Effect of Transcutaneous Electrical Acupoint Stimulation on Postoperative Complications After Cranial Endovascular Treatment
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Aneurysm
- Sponsor
- Zhihong LU
- Enrollment
- 158
- Locations
- 1
- Primary Endpoint
- number of patients with major in-hospital postoperative complications
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
In this prospective randomized controlled trial, the subjects will be assigned to group transcutaneous electrical acupoint stimulation (TEAS) and group control (no intervention). The postoperative outcomes including NIHSS (National Institute of Health stroke scale) score, morbidity and mortality will be evaluated during hospital stay and by one year after surgery.
Investigators
Zhihong LU
Professor
Air Force Military Medical University, China
Eligibility Criteria
Inclusion Criteria
- •age ≥18 years
- •patients scheduled for cranial endovascular treatment
Exclusion Criteria
- •American Society of Anesthesiologists class Ⅲ or higher
- •Hunt-Hess class Ⅲ or higher
- •body mass index (BMI) \< 18 kg/㎡ or \> 30kg/㎡
- •large or giant cerebral aneurysms with diameters greater than 15mm and minor cerebral aneurysms with diameters less than 3mm
- •posterior circulation infarction
- •recurrence of an cerebral aneurysms after endovascular procedures or surgical clipping
- •severe abnormal coagulation function, severe liver and kidney function damage, or combined with heart and respiratory system failure
- •injury or infection of the skin around the acupoint area
- •participate in other clinical researchers within 3 months
- •history of neurological or psychiatric diseases
Outcomes
Primary Outcomes
number of patients with major in-hospital postoperative complications
Time Frame: from end of surgery to discharge from hospital, in an average of 7 days
major complications include myocardial infarction, heart failure, respiratory failure, mechanical ventilation, cerebral infarction, delirium and coma
Secondary Outcomes
- serum interleukin-6 level at the end of the surgery(at end of the surgery)
- mortality by 6 months after surgery(from end of surgery to 6 months after surgery, in a total of 6 months)
- Score of Mini-mental State Examination at 1 day after surgery(at 24h after the end of surgery)
- mortality by 30 days after surgery(from end of surgery to 30 days after surgery, in a total of 30 days)
- mortality by 3 months after surgery(from end of surgery to 3 months after surgery, in a total of 3 months)
- serum tumor necrosis factor-α level at the end of the surgery(at end of the surgery)
- episodes of hypotension during surgery(from start of surgery to end of surgery, in an average of 2 hours)
- Score of Mini-mental State Examination at 3 days after surgery(at 72h after the end of surgery)
- visual analog scale of pain at 1 day after surgery(at 24h after the end of surgery)
- number of patients with major postoperative complications by 3 months after surgery(from end of surgery to 3 months after surgery, in a total of 3 months)
- visual analog scale of pain at 3 days after surgery(at 72h after the end of surgery)
- Rankin's score at 3 days after surgery(at 72h after the end of surgery)
- number of patients with major postoperative complications by 6 months after surgery(from end of surgery to 6 months after surgery, in a total of 6 months)
- duration of postoperative in-hospital stay(from end of surgery to discharge from hospital, in an average of 7 days)
- Quality of recovery score at 3 days after surgery(at 72h after the end of surgery)