Plain English Summary
Background and study aims
Bowel problems, abdominal pain and wound pain are common after-effects of laparoscopic (keyhole) surgery to the colon or rectum (lower part of the intestine). This can be a result of organs being pulled or squeezed during surgery, blood leakage and/or the use of anesthetics and other drugs. Recovery of normal gut function after abdominal surgery is an important part of the recovery period. Acupuncture has been identified as an effective method for the recovery of intestinal function. This study aims to recruit 160 patients to compare electroacupuncture treatment and conventional (usual) treatment to prevent gut problems after keyhole surgery of the colon and rectum.
Who can participate?
People at the age of 30-80 years old who undergo laparoscopic surgery to the colon or rectum.
What does the study involve?
Participants are randomly allocated to electroacupuncture group and conventional group. In the electroacupuncture group, they take electroacupuncture treatment as well as conventional treatment. In the conventional group, they accept conventional treatment alone.
What are the possible benefits and risks of participating?
All participants receive conventional treatment and the participants in intervention group additionally accept electroacupuncture treatment for free. Information obtained from this research might help patients in the future. By taking part in this study there are no risks of physical injury or harm.
Where is the study run from?
Guang' anmen Hospital and Xiyuan hospital, China Academy of Chinese Medical Sciences
When is the study starting and how long is it expected to run for?
March 2018 to December 2019
Who is funding the study?
The Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences (China)
Who is the main contact?
Dr Mingyue Gao
To observe the effect of gastrointestinal dysfunction in electroacupuncture versus conventional treatment for the patients with laparoscopic colorectal surgery
Electroacupuncture and conventional treatments might be superior to individual conventional treatment .
Ethics board of the Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, 18/01/2018, 2017-12-25-1-2
A prospective, randomized controlled and single blind study
Primary study design
Secondary study design
Randomised controlled trial
Patient information sheet
No participant information sheet available
Gastrointestinal dysfunction and intestinal infection are common symptoms after laparoscopic colorectal surgery, which will affect the operation effect and prolong postoperative recovery time.
Intervention arm: Electroacupuncture combined with conventional treatment, which included 80 participants
Control arm: Conventional treatment, which included 80 participants
Electroacupuncture treatment group:
Patients in the electroacupuncture group receive acupuncture with electrostimulation with stainless steel needles and a Hwato SDZ-II electroacupuncture device after surgery. After standard disinfection of the acupoints with 75% ethanol solution, the acupuncturist will position the disposable medical needles (0.30 mm diameter x 1.5 mm length) perpendicular to the skin at the subject’s acupoints and then needle them into the skin. Electroacupuncture is given for 30 minutes, once a day, starting 24 hours after surgery and lasting for 7 days. Acupoints are the following, which are known to promote gastrointestinal motility: ST36 (Zusanli), ST37 (Shangjuxu), LI4 (Hegu), LR3 (Taichong). After standard disinfection of the acupoints with 75% ethanol solution, the acupuncturist will position the disposable medical needles (0.30 mm diameter × 1.5 mm length) perpendicular to the skin at the subject’s acupoints and then needle them into the skin. Patients in conventional treatment group receive routine intravenous nutrition lasts for the patients discharge from hospital and analgesic pump lasts 3 days after surgery.
Conventional treatment group:
Routine intravenous nutrition lasts for the subjects out of hospital.
The randomisation process:
Patients will be assigned in a 1:1 ratio to either the electroacupuncture group or the conventional group using random numbers generated in EXCEL. The random numbers will be concealed inside sealed, opaque, serialized envelopes and only one assigned investigator can open them. When recruiters identify a subject who meets the criteria for participation, they will obtain a sequence number for that subject from the researcher in charge of the randomization numbers. Statisticians will be unaware of the group assignment.
When the patients have incisional pain/abdominal pain, an analgesic pump will be used. According to the degree of pain and if the VAS score greater than 6 points, they can self-control the button of pump for pain relief. Flurbiprofen axetil Injection is administered intravenously at 50 mg at times when the pain is unbearable after 30 minutes of the analgesic pump being controlled by the patient.
Primary outcome measures
Time to first flatus and defecation
Secondary outcome measures
1. VAS score of postoperative incisional pain and abdominal pain 24 h, 2 days and 3 days after surgery
2. Quality of life: We will use the postoperative recovery quality score to evaluate the participants’ quality of life.
3. Hospital days
Overall trial start date
Overall trial end date
Participant inclusion criteria
1. Participants must be aged 30–80 years;
2. The evaluation function of elderly mental state scale (MMSE) ≥ 27 points;
3. Colonic and rectal diseases have been diagnosed and colorectal cancer is not diffuse
4. TNM stage is less than stage 3;
5. Participants who have been treated by laparoscopy;
6. The ASA level of the American anesthesiologist is I-II;
7. Nutritional risk screening confirmed that NRS 2002 score ≥ 3 points in patients before operation;
8. Participants have signed informed consent.
Target number of participants
Participant exclusion criteria
1. People who take sedatives and antidepressants for a long time;
2. People treated with acupuncture for nearly a month;
3. People with a history of abdominal surgery in the last three months;
4. People with mental disorders or difficulties in language communication can not finish the research;
5. People who can not receive electroacupuncture treatment.
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Guang' anmen Hospital, China Academy of Chinese Medical Sciences
Trial participating centre
Xiyuan Hospital, China Academy of Chinese Medical Sciences;
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Planned publication in a high-impact peer reviewed journal
Intention to publish date
Participant level data
Available on request
Results - basic reporting