Dundee J W, Chestnutt W N, Ghaly R G, Lynas A G
Br Med J (Clin Res Ed). 1986 Sep 6;293(6547):583-4. doi: 10.1136/bmj.293.6547.583.
Two consecutive studies were undertaken to evaluate the effectiveness of acupuncture as an antiemetic used in addition to premedication with opioids in patients undergoing minor gynaecological operations. In the first study 25 of the 50 patients underwent acupuncture immediately after premedication with 100 mg meptazinol, the rest receiving the drug alone, and in the second 75 patients were allocated randomly to one of three groups: a group receiving 10 mg nalbuphine and acupuncture, a group receiving premedication and dummy acupuncture, and a group receiving premedication alone. Manual needling for five minutes at the P6 acupuncture point (Neiguan) resulted in a significant reduction in perioperative nausea and vomiting in the 50 patients who underwent acupuncture compared with the 75 patients who received no acupuncture. These findings cannot be explained, but it is recommended that the use of acupuncture as an antiemetic should be explored further.
开展了两项连续的研究，以评估在接受小型妇科手术的患者中，针刺作为阿片类药物术前用药辅助抗呕吐手段的有效性。在第一项研究中，50名患者中有25名在术前使用100毫克美普他酚后立即接受针刺治疗，其余患者仅接受该药物治疗；在第二项研究中，75名患者被随机分配到三组中的一组：一组接受10毫克纳布啡和针刺治疗，一组接受术前用药和假针刺治疗，一组仅接受术前用药。对50名接受针刺治疗的患者，在P6穴位（内关）进行手动针刺5分钟，结果显示，与75名未接受针刺治疗的患者相比，接受针刺治疗的患者围手术期恶心和呕吐显著减少。这些研究结果无法解释，但建议进一步探索将针刺用作抗呕吐手段。
