Abraham Jenny
Faculty of Health and Life Sciences Coventry University, Coventry, CV1 5FB.
J Perioper Pract. 2008 Dec;18(12):543-51. doi: 10.1177/175045890801801204.
This literature review sets out to investigate the effectiveness of acupressure and acupuncture in preventing and managing postoperative nausea and vomiting (PONV) in adult patients. PONV is problematic, affecting patient satisfaction, delayed discharge and even patient re-admission. Current treatment of PONV constitutes a variety of drug therapies, which are only partially effective. With the integration of complementary and alternative medicines in healthcare, this review examined 10 research studies investigating the use of acupressure and acupuncture in treating PONV. Three studies found acupressure to be effective in preventing PONV. However, population samples were small and the research designs had numerous anomalies. Overall the article suggests that acupuncture and acupressure are ineffective in preventing and managing PONV in adult patients. Further investigation of the effectiveness of acupressure and acupuncture, combined with current drug therapies, using well designed and adequately powered studies is needed. Published studies predominantly examined the use of P6 as the pressure point. Further studies should examine other 'acupoint' sites, to ascertain whether these are effective dependent upon the operative site.
这篇文献综述旨在研究指压疗法和针灸疗法在预防和处理成年患者术后恶心呕吐（PONV）方面的有效性。PONV是个问题，会影响患者满意度、延迟出院甚至导致患者再次入院。目前对PONV的治疗包括多种药物疗法，但仅部分有效。随着补充替代医学融入医疗保健领域，本综述审查了10项关于指压疗法和针灸疗法治疗PONV的研究。三项研究发现指压疗法在预防PONV方面有效。然而，样本量较小且研究设计存在诸多异常。总体而言，本文表明针灸和指压疗法在预防和处理成年患者的PONV方面无效。需要采用设计良好且有足够效力的研究，进一步调查指压疗法和针灸疗法与当前药物疗法相结合的有效性。已发表的研究主要考察了将内关穴作为按压点的应用。进一步的研究应考察其他“穴位”部位，以确定这些穴位是否根据手术部位而有效。
