Yang L C, Jawan B, Chen C N, Ho R T, Chang K A, Lee J H
Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Hsien, Taiwan, ROC.
Acta Anaesthesiol Scand. 1993 Feb;37(2):192-4. doi: 10.1111/j.1399-6576.1993.tb03699.x.
Postoperative vomiting causes patients distress and delays discharge after outpatient surgery. Although P6 electroacupuncture is recognized as having an antiemetic effect, its inconvenient instrumentation may limit its clinical applicability. The purpose of this study was to explore a simple and effective alternative method for control of postoperative vomiting in outpatient surgery. We prospectively compared the effect of P6 acupoint injection with 0.2 ml 50% glucose in water (G/W) and intravenous injection of 20 micrograms/kg droperidol for prevention of vomiting in 120 consecutive outpatients undergoing gynecological laparoscopy with general anesthesia. Patients were randomly allocated to receive P6 acupoint injection, i.v. droperidol, or nothing as control group. Both P6 acupoint injection and i.v. droperidol 20 micrograms/kg were found to have a significant antiemetic effect when compared with the control group. We conclude that P6 acupoint injection with 50% G/W is a simple and effective method for reducing the incidence of postoperative emesis in outpatient surgery.
术后呕吐会给患者带来痛苦，并延迟门诊手术后的出院时间。尽管P6电针被认为具有止吐作用，但其不便的器械可能会限制其临床应用。本研究的目的是探索一种简单有效的替代方法来控制门诊手术中的术后呕吐。我们前瞻性地比较了120例连续接受全身麻醉的妇科腹腔镜手术的门诊患者中，0.2 ml 50%葡萄糖水溶液（G/W）穴位注射P6与静脉注射20微克/千克氟哌利多预防呕吐的效果。患者被随机分配接受P6穴位注射、静脉注射氟哌利多或不做任何处理作为对照组。与对照组相比，P6穴位注射和静脉注射20微克/千克氟哌利多均具有显著的止吐作用。我们得出结论，50% G/W穴位注射P6是一种简单有效的方法，可降低门诊手术中术后呕吐的发生率。
