Acupuncture in Preventing Postoperative Nausea and Vomiting: Efficacy of Two Acupuncture Points Versus a Single One
Acupuncture in Preventing Postoperative Nausea and Vomiting: Efficacy of Two Acupuncture Points Versus a Single One
复制标题
DOI：
10.1016/j.jams.2013.04.005
复制
发表时间：
2014-04-01
影响因子：
1
通讯作者：
Shoar, Nasrin
中科院分区：
文献类型：
--
作者：
Alizadeh, Reza;Esmaeili, Sara;Shoar, Nasrin
尽管近年来麻醉学和术后护理取得了进展，但术后恶心和呕吐仍是常见的主诉。虽然针灸技术在麻醉学中受到关注，但理想的技术和最合适的针灸穴位的选择仍然存在争议。本研究采用双盲、随机、对照的方法，将227例全麻手术患者随机分为两组，比较两穴同时取穴与单穴取穴防治全麻术后恶心呕吐的疗效。第一组在全麻手术中仅接受PC6穴位刺激（单组），第二组在全麻手术中接受PC6和L14穴位的联合刺激（联合组）。比较两组患者术后恶心、呕吐发生率。两组比较差异无统计学意义（p > 0.05）。联合组115例患者中，80例（69.6%）患者主诉恶心和呕吐，而单用组96例（85.7%）患者主诉恶心和呕吐的比例明显低于单用组（P < 0.05）。我们的研究结果支持PC6和LI4刺激的组合用于治疗术后恶心和呕吐。
Despite recent advances in anesthesiology and postoperative care, postoperative nausea and vomiting are common complaints. Although acupuncture techniques have received attention in anesthesiology, the ideal technique and selection of the most appropriate acupuncture points are still under debate. This study compared the efficacy of two simultaneous acupuncture points with that of a single point in the prevention and treatment of postoperative nausea and vomiting following general anesthesia through a double-blind, randomized, controlled trial involving 227 surgical patients undergoing general anesthesia who were randomly assigned into two groups. The first group received acupuncture by stimulation only on the PC6 point (single group), and the second group underwent concomitant stimulation of the PC6 and the L14 acupuncture points (combined group) during surgery under general anesthesia. The prevalences of postoperative nausea and vomiting were compared between the two groups. No significant differences were observed between the two groups (p > 0.05). Of 115 patients in the combined group, 80 (69.6%) complained about nausea and vomiting compared with 96 (85.7%) in the single group, a significantly lower proportion (p < 0.05). Our findings favor a combination of PC6 and LI4 stimulation for the treatment of postoperative nausea and vomiting.