Department of Chinese Medicine, Changhua Christian Hospital, 2F., No. 229, Xuguang Rd., Changhua City, Changhua County, 500, Taiwan (Republic of China).
Department of Emergency Medicine, Changhua Christian Hospital, No. 135, Nanxiao St., Changhua City, Changhua County, 500, Taiwan (Republic of China).
Trials. 2020 Feb 24;21(1):224. doi: 10.1186/s13063-020-4071-3.
Acute abdomen is a common disease in the emergency department (ED) and usually results in huge medical expenditure. To relieve abdominal pain effectively and reduce bed occupancy rate in emergency rooms, electroacupuncture is a practical method in the treatment of abdominal pain.
METHODS/DESIGN: Five hundred patients will be randomly and evenly divided into experimental and control groups. Both groups should have their basic information taken and their bilateral acupuncture points ( Hegu (LI 4), Neiguan (PC6), Zusanli (ST 36), Shangjuxu (ST37), Xiajuxu (ST39), Taichong (LR3), and Taibai (SP3)) will be intervened by electroacupuncture or vaccaria Seeds, in this clinical study. Electroacupuncture has been introduced to this experiment as an auxiliary technique. The experimental group will receive real electroacupuncture, but the control group will receive a placebo electroacupuncture in which transcutaneous electrical nerve stimulation will not be turned on. After the intervention, we will evaluate the difference in abdominal pain, the length of stay at the emergent observation ward, and the proportion of revisits with abdominal pain.
In Taiwan, medical expenditure is increasing annually because of the higher bed occupancy caused by acute abdominal pain in the hospital. We expect that the combined treatment of electroacupuncture and modern medical treatment will not only reduce bed occupancy and the length of ED stay but also effectively decrease the rate of readmission and revisits by 72 h. By means of electroacupuncture, the spiraling cost of health care can eventually be reduced.
ClinicalTrials.gov identifier: NCT03199495. Registered on 27 June 2017.
急性腹痛是急诊科的常见疾病，通常导致巨大的医疗支出。为了有效缓解腹痛并降低急诊科的床位占用率，电针是治疗腹痛的一种实用方法。
方法/设计：将 500 名患者随机平均分为实验组和对照组。两组均需采集基本信息，并对双侧穴位（合谷（LI4）、内关（PC6）、足三里（ST36）、上巨虚（ST37）、下巨虚（ST39）、太冲（LR3）和太白（SP3））进行电针或王不留行籽干预。电针已作为一种辅助技术引入本实验。实验组将接受真正的电针，而对照组将接受假电针刺激，即不开启经皮神经电刺激。干预后，我们将评估腹痛缓解程度、急诊观察病房留观时间和腹痛复诊比例的差异。
在台湾，由于医院急性腹痛导致床位占用率较高，医疗支出逐年增加。我们期望电针结合现代医学治疗不仅能降低床位占用率和急诊科留观时间，还能有效降低 72 小时内的再入院率和复诊率。通过电针，可以最终降低医疗保健的螺旋式成本。
ClinicalTrials.gov 标识符：NCT03199495。于 2017 年 6 月 27 日注册。
