The aim of this study was to investigate the effect of implementing snap-needle therapy combined with ginger paste during anesthesia recovery on the recovery of gastrointestinal function after gynecological laparoscopy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
150
After disinfecting (alcohol or 0.9% Normal saline) the skin at the acupuncture point, use small tweezers to clip the handle of the needle, remove the adhesive tape and stab the acupuncture point at a perpendicular angle, and then press the thumb with moderate pressure on the snap-needle embedded needle site in order for the patient to feel localized soreness and distension as appropriate. The snap-needle was removed after 24 hours, and the pressing time point remained unchanged.
Ginger was thinly sliced and then cut into 2-3cm diameter ginger discs according to a circular mold and covered with a sterile circular dressing. The ginger compress was removed within 6 hours.
Lin Cheng
Weifang, Shandong, China
RECRUITINGPostoperative nausea and vomiting
The Index of Nausea and Vomiting and Retching (INVR) was used in this study. The scale consists of 8 items with 3 dimensions, which can quantify the number of occurrences, duration and severity of symptoms. The scale is scored using the Likert method, with a total of 32 points on a 5-point scale ranging from 0 to 4. The higher the score, the more severe the symptoms of nausea, vomiting, and dry heaving (entries 1, 6, and 7 are reverse scored). According to the score, nausea, vomiting and dry heaving symptoms can be categorized into five grades: 0, I, II, III and IV, and grade ≥I means that the symptom occurs. The severity and incidence of PONV at 0.5 hours postoperatively.
Time frame: Measured at 0.5 hours postoperatively.
Postoperative nausea and vomiting
The Index of Nausea and Vomiting and Retching (INVR) was used in this study. The scale consists of 8 items with 3 dimensions, which can quantify the number of occurrences, duration and severity of symptoms. The scale is scored using the Likert method, with a total of 32 points on a 5-point scale ranging from 0 to 4. The higher the score, the more severe the symptoms of nausea, vomiting, and dry heaving (entries 1, 6, and 7 are reverse scored). According to the score, nausea, vomiting and dry heaving symptoms can be categorized into five grades: 0, I, II, III and IV, and grade ≥I means that the symptom occurs. The severity and incidence of PONV at 1 hours postoperatively.
Time frame: Measured at 1 hours postoperatively.
Postoperative nausea and vomiting
The Index of Nausea and Vomiting and Retching (INVR) was used in this study. The scale consists of 8 items with 3 dimensions, which can quantify the number of occurrences, duration and severity of symptoms. The scale is scored using the Likert method, with a total of 32 points on a 5-point scale ranging from 0 to 4. The higher the score, the more severe the symptoms of nausea, vomiting, and dry heaving (entries 1, 6, and 7 are reverse scored). According to the score, nausea, vomiting and dry heaving symptoms can be categorized into five grades: 0, I, II, III and IV, and grade ≥I means that the symptom occurs. The severity and incidence of PONV at 3 hours postoperatively.
Time frame: Measured at 3 hours postoperatively.
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Postoperative nausea and vomiting
The Index of Nausea and Vomiting and Retching (INVR) was used in this study. The scale consists of 8 items with 3 dimensions, which can quantify the number of occurrences, duration and severity of symptoms. The scale is scored using the Likert method, with a total of 32 points on a 5-point scale ranging from 0 to 4. The higher the score, the more severe the symptoms of nausea, vomiting, and dry heaving (entries 1, 6, and 7 are reverse scored). According to the score, nausea, vomiting and dry heaving symptoms can be categorized into five grades: 0, I, II, III and IV, and grade ≥I means that the symptom occurs. The severity and incidence of PONV at 6 hours postoperatively.
Time frame: Measured at 6 hours postoperatively.
