Volume 19 Issue 11
Nov.  2021
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YANG Guang, LI Sha, ZHENG Man. Effect of electroacupuncture combined with ear point seed embedding on postoperative nausea and vomiting in patients undergoing gynaecological laparotomy[J]. Chinese Journal of General Practice, 2021, 19(11): 1929-1931,1959. doi: 10.16766/j.cnki.issn.1674-4152.002203
Citation: YANG Guang, LI Sha, ZHENG Man. Effect of electroacupuncture combined with ear point seed embedding on postoperative nausea and vomiting in patients undergoing gynaecological laparotomy[J]. Chinese Journal of General Practice, 2021, 19(11): 1929-1931,1959. doi: 10.16766/j.cnki.issn.1674-4152.002203

Effect of electroacupuncture combined with ear point seed embedding on postoperative nausea and vomiting in patients undergoing gynaecological laparotomy

doi: 10.16766/j.cnki.issn.1674-4152.002203
Funds:

 H2018107

  • Received Date: 2020-11-19
    Available Online: 2022-02-15
  •   Objective  To investigate the effectiveness of combined preoperative electroacupuncture (EA) and postoperative ear point seed embedding for postoperative nausea and vomiting (PONV) after gynaecological laparotomy.  Methods  Total 90 patients undergoing gynaecological laparotomy in Jiangsu Provincial Hospital of Traditional Chinese Medicine from December 2016 to December 2018 were randomly divided into the preoperative EA group (group A), postoperative ear point seed embedding group (group B) and preoperative EA combined with postoperative ear point seed embedding group (Group C). Group A was given EA one day before the operation, group B was given ear point seed embedding treatment after the operation, and group C was given EA combined with ear point seed embedding treatment one day before the operation. The incidence of nausea and vomiting at 6, 24 and 48 h after operation, the use of antiemetic drugs, the time of first ventilation after operation and VAS score were recorded.  Results  Compared with the other two groups, the incidence of postoperative nausea (PON) and postoperative vomiting (POV) in group C at 6 and 24 h after surgery were significantly lower (all P < 0.05). The incidence of PON and POV was 30.00% and 26.67% at 6 h and 33.33% and 30.00% at 24 h, respectively. Amongst the three groups, group C had the shortest time to passage of first flatus (19.44±3.36) h (P < 0.05) and the least consumption of antiemetics after surgery (30.00%, all P < 0.05). No significant differences were observed regarding the incidence of PON and POV at 48 h after surgery and VAS score at 6, 24 and 48 h after surgery in all groups (all P>0.05).  Conclusion  Combined EA and postoperative ear point seed embedding after gynaecological laparotomy could decrease the incidence of PONV, shorten the time to passage of first flatus and reduce the consumption of antiemetics.

     

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  • [1]
    VEIGA-GIL L, PUEYO J, LPEZ-OLAONDO L. Postoperative nausea and vomiting: Physiopathology, risk factors, prophylaxis and treatment[J]. Rev Esp Anestesiol Reanim, 2017, 64(4): 223-232. doi: 10.1016/j.redar.2016.10.001
    [2]
    ZIEMANN-GIMMEL P, SCHUMANN R, ENGLISH W, et al. Preventing nausea and vomiting after bariatric surgery: Is the apfel risk prediction score enough to guide prophylaxis?[J]. Obes Surg, 2020, 30(10): 4138-4140. doi: 10.1007/s11695-020-04682-2
    [3]
    KLENKE S, FREY U H. Genetic variability in postoperative nausea and vomiting: A systematic review[J]. Eur J Anaesthesiol, 2020, 37(11): 959-968. doi: 10.1097/EJA.0000000000001224
    [4]
    AROKE E N, HICKS T L. Pharmacogenetics of postoperative nausea and vomiting[J]. J Perianesth Nurs, 2019, 34(6): 1088-1105. doi: 10.1016/j.jopan.2019.03.007
    [5]
    TAN H S, DEWINTER G, HABIB A S. The next generation of antiemetics for the management of postoperative nausea and vomiting[J]. Best Pract Res Clin Anaesthesiol, 2020, 34(4): 759-769. doi: 10.1016/j.bpa.2020.11.004
    [6]
    ZHANG Y, ZHANG C, YAN M, et al. The effectiveness of PC6 acupuncture in the prevention of postoperative nausea and vomiting in chidren: A systematic review and meta-analysis[J]. Paediatr Anaesth, 2020, 30(5): 552-563. doi: 10.1111/pan.13860
    [7]
    CAO X, WHITE P F, MA H. An update on the management of postoperative nausea and vomiting[J]. J Anesth, 2017, 31(4): 617-626. doi: 10.1007/s00540-017-2363-x
    [8]
    TATEOSIAN V S, CHAMPAGNE K, GAN T J. What is new in the battle against postoperative nausea and vomiting?[J]. Best Pract Res Clin Anaesthesiol, 2018, 32(2): 137-148. doi: 10.1016/j.bpa.2018.06.005
    [9]
    马巧玲, 林雪, 崔晓光. 针刺疗法防治术后恶心呕吐的研究进展[J]. 针灸临床杂志, 2017, 33(1): 72-75. doi: 10.3969/j.issn.1005-0779.2017.01.023
    [10]
    王晓秋, 吴文忠, 郑曼, 等. 术前电针对妇科腹腔镜手术患者术后胃肠功能影响的可行性研究[J]. 针灸临床杂志, 2018, 34(2): 35-38. doi: 10.3969/j.issn.1005-0779.2018.02.010
    [11]
    杨洁. 耳穴埋籽联合穴位按摩预防椎管内麻醉后恶心呕吐疗效观察[J]. 医学理论与实践, 2019, 32(19): 3186-3187. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL201919083.htm
    [12]
    毛咏旻, 王一红, 谢腾, 等. 中西医防治顺铂引起化疗后恶心呕吐反应的研究进展[J]. 中华全科医学, 2017, 15(2): 321-324. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201702042.htm
    [13]
    乔敏, 高希言, 周艳丽, 等. 《针灸临床特色技术》在基层中医培训中的实践与思考[J]. 中华全科医学, 2020, 18(7): 1210-1213. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202007040.htm
    [14]
    LI S, ZHENG M, WU W Z, et al. Effects of electroacupuncture administered 24 hours prior to surgery on postoperative nausea and vomiting and pain in patients undergoing gynecologic laparoscopic surgery: A feasibility study[J]. Explore(NY), 2017, 13(5): 313-318. doi: 10.1016/j.explore.2017.06.002
    [15]
    李莎, 杨光, 王晓秋, 等. 不同时间术前电针对妇科开腹手术患者术后早期恢复质量的影响: 附30例临床资料[J]. 江苏中医药, 2019, 51(12): 65-67. https://www.cnki.com.cn/Article/CJFDTOTAL-JSZY201912024.htm
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