Alizadeh Reza, Esmaeili Sara, Shoar Saeed, Bagheri-Hariri Shahram, Shoar Nasrin
Department of Anesthesiology and Intensive Care, AJA University of Medical Sciences, Tehran, Iran.
Department of Anesthesiology and Intensive Care, AJA University of Medical Sciences, Tehran, Iran; Development Association of Clinical Studies, Student Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
J Acupunct Meridian Stud. 2014 Apr;7(2):71-5. doi: 10.1016/j.jams.2013.04.005. Epub 2013 Apr 28.
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.
尽管麻醉学和术后护理方面最近取得了进展，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了关注，但理想的技术和最合适穴位的选择仍存在争议。本研究通过一项双盲、随机、对照试验，比较了两个同时针刺穴位与单个穴位在预防和治疗全身麻醉后术后恶心和呕吐方面的疗效，该试验纳入了227例接受全身麻醉的手术患者，他们被随机分为两组。第一组仅通过刺激内关穴进行针刺（单穴组），第二组在全身麻醉手术期间同时刺激内关穴和梁丘穴（联合组）。比较了两组术后恶心和呕吐的发生率。两组之间未观察到显著差异（p>0.05）。联合组115例患者中，80例（69.6%）出现恶心和呕吐，而单穴组为96例（85.7%），比例显著较低（p<0.05）。我们的研究结果支持联合刺激内关穴和梁丘穴治疗术后恶心和呕吐。