Postoperative nausea and vomiting
The Index of Nausea and Vomiting and Retching (INVR) was used in this study. The scale consists of 8 items with 3 dimensions, which can quantify the number of occurrences, duration and severity of symptoms. The scale is scored using the Likert method, with a total of 32 points on a 5-point scale ranging from 0 to 4. The higher the score, the more severe the symptoms of nausea, vomiting, and dry heaving (entries 1, 6, and 7 are reverse scored). According to the score, nausea, vomiting and dry heaving symptoms can be categorized into five grades: 0, I, II, III and IV, and grade ≥I means that the symptom occurs. The severity and incidence of PONV at 12 hours postoperatively.
Time frame: Measured at 12 hours postoperatively.
Postoperative nausea and vomiting
The Index of Nausea and Vomiting and Retching (INVR) was used in this study. The scale consists of 8 items with 3 dimensions, which can quantify the number of occurrences, duration and severity of symptoms. The scale is scored using the Likert method, with a total of 32 points on a 5-point scale ranging from 0 to 4. The higher the score, the more severe the symptoms of nausea, vomiting, and dry heaving (entries 1, 6, and 7 are reverse scored). According to the score, nausea, vomiting and dry heaving symptoms can be categorized into five grades: 0, I, II, III and IV, and grade ≥I means that the symptom occurs. The severity and incidence of PONV at 24 hours postoperatively.
Time frame: Measured at 24 hours postoperatively.
Abdominal distention
The severity and incidence of Abdominal distention at 0.5 hours postoperatively.
Time frame: Measured at 0.5 hours postoperatively.
Abdominal distention
The severity and incidence of Abdominal distention at 1 hours postoperatively.
Time frame: Measured at 1 hours postoperatively.
Abdominal distention
The severity and incidence of Abdominal distention at 3 hours postoperatively.
Time frame: Measured at 3 hours postoperatively.
Abdominal distention
The severity and incidence of Abdominal distention at 6 hours postoperatively.
Time frame: Measured at 6 hours postoperatively.
Abdominal distention
The severity and incidence of Abdominal distention at 12 hours postoperatively.
Time frame: Measured at 12 hours postoperatively.
Abdominal distention
The severity and incidence of Abdominal distention at 24 hours postoperatively.
Time frame: Measured at 24 hours postoperatively.
Time to first flatus
Record the time of the first flatus. The earlier the time of first flatus, the earlier the time of recovery of gastrointestinal function.
Time frame: Approximately 24 hours after surgery.
Postoperative pain response
The Visual Analog Score was used to assess pain response at 0.5 hours postoperatively. The score ranges from 0 (pain free or no pain) to 10 (worst pain).
Time frame: Measured at 0.5 hours postoperatively.
Postoperative pain response
The Visual Analog Score was used to assess pain response at 1 hours postoperatively. The score ranges from 0 (pain free or no pain) to 10 (worst pain).
Time frame: Measured at 1 hours postoperatively.
Postoperative pain response
The Visual Analog Score was used to assess pain response at 3 hours postoperatively. The score ranges from 0 (pain free or no pain) to 10 (worst pain).
Time frame: Measured at 3 hours postoperatively.
Postoperative pain response
The Visual Analog Score was used to assess pain response at 6 hours postoperatively. The score ranges from 0 (pain free or no pain) to 10 (worst pain).
Time frame: Measured at 6 hours postoperatively.
Postoperative pain response
The Visual Analog Score was used to assess pain response at 12 hours postoperatively. The score ranges from 0 (pain free or no pain) to 10 (worst pain).
Time frame: Measured at 12 hours postoperatively.
Postoperative pain response
The Visual Analog Score was used to assess pain response at 24 hours postoperatively. The score ranges from 0 (pain free or no pain) to 10 (worst pain).
Time frame: Measured at 24 hours postoperatively.
Consumption of postoperative analgesic
Record the type and dosage of postoperative analgesic within 24 hours after surgery.
Time frame: Approximately 24 hours after surgery.
Consumption of postoperative rescue antiemetic
Record the type and dosage of postoperative rescue antiemetic within 24 hours after surgery.
Time frame: Approximately 24 hours after surgery
Time to first defecation
Record the time of first defecation.
Time frame: Approximately 24 hours after surgery.