手部韩式指压法对剖宫产术后椎管内麻醉相关恶心呕吐及疼痛的影响

Effects of Korean hand acupressure on opioid-related nausea and vomiting, and pain after caesarean delivery using spinal anaesthesia.

机构信息

Obstetric Unit, Severance Hospital, Yonsei University, South Korea.

College of Nursing, CHA University, South Korea.

出版信息

Complement Ther Clin Pract. 2017 Aug;28:101-107. doi: 10.1016/j.ctcp.2017.05.014. Epub 2017 May 26.

DOI:10.1016/j.ctcp.2017.05.014

PMID:28779916

Abstract

OBJECTIVE

This study examined the effects of Korean hand acupressure on opioid-related nausea and vomiting, and pain after caesarean delivery.

METHODS

Fifty participants were randomly assigned to an acupressure group or a control group. Korean hand acupressure discs were applied for 24 h onto 12 acupressure points (K-9, F-4 for nausea and vomiting; M-3, M-4, L-4, H-2, H-3, H-7 for abdominal pain; and I-38, J-2 for back pain). Nausea and vomiting incidences, the opioid-related symptom distress scale scores, and pain scores were analysed using chi-square test, Fisher's exact test, Mann-Whitney U test, or the repeated-measures analysis of variance.

RESULTS

The acupressure group had lower incidences of nausea and vomiting, as well as significant improvements in the opioid-related symptom distress scores for nausea, vomiting, and pain. The acupressure group required fewer rescue antiemetics and analgesics.

CONCLUSION

Korean hand acupressure can relieve nausea and vomiting, as well as pain after caesarean delivery.

摘要

目的

本研究旨在探讨韩式手部按压对剖宫产术后阿片类药物相关恶心呕吐和疼痛的影响。

方法

50 名参与者被随机分配到按压组或对照组。韩式手部按压盘在 12 个穴位上贴敷 24 小时（K-9、F-4 用于治疗恶心呕吐；M-3、M-4、L-4、H-2、H-3、H-7 用于治疗腹痛；I-38、J-2 用于治疗背痛）。采用卡方检验、Fisher 确切检验、Mann-Whitney U 检验或重复测量方差分析比较恶心呕吐发生率、阿片类药物相关症状困扰评分和疼痛评分。