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Clinical Evaluation of ADCT to Accelerate Perioperative Rehabilitation of Pneumonectomy

S

Shanghai Yueyang Integrated Medicine Hospital

Status

Unknown

Conditions

Perioperative Period
Pneumonectomy
Analgesia
Acupuncture Therapy

Treatments

Other: Routine perioperative management
Device: Acupuncture and Drug Compound Technology

Study type

Interventional

Funder types

Other

Identifiers

NCT04887090
20210421

Details and patient eligibility

About

This project intends to develop a clinical randomized controlled study of ADCT (acupuncture and drug compound technology) in accelerating the recovery of patients during the perioperative period of pneumonectomy. The ADCT the investigators proposed is a characteristic technology that uses acupuncture-related technologies to replace part of the dosage of narcotic drugs.

With the support of the investigators' preliminary research results of ADCT, sequential TEAS (transcutaneous electrical acupoints stimulation) treatment before, during and after the operation promoted recovery after thoracoscopic lung resection. Compared with electroacupuncture, TEAS has the advantages of non-invasive, easy to repeat, safe, and low cost, and it has widely been accepted by patients.

In view of the investigators' previous clinical observations and conclusions, ADCT in the perioperative period of lung resection surgery can indeed play a good role in organ protection and reduce surgical stress reaction. Therefore, it is necessary to further clarify the advantages and application value of ADCT and provide evidence-based medical evidence. is in accelerating the perioperative period of rehabilitation, it is imminent to formulate a standardized, practical, effective and conducive to the promotion and application of acupuncture and medicine compound technology in hospitals at all levels during the perioperative period of combined Chinese and Western medicine prevention and treatment programs. In order to formulate and optimize the application of ADCT in the entire perioperative period of lung resection surgery, and promote the establishment of the first perioperative rehabilitation management and treatment model based on ADCT in accelerated lung resection surgery to facilitate clinical promotion.

Full description

Since the first successful pulmonary resection under acupuncture anesthesia in 1960,the clinical application and research of lung surgery under acupuncture anesthesia has gone through 60 years,serving countless patients and achieving rich results. Looking back on its development,the application of acupuncture anesthesia in lung surgery has evolved from simple acupuncture anesthesia without intubation in the 1960s to combined anesthesia of acupuncture and narcotic drugs under tracheal intubation in the early 1980s.In recent years,with the popularization of endoscopic technology,the investigators had extensively carried out thoracoscopic lung surgery under combined anesthesia of acupuncture and narcotic drugs without intubation.Clinical practice and research have indicated that the thoracoscopic lung surgery under combined anesthesia without intubation shows obvious advantages,and the selection of intraoperative anesthesia methods,acupoints and stimulation methods are becoming mature.At present,the investigators are working on expanded application of acupuncture in perioperative period of lung surgery,which shows a promising future.In the future,it is necessary to improve the theory of acupuncture anesthesia,unify the clinical operation standards,establish an objective evaluation system,and explore the mechanism of acupuncture anesthesia. This project intends to develop a clinical randomized controlled study of ADCT (acupuncture and drug compound technology) in accelerating the recovery of patients during the perioperative period of pneumonectomy. The ADCT the investigators proposed is a characteristic technology that uses acupuncture-related technologies to replace part of the dosage of narcotic drugs.

With the support of the investigators' preliminary research results of ADCT, sequential TEAS (transcutaneous electrical acupoints stimulation) treatment before, during and after the operation promoted recovery after thoracoscopic lung resection. Compared with electroacupuncture, TEAS has the advantages of non-invasive, easy to repeat, safe, and low cost, and it has widely been accepted by patients.

In view of the investigators' previous clinical observations and conclusions, ADCT in the perioperative period of lung resection surgery can indeed play a good role in organ protection and reduce surgical stress reaction. Therefore, it is necessary to further clarify the advantages and application value of ADCT and provide evidence-based medical evidence. is in accelerating the perioperative period of rehabilitation, it is imminent to formulate a standardized, practical, effective and conducive to the promotion and application of acupuncture and medicine compound technology in hospitals at all levels during the perioperative period of combined Chinese and Western medicine prevention and treatment programs. In order to formulate and optimize the application of ADCT in the entire perioperative period of lung resection surgery, and promote the establishment of the first perioperative rehabilitation management and treatment model based on ADCT in accelerated lung resection surgery to facilitate clinical promotion.

Enrollment

76 estimated patients

Sex

All

Ages

18 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients diagnosed with pulmonary nodules requiring thoracoscopic surgery.
  • Understand and agree to participate in this study and sign the informed consent.

Exclusion criteria

  • Patients who had previously received TEAS.
  • Patients with local skin infection of acupoints.
  • Patients with nerve damage in the upper or lower extremities.
  • Participants who had participated in or were participating in other clinical trials within 1 month prior to enrollment.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

76 participants in 2 patient groups

Acupuncture and drug compound technology group
Experimental group
Description:
Routine perioperative management and transcutaneous electrical acupoints stimulation treatment
Treatment:
Other: Routine perioperative management
Device: Acupuncture and Drug Compound Technology
Control group
Other group
Description:
Routine perioperative management
Treatment:
Other: Routine perioperative management

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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