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使用缓解带进行经皮穴位电刺激预防脊髓麻醉下剖宫产术中及术后恶心呕吐

Transcutaneous acupoint electrical stimulation with the ReliefBand for the prevention of nausea and vomiting during and after cesarean delivery under spinal anesthesia.

作者信息

Habib Ashraf S, Itchon-Ramos Nilda, Phillips-Bute Barbara G, Gan Tong J

机构信息

Department of Anesthesiology, Box 3094, Duke University Medical Center, Durham, NC, 27710.

出版信息

Anesth Analg. 2006 Feb;102(2):581-4. doi: 10.1213/01.ane.0000189217.19600.5c.

Abstract

We randomized 94 patients undergoing cesarean delivery with spinal anesthesia to receive transcutaneous acupoint electrical stimulation using the ReliefBand at the P6 point (active group) or an active ReliefBand applied to the dorsum of the wrist (sham control group). The ReliefBand was applied 30-60 min preoperatively and left in place for 24 h. There was no statistically significant difference between the active and sham control groups in the incidence of intraoperative/postoperative nausea (30% versus 43%/23% versus 41%), vomiting (13% versus 9%/26 versus 37%), need for rescue antiemetics (23% versus 18%/34% versus 39%), or complete response (55% versus 57%/51% versus 34%). There was also no difference between the two groups in nausea scores, number of vomiting episodes, or patient satisfaction with postoperative nausea and vomiting management.

摘要

我们将94例行脊髓麻醉剖宫产的患者随机分为两组,一组在P6穴位使用ReliefBand进行经皮穴位电刺激(活性组),另一组将活性ReliefBand应用于手腕背部(假对照组)。ReliefBand在术前30 - 60分钟应用,并保留24小时。活性组和假对照组在术中/术后恶心发生率(30%对43%/23%对41%)、呕吐发生率(13%对9%/26%对37%)、需要使用抢救性止吐药的情况(23%对18%/34%对39%)或完全缓解率(55%对57%/51%对34%)方面均无统计学显著差异。两组在恶心评分、呕吐发作次数或患者对术后恶心和呕吐管理的满意度方面也无差异。

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