and massage

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

浙江 

市(区县):

绍兴市 

Country:

China

Province:

Zhejiang

City:

Shaoxing

单位(医院):

绍兴市人民医院 

单位级别:

三甲医院 

Institution
hospital:

Shaoxing People's Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

恶心呕吐发生频次及严重程度

指标类型:

主要指标

Outcome:

Frequency and severity of nausea and vomiting

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疼痛VAS评分

指标类型:

次要指标

Outcome:

Pain Visual Analogue Scale (VAS) score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后首次排气、首次排便、肠胀气持续时间

指标类型:

次要指标

Outcome:

Duration of first postoperative exhaust, first defecation, and flatulence

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术前、术后48小时心率变异性

指标类型:

次要指标

Outcome:

Heart rate variability at 48 hours before and after surgery

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胃动素、白介素6、去甲肾上腺素等血液指标

指标类型:

次要指标

Outcome:

Blood indicators such as motilin, interleukin-6, and norepinephrine

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

静脉血

组织:

Sample Name:

venous blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 20 years
最大 Max age 50 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

采用Excel软件产生1-114之间不重复的随机整数,随机分为三组,关于具体分组信息密封在信封中,由两名检察员管理

Randomization Procedure (please state who generates the random number sequence and by what method):

Excel software is used to generate random integers that do not repeat between 1-114 and are randomly divided into three groups. The specific grouping information is sealed in an envelope and managed by two inspectors.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

None

Blinding:

None

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

采用chictr.org.cn网络平台公开

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Open the IPD on chictr.org.cn.

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

数据通过CRF表格记录,并由实验助理人员负责管

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The primary data were collected on Case-Report Form (CRF), which will be saved and managed by an assisan.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2023-03-31 11:08:42