Electroacupuncture Preconditioning on Geriatric Noncardiac Surgery
Recruitment status was Recruiting
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Purpose
The purpose of this study is to observe whether the electroacupuncture (EA) preconditioning for five days before operation can improve the outcomes of patients with coronary heart disease undergoing geriatric non-cardiac surgery.
| Condition | Intervention |
|---|---|
|
Coronary Heart Disease |
Device: EA preconditioning Device: sham EA preconditioning |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Effects of Electroacupuncture Preconditioning on Outcomes of the Geriatric Patients With Coronary Heart Disease Undergoing Non-cardiac Surgery |
- The change of myocardial ischemic injury markers,including serum level of c-reactive protein and Troponin I [ Time Frame: 10 minutes before EA, 10 minutes pre-operation,the day of post-operation, 24hours post-operation, 72 hours post-operation ] [ Designated as safety issue: No ]to observe the change of the level of multiple myocardial ischemic injury markers at the different time points.
- The change of ST segment of EEG at different time points [ Time Frame: 10 minutes before EA, 10 minutes pre-operation,the day of post-operation, 24hours post-operation, 72 hours post-operation ] [ Designated as safety issue: No ]
- Cardiac ultrasonic scan [ Time Frame: five days pre-operation , five days post-operation ] [ Designated as safety issue: No ]be aware of cardiac function
| Estimated Enrollment: | 300 |
| Study Start Date: | February 2011 |
| Estimated Study Completion Date: | January 2013 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: EA preconditioning
electroacupuncture five days pre-operation
|
Device: EA preconditioning
EA preconditioning group was treated at bilateral Neiguan(PC 6),Lieque(LU 7)and Yunmen(LU 2)with electrical stimulation(5—30 Hz,2.34—6.24 mA,30 min)for 5 consecutive days before surgery
Other Name: Huantuo sdz-Ⅱ,Suzhou Medical Limit
|
|
Sham Comparator: Sham EA preconditioning
Patients treated with sham EA preconditioning Intervention
|
Device: sham EA preconditioning
Patients in Sham EA preconditioning group was treated at bilateral Neiguan(PC 6),Lieque(LU 7)and Yunmen(LU 2)without electrical stimulation(5—30 Hz,2.34—6.24 mA,30 min)for 5 consecutive days before surgery
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Detailed Description:
BACKGROUND:
With the development of surgical techniques, more and more people with coronary heart disease underwent non-cardiac surgery, which include abdominal, urologic, orthopedic surgeries. Due to the vulnerable heart function, geriatric patients suffer high incidence of cardiovascular events during the peri-operative period. Some studies found that EA preconditioning have a protective effect for the patients underwent Cardiac surgery. But non one addresses the effects of EA preconditioning on the outcomes of the patients with coronary heart disease who undergo non-cardiac surgery.
DESIGNING:
The patients with coronary heart disease who will receive abdominal surgery will be randomly assigned into EA preconditioning group and control group. The patients in EA preconditioning group was treated at bilateral Neiguan (PC 6),Lieque (LU 7) and Yunmen (LU 2) with electrical stimulation (5—30 Hz,2.34—6.24 mA,30 min) for 5 consecutive days before surgery.Before operation and before surgery, after surgery, 24h, 72h post surgery, all patients will be subjected to test the serum level of c-reactive protein and Troponin I. The EEG and heart ultrasonic exam will be used to evaluate the condition and function of heart before and after surgery.
Eligibility| Ages Eligible for Study: | 65 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- elective abdominal surgery with coronary heart disease
Exclusion Criteria:
- serious bradycardiac arrythmia
Contacts and Locations| China, Shannxi | |
| Xijing hospital | Recruiting |
| Xi'an, Shannxi, China, 710032 | |
| Contact: Zhaoyang Xiao, Ph.D. , M.D. 86 15009250798 xiaozhaoy2006@hotmail.com | |
| Principal Investigator: Shaoyang Chen, M.D. | |
| Principal Investigator: | Shaoyang Chen, M.D. | Xijing Hospital, the Fourth Military Medical University |
More Information
No publications provided
| Responsible Party: | Xijing Hospital |
| ClinicalTrials.gov Identifier: | NCT01507805 History of Changes |
| Other Study ID Numbers: | csyxijing |
| Study First Received: | December 13, 2011 |
| Last Updated: | January 8, 2012 |
| Health Authority: | China: National Natural Science Foundation |
Keywords provided by Xijing Hospital:
|
Electroacupuncture preconditioning Non-cardiac surgery Coronary heart disease |
Additional relevant MeSH terms:
|
Coronary Artery Disease Myocardial Ischemia Coronary Disease Heart Diseases |
Cardiovascular Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases |
ClinicalTrials.gov processed this record on May 21, 2013