Efficacy of Electroacupuncture on Acute Abdomen Emergency Care

Acupuncture Clinical Trial

Official title:

Efficacy of Electroacupuncture on Acute Abdomen Emergency Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03199495
• Other study ID #: ChanghuaCH
• Status: Completed
• Phase: N/A
• Start date: April 17, 2017
• Est. completion date: April 16, 2018

Study information

• Verified date: February 2019
• Source: Changhua Christian Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Contrast to conventional Western medicine, traditional Chinese medicine is the most common used therapy of complementary and alternative medicine. Taiwan inherits traditional Chinese culture, and the people popularly accept traditional Chinese medicine for general diseases. However, most patients with acute or critical illness are used to admit to emergency department for medical services, and then transfer to the department of related specialist for further treatment. During the course of staying at emergent observation room, some diseases do not meet the criteria of admission and keep for evaluation. The longer of staying at emergent observation room the more waste medical resources.

The Chinese medicine department of Changhua Christian hospital has treated patients, who consulted us at their own dispense, with subjective discomfort but remained at the emergent observation room. Detailed contents of this study include the Chinese and Western medicine, pharmaceutical, nursing cooperation mode, monitoring clinical effect of treating of the patients diagnosed with intestinal obstruction or ileus who complain about nausea, vomiting, abdominal pain, abdominal distension or constipation.And the patients were assigned to the control and treatment group. Then we give the treatment group with the electroacupuncture treatment,and the control groupe with the Chinese medicine seeds and the transcutaneous nerve stimulation (no power).The patients were diagnosed with objective analysis of tongue diagnosis, pulse diagnosis, heart rate variability, and questionnaire of pain. Hope that we can assess the efficacy of both two different treatment,and also assess the cost of medical care, and try to complete the syndromes statistical analysis of traditional Chinese medicine for abdominal pain, building the relevance of Chinese medicine physical assessment teaching and clinical efficacy.

The most important of this clinical teaching is that, this is a good opportunity for Chinese medicine and Western medicine to cooperate with each other at the emergency department to confirm the efficacy of traditional Chinese medicine, not only in the field of chronic or geriatric diseases, but also in the field of emergency with the evidence base. This factually achieves communication and integration of Chinese and Western medicine, and benefits the public.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: April 16, 2018
• Est. primary completion date: April 16, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 90 Years

Eligibility

Inclusion Criteria:

1. Patients 20-90 years old,who accepted to enter this trial

2. The patients diagnosed with intestinal obstruction or ileus who complain about nausea, vomiting, abdominal pain, abdominal distension or constipation.

3. ICD-10 is R101-R1012

Exclusion Criteria:

Does not meet the above conditions

Related Conditions & MeSH terms

• Abdomen, Acute
• Acupuncture
• Emergencies

Intervention

Other:
• electroacupuncture
acupuncture needle with TENS device

Locations

Country	Name	City	State
Taiwan	Changhua Christian Hospital	Changhua City	Changhua County

Sponsors (1)

Lead Sponsor	Collaborator
Changhua Christian Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Assessed the change of pain	The primary outcome evaluation was the visual analog scale (VAS) for pain. Visual analog scale is graded from 0 (no pain) to 10 (worst possible pain) and has proven its usefulness and clinical validity for the evaluation of pain. Patients were evaluated at two timepoints in this study: intervention (VAS-1), after intervention (VAS-2), 3 days after the intervention (VAS-3).	Before intervention/ 15 minutes after intervention/ 3 days after the intervention
Primary	Assessed the change of pain	The primary outcome evaluation was the the brief pain inventory (BPI) for pain. Brief pain inventory is used to assess the severity of pain and the impact of pain on daily functions. Patients were evaluated at two timepoints in this study: intervention (BPI-1), after intervention (BPI-2), 3 days after the intervention (BPI-3).	Before intervention/ 15 minutes after intervention/ 3 days after the intervention
Secondary	The duration that patient stay at emergency department (ED) .	The investigators will keep track of the direction (conditions) of post-treatment participant, their time duration at Emergency Department Observation sections.	The duration is from the post-treatment to after 3 days that the participant may be discharged.
Secondary	The ratio is that patient goes to emergency department (ED) because of the same chief complain unexpectedly.	The investigators will keep track of the rate of post-treatment participant of return to the emergency department (ED) for the same chief complain within 3 days.	The duration is from the post-treatment to after 3 days that the participant may be discharged.