Clinical trial NCT03199495: Efficacy of Electroacupuncture on Acute Abdomen Emergency Care
Official title: Efficacy of Electroacupuncture on Acute Abdomen Emergency Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Acupuncture
Keywords: traditional Chinese medicine
electroacupuncture
abdominal pain
Lead sponsor: Changhua Christian Hospital
Sponsor class: OTHER
First posted: 2017-06-27
Enrollment: 60
Sex: ALL
Minimum age (years): 20
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief 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.


Eligibility criteria: 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

Primary outcomes:
measure: Assessed the change of pain
timeFrame: Before intervention/ 15 minutes after intervention/ 3 days after the intervention
measure: Assessed the change of pain
timeFrame: Before intervention/ 15 minutes after intervention/ 3 days after the intervention
Secondary outcomes:
measure: The duration that patient stay at emergency department (ED) .
timeFrame: The duration is from the post-treatment to after 3 days that the participant may be discharged.
measure: The ratio is that patient goes to emergency department (ED) because of the same chief complain unexpectedly.
timeFrame: The duration is from the post-treatment to after 3 days that the participant may be discharged.
Other outcomes:
Locations:
city: Changhua City
country: Taiwan
facility: Changhua Christian Hospital
state: Changhua County
Study officials:
References:
citation: Chang YY, Chiu CW, Chen CY, Chang CF, Lee TC, Lo LC, Lee CY, Chang K, Chen PW, Hsieh CJ, Chang YJ, Huang SY. Efficacy of electroacupuncture on acute abdomen emergency care: study protocol for a randomized controlled trial. Trials. 2020 Feb 24;21(1):224. doi: 10.1186/s13063-020-4071-3.