Shyr M H, Hsu J C, Wu Y W, Hui Y L, Tan P P
Department of Anesthesiology, Chang Gung Memmorial Hospital, Taipei.
Ma Zui Xue Za Zhi. 1990 Sep;28(3):357-60.
Despite improvements in anesthetic techniques postoperative vomiting still remains a problem, particularly in ambulant outpatients, and when an opioid is given before or during anesthesia. Anti-emetic are of limited value and often cause drowsiness or other side effects. We report a study in which a simple acupuncture procedure was used in patients undergoing fraction D & C under standard intravenous anesthesia. Sixty-four patients were included and allocated randomly into one of the two groups: control group receiving standard fentanyl-valium-thiopentone anesthesia alone, and the other group receiving injection of 3 mL normal saline into the P6 acupuncture point after the anesthesia. Ten out of the 32 control patients experienced nausea or vomiting compared with only 2 out of 32 patients receiving acupoint injection. The reduction in nausea was significant. These findings cannot be well explained, but it is recommended that the use of acupuncture as an anti-emetic should be explored further.
尽管麻醉技术有所改进，但术后呕吐仍然是一个问题，尤其是在门诊流动患者中，以及在麻醉前或麻醉期间使用阿片类药物时。止吐药的价值有限，且常常会导致嗜睡或其他副作用。我们报告一项研究，在接受标准静脉麻醉下分段刮宫术的患者中使用了一种简单的针刺程序。纳入了64例患者，并随机分为两组：对照组仅接受标准的芬太尼-安定-硫喷妥钠麻醉，另一组在麻醉后于P6穴位注射3 mL生理盐水。32例对照患者中有10例出现恶心或呕吐，而接受穴位注射的32例患者中只有2例出现。恶心的减少具有显著性。这些发现难以得到很好的解释，但建议应进一步探索将针刺用作止吐药的方法。
