Effects of TEAS on Postoperative Recovery of Intestinal Function in Children Undergoing Laparoscopic Appendectomy
- Conditions
- Transcutaneous Electrical Acupoint Stimulation
- Interventions
- Device: transcutaneous electrical acupoint stimulation
- Registration Number
- NCT05379660
- Lead Sponsor
- Xian Children's Hospital
- Brief Summary
With the development of surgical techniques, laparoscopic appendectomy has become a standard therapeutic procedure for acute appendicitis in many hospitals in recent years, which is considered as an effective and safe treatment option in children. Even so, patients still experience gastrointestinal dysfunction after surgery, which is one of the most common complications in patients who have undergone major abdominal surgery. The application of laparoscopy reduces trauma in some degree, however, postoperative nausea and vomiting (PONV), abdominal distension, fart, and delayed bowel movement caused by postoperative gastrointestinal dysfunction(PGD), severely disturb patients and seriously affect the quality of patients' postoperative recovery. Previous studies have shown that the incidence of PGD can be as high as 10%-30%. For PGD, the main treatment options include the use of gastric dynamics promoting drug, non-steroidal anti-inflammatory drug, gastrointestinal (GI) decompression, nutritional support, and so forth. However, the effect of these treatments is limited, and there are varying degrees of adverse reactions, which indirectly leads to the low satisfaction of patients. Acupuncture is a form of traditional Chinese medicine and has unique advantages in the treatment of PGD, which have gradually obtained more acceptance from physicians as an alternative therapy. While transcutaneous electrical acupoint stimulation (TEAS) is one of the acupuncture-related technologies and can allow for accurate control of stimulation parameters. For this reason, it is helpful for quantitative research and widely practiced in China. Many studies have shown that TEAS combining with anesthetics can significantly enhance the analgesic effect and reduce the dosage of anesthetics, and can offer certain beneficial effects, such as alleviating preoperative anxiety and reducing postoperative pain and PONV by lessening need for anesthetic usage. It also has been found to help protect the brain, heart and other tissues, with positive benefits for gastrointestinal function by regulating vasoactive intestinal peptide levels. In practice, however, the current TEAS study focused on adults，with relatively little research on their use in children. Because of that, we applied TEAS for use in our study to observe the effect of TEAS in children's laparoscopic surgery and explore its possible mechanism.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 200
- American Society of Anesthesiologists grade I&II,16kg/m2 ≤BMI≤30kg/m2, undergoing laparoscopic appendectomy
- previous history of gastrointestinal surgery or abnormal anesthesia recovery, allergy, broken and infection skin at and around the related points, long-term use of analgesic and sedative drugs, presence of severe systemic disease,and the patients drop out or are unable to complete a full follow-up for any reason
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description T1 treatment group transcutaneous electrical acupoint stimulation TEAS initiates at 30 minutes before induction and lasts for 30 minutes T3 treatment group transcutaneous electrical acupoint stimulation TEAS initiates immediately after extubating and lasts for 30 minutes T2 treatment group transcutaneous electrical acupoint stimulation TEAS initiates immediately after skin incision and lasts for 30 minutes
- Primary Outcome Measures
Name Time Method the time to first bowel sound until the time point at which the regular bowel sounds are first heard after surgery up to 1 day It was heard by the same researcher , and defined as the first time point at which the regular bowel sounds (more than two sounds every minute) are first heard after surgery.
- Secondary Outcome Measures
Name Time Method the time to first passage of flatus an average of 24 hours,from the end of surgery to the time of the patient's first passage of flatus This information was obtained with the help of nurse staff and caregivers through questionnaires which were filled out once daily.
inflammatory factors three time points: before induction of anesthesia, the end of the surgery and the first day after the operation To observe changes in serum levels of inflammatory factors,which contain tumor necrosis factor (TNF)-α and interleukin-10 (IL-10),venous blood(4ml) will be collected from patients
gastroenterological hormones three time points: before induction of anesthesia, the end of the surgery and the first day after the operation To observe changes in serum levels of gastroenterological hormones ,including serotonin (5-HT), vasoactive intestinal peptide (VIP) and Substance P (SP),venous blood(4ml) will be collected from patients
the first time to normal diet intake within 48 hours after surgery,from the end of surgery to the time when the patient was given normal diet It was defined as the time at which the patient was given normal diet after defecation without nausea or vomiting
the time to first passage of defecation an average of 24 hours,from the end of surgery to the the time of the patient's first passage of defecation, This information was obtained with the help of nurse staff and caregivers through questionnaires which were filled out once daily.
the first time to mobilization within 48 hours after surgery,from the end of surgery to the time when the patient is first able to leave bed It was defined as the time at which the patient is first able to leave bed