针刺对腹腔镜术后恶心呕吐的预防作用

[Prophylactic effect of acupuncture on nausea and vomiting after laparoscopic operation].

作者信息

Ouyang Ming-wen, Qin Zai-sheng, Lin Chun-shui, Gu Miao-ning

机构信息

Department of Anesthesiology, Nanfang Hospital, Nanfang Medical University, Guangzhou 510515, China.

出版信息

Zhongguo Zhen Jiu. 2009 Nov;29(11):915-8.

PMID:19994693

Abstract

OBJECTIVE

To explore the prophylactic effect of acupuncture Neiguan (PC 6) on nausea and vomiting after laparoscopic operation.

METHODS

One hundred patients with laparoscopic gastrointestinal operation were randomly divided into an acupuncture group and a control group, 50 patients in each group. The operation was carried out with the combined infusion and inhalation anesthesia. The patients in the acupuncture group were being punctured at bilateral Neiguan (PC 6) before anesthesia and during the operation. The needles were extracted after operation, and the acupoints were covered with opaque tape. In contrast, the patients in the control group only accepted tape covering without acupuncture. After operation, all patients were given the self-controlled intravenous analgesia, and followed up at 6 h, 12 h, 24 h, 48 h for recording the incidence rate of the nausea, retching and vomiting, then scoring with VAS.

RESULTS

At 6 h, 12 h, 24 h, 48 h after operation, in the acupuncture group, the incidence rates of the nausea were 12.0%, 6.0%, 6.0% and 2.0%, and the incidence rates of the retching were 0, 0, 2.0% and 2.0%, respectively; in the control group, the incidence rates of the nausea were 28.0%, 20.0%, 12.0% and 2.0%, and the incidence rates of the retching were 2.0%, 6.0%, 2.0% and 0, respectively. At 6 h, 12 h after operation, the incidence rates of the nausea and retching in the acupuncture group were lower than those of the control group (P < 0.05, P < 0.001). The vomiting was not happened in both groups. There was no difference between the two groups according to the scoring with VAS.

CONCLUSION

Acupuncturing at Neiguan (PC 6) can reduce the incidence rates of the patients' nausea and retching after laparoscopic operation, especially in 24 h.

摘要

目的

探讨针刺内关穴（PC 6）对腹腔镜手术后恶心呕吐的预防作用。

方法

将100例行腹腔镜胃肠道手术的患者随机分为针刺组和对照组，每组50例。手术采用静脉复合麻醉。针刺组患者在麻醉前及手术过程中针刺双侧内关穴（PC 6），术后起针，穴位用不透明胶布覆盖。对照组患者仅接受胶布覆盖，不进行针刺。术后所有患者均给予自控静脉镇痛，并于术后6 h、12 h、24 h、48 h随访，记录恶心、干呕及呕吐的发生率，采用视觉模拟评分法（VAS）进行评分。

结果

术后6 h、12 h、24 h、48 h，针刺组恶心发生率分别为12.0%、6.0%、6.0%、2.0%，干呕发生率分别为0、0、2.0%、2.0%；对照组恶心发生率分别为28.0%、20.0%、12.0%、2.0%，干呕发生率分别为2.0%、6.0%、2.0%、0。术后6 h、12 h，针刺组恶心、干呕发生率低于对照组（P < 0.05，P < 0.001）。两组均未发生呕吐。两组VAS评分比较差异无统计学意义。