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临床试验/NCT04813510
NCT04813510Unknown不适用

Effect of Electroacupuncture on SAP With MODS: a Prospective, Double-blind, Randomized Controlled Trial

Jianbo Yu0 个研究点目标入组 110 人开始时间: 2021年12月22日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
110
主要终点
All-cause 28-day mortality

研究概览

简要总结

  1. Title: Effect of Electroacupuncture on Severe Acute Pancreatitis with Multiple Organ Disfunction Syndrome patients: A Randomized Clinical Trial
  2. Research center: single center
  3. Design of the research: A randomized, double-blind and parallel controlled study
  4. Object of the research: The patients over 18 years that met the criteria of SAP and with more than 2 organs failure.
  5. Sample size of the research: A total of 220patients,110 cases in each group
  6. Interventions: The acupuncture points for electroacupuncture are Zusanli(ST36), Xiajuxu(ST39), Hegu(LI4), Neiguan(PC6) points . Participants in the treatment group underwent 30 minutes acupuncture (0.30mm×70mm) at above points once a day for seven days. After"Deqi",electroacupuncture stimulation apparatus (HANS G6805-2, Huayi Co, Shanghai, China) is connected and maintained the end of treatment. Participants in the control group received shallow needling (0.30mm×25mm) at nonacupoints (located 1 inch beside acupoints). Specifically, the depth of needle insertion into nonacupoints is 3-5mm and avoided manual stimulation and no "Deqi" without actual current output.
  7. Aim of the research: To investigate the effect of electroacupuncture on Severe Acute Pancreatitis with Multiple Organ Disfunction Syndrome.
  8. Outcome #Primary outcomes: All-cause 28-day mortality. Secondary outcomes: Duration of organ failure; The incidence of pancreatic necrotic tissue infection; Time for enteral nutrition to reach the standard (30kcal/kg); Mechanical ventilation time; Length of hospital stay
  9. The estimated duration of the study#2 years.

详细描述

This study is a randomized, double-blinded, placebo controlled and long-term follow-up design. In this study, Zusanli(ST36), Xiajuxu(ST39), Hegu(LI4), Neiguan(PC6) were selected for electroacupuncture treatment, accompanied with evaluating the effects on 28-day mortality in SAP patients with MODS, as well as the duration of organ failure, the incidence of pancreatic necrotic tissue infection and length of hospital stay . To clarify the effect of electroacupuncture on SAP patients with MODS is of great significance to the clinical applications and popularization of traditional acupuncture treatment across the world.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 90 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Meet the diagnosis of severe acute pancreatitis (Atlanta diagnostic criteria), within 1 week of onset
  • Combine 2 or more organ failures at the same time, and the duration is greater than 48h
  • Age ≥18 years old;
  • Obtain informed consent.

排除标准

  • Pregnancy pancreatitis;
  • Patients who have undergone percutaneous puncture or surgical drainage before admission, and have undergone surgical decompression due to early abdominal hypertension;
  • Patients with a history of chronic organ dysfunction (such as uremia, COPD, liver cirrhosis, heart failure, etc.).
  • Those who have a medical history of acupuncture and moxibustion or are not sensitive to acupuncture and moxibustion.
  • Those who refuse to participate in the research

结局指标

主要结局

All-cause 28-day mortality

时间窗: 1-2year

All reasons (such as infection, hemorrhage) caused the mortality during the first 28 days after treatments

次要结局

  • Length of stay in hospital(24 months)
  • The incidence of pancreatic necrotic tissue infection(up to one year)
  • Duration of organ failure(an average of 1-2 year)
  • Duration of mechanical ventilation in patients with endotracheal intubation in ICU(an average of 1 year)

研究者

发起方
Jianbo Yu
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Jianbo Yu

Department of Anesthesiology, Director, Chief physician, Professor, Doctoral tutor

Tianjin Nankai Hospital

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