Weeks Evan M, Trinca Jane, Zheng Zhen
Pain Clinic, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust (CUHFT), Cambridge, UK.
Barbara Walker Pain Management Centre, St Vincent Hospital, Victoria, Australia.
Acupunct Med. 2017 Oct;35(5):345-351. doi: 10.1136/acupmed-2016-011191. Epub 2017 Jun 27.
Level 1 evidence supports the use of acupuncture as a safe and effective treatment for postoperative nausea and vomiting (PONV). However, to date, very few hospitals in Western countries have incorporated this technique into their management strategies.
To conduct a survey to establish patients' knowledge and opinions of acupuncture as a treatment option for the management of PONV in a large Western teaching hospital that did not offer acupuncture.
Over a 4-week period, a self-completed, anonymous questionnaire survey was distributed to 171 consecutive patients attending the preadmission clinic pending surgery.
Overall, 161 participants met the selection criteria and completed the survey (100%). The majority of them had a European background (88.8%) and were over 40 years old (87.6%). Seventy-eight participants (48%) had a history of nausea and vomiting and 39 (24%) had suffered from PONV. One hundred and four (65%) and 110 (68%) patients, respectively, stated that they would be willing to try acupuncture in hospital or at home following surgery to prevent or reduce PONV. Only 25 (15.5%) participants knew that acupuncture could be used to treat nausea and vomiting; however, 140 (87%) indicated that they would be willing to try the therapy after being informed of the potential benefit of acupuncture for PONV prevention/reduction. Those with previous experience of acupuncture were ~3.9 times more likely to be willing to use acupuncture for PONV than those without.
Patients attending an Australian tertiary hospital showed an overwhelming interest in acupuncture to manage PONV. This provides strong support for the potential implementation of acupuncture in an acute hospital setting.
一级证据支持针刺疗法可作为治疗术后恶心呕吐（PONV）的一种安全有效的方法。然而，迄今为止，西方国家很少有医院将该技术纳入其管理策略。
在一家未提供针刺疗法的大型西方教学医院进行一项调查，以了解患者对针刺疗法作为治疗 PONV 的一种选择的了解程度和看法。
在4周的时间内，向171名连续到预入院门诊等待手术的患者发放了一份自我填写的匿名问卷调查。
总体而言，161名参与者符合入选标准并完成了调查（100%）。他们中的大多数人有欧洲背景（88.8%），年龄超过40岁（87.6%）。78名参与者（48%）有恶心呕吐史，39名（24%）曾患过 PONV。分别有104名（65%）和110名（68%）患者表示，他们愿意在手术后在医院或家中尝试针刺疗法以预防或减轻 PONV。只有25名（15.5%）参与者知道针刺疗法可用于治疗恶心呕吐；然而，140名（87%）表示在被告知针刺疗法对预防/减轻 PONV 的潜在益处后，他们愿意尝试该疗法。有过针刺治疗经验的人愿意将针刺疗法用于 PONV 的可能性是没有经验者的约3.9倍。
在一家澳大利亚三级医院就诊的患者对针刺疗法治疗 PONV 表现出极大的兴趣。这为在急性医院环境中潜在实施针刺疗法提供了有力支持。
