Effect of Acupuncture on P6 for Preventing Opioid-induced Nasea and Vomiting

아편양제제에 의해 유발된 오심구토의 예방에 대한 내관자침의 효과

  • Lee, Su-Kyung (Department of oriental rehabilitation medicine, College of Oriental Medicine, Wonkwang University) ;
  • Lee, Si-Woo (Korea Institute of Oriental Medicine) ;
  • Choi, Deok-Hwa (Deparment of Anesthesiology, College of Medicine, Wonkwang University)
  • 이수경 (원광대학교 한방재활의학과) ;
  • 이시우 (한의학연구원) ;
  • 최덕화 (원광대학교 의과대학 마취통증의학과)
  • Published : 2007.12.25

Abstract

There is growing interest in the use of nonpharmacologic approaches to prevent postoperative nausea and vomiting. This study was designed to investigate the effect of acupuncture on P6 for preventing Opioid-induced nausea and vomiting. A total of 83 patients receiving intravenous patient controlled analgesia(PCA) with fentanyl were randomly assigned to two groups. In acupuncture group, they've got treatment after surgery at recovery room for 20minutes. Assessment of nausea and vomiting was obtained from all patients for 48hours. The incidence of nausea, that of vomiting and the nausea grade-the severity of nausea within 48 hours after surgery- were the main outcome measures which showed no statistically significant difference between groups. There is no sufficient evidence to suggest effect of acupuncture on P6 for preventing PONV.

Keywords

References

  1. Gan, T.J., Meyer, T., Apfel, C.C., Chung, F., Davis, P.J., Eubanks, S. et al. Consensus guidelines for managing postoperative nausea and vomiting. Anesth Analg 97: 62-71, 2003
  2. White, P.F. Are nonpharmacologic techniques useful alternatives to antiemetic drugs for the prevention of nausea and vomiting. Anesth Analg 84: 712-714, 1997 https://doi.org/10.1097/00000539-199704000-00002
  3. al-Sadi, M., Newman, B., Julious, S.A. Acupuncture in the prevention of postoperative nausea and vomiting. Anaesthesia 52: 658-661, 1997 https://doi.org/10.1111/j.1365-2044.1997.143-az0147.x
  4. Ho, R.T., Jawan, B., Fung, S.T., Cheung, H.K., Lee, J.H. Electroacupuncture and postoperative emesis. Anaesthesia 45: 327-379, 1989 https://doi.org/10.1111/j.1365-2044.1990.tb14744.x
  5. Harmon, D., Gardiner, J., Harrison, R., Kelly, A. Acupressure and the prevention of nausea and vomiting after laparoscopy. Br J Anaesth 82: 387-390, 1999 https://doi.org/10.1093/bja/82.3.387
  6. Fan, C.F., Tanhui, E., Joshi, S., Trivedi, S., Hong, Y., Shevde, K. Acupressure treatment for prevention of postoperative nausea and vomiting. Anesth Analg 84: 821-815, 1997 https://doi.org/10.1097/00000539-199704000-00023
  7. Fassoulaki, A., Papilas, K., Sarantopoulos, C., Zotou, M. Transcutaneous electrical nerve stimulation reduces the incidence of vomiting after hyserectomy. Anesth Analg 76: 1012-1214, 1993
  8. 전국한의과대학 침구.경혈학교실 편저. 침구학. 집문당, p 574, 1991
  9. White, P.F. Use of patient controlled analgesia for management of acute pain. JAMA 259: 243-247, 1998 https://doi.org/10.1001/jama.259.2.243
  10. Su-pin Choo, Keng-he Kong, Wan-teck Lim, Fei Gao, Karen Chua, Swan-swan Leong: Electroaucpuncture for refractory acute emesis caused by chemotherapy. J Altern Complem Med 12(10):963-969, 2006 https://doi.org/10.1089/acm.2006.12.963
  11. K. Streitberger, M. Diefenbacher, A. Bauer, R. Conradi, H. Bardenheuer, E. Martin, A. Schneider, K. Unnebrink: Acupuncture compared to placebo-acupuncture for postoperative nausea and vomiting prophylaxis: A randomised placebo-controlled patient and observer blind trial Anaesthesia 59: 142-149, 2004 https://doi.org/10.1111/j.1365-2044.2004.03577.x
  12. A. Molassiotis, A.M. Helin, R. Dabbour, S. Hummerston: The effects of P6 aucpressure in the prophylaxis of chemotherapy-related nausea and vomiting in breast cancer patients Complement Ther Med 15: 3-12, 2007 https://doi.org/10.1016/j.ctim.2006.07.005
  13. Junger, A., Hartmann, B., Schindler, E., Dietrich, G., Jost, A. et al. The use of an anesthesia information management system for prediction of antiemetic rescue treatment at the postanesthesia care unit. Anesth Analg 92: 1203-1209, 2001 https://doi.org/10.1097/00000539-200105000-00023
  14. Stadler, M., Bardiau, F., Seidel, L., Albert, A., Boogaerts, J.G. Difference in risk factors for postoperative nausea and vomiting. Anesthesiology 98: 46-52, 2003 https://doi.org/10.1097/00000542-200301000-00011
  15. Apfel, C.C., Roewer, N. Risk assessment of postoperative nausea and vomiting. Int Anesthesiol Clin 41: 13-32, 2003 https://doi.org/10.1097/00004311-200341040-00004
  16. 김미경, 배선준, 한정미, 이용경, 김진수, 신양식: 마취 직후 오심 구토의 발생빈도. 대한마취과학회지 47: 272-276, 2004
  17. National Institutes of Health. Acupuncture-NIH consensus conference. JAMA 280: 1518-1524, 1998 https://doi.org/10.1001/jama.280.17.1518
  18. Dundee, J.W., McMillan, C.M. Positive evidence for P6 acupuncture antiemesis. Postgrad Med J 67: 417-422, 1991 https://doi.org/10.1136/pgmj.67.787.417
  19. 김순임, 유인상, 박해남, 옥시영, 김선종. 내관혈 자극은 유방 수술 후 오심 발생을 감소시킨다. 대한마취과학회지 47: 834-839, 2004
  20. Dundee, J.W., Ghaly, R.G. Does the timing of P6 acupuncture influence its efficacy as a postoperative antiemetic? Br J Anaesth 63: 630, 1989
  21. 장용석, 김선종, 홍진태, 옥시영, 김순임. 복강경 담낭 절제술 을 받은 여자환자에서 내관혈 자극은 수술 후 오심과 구토의 발생을 감소시킨다. 대한마취과학회지 44: 853-859, 2003
  22. Agarwal, A., Pathak, A., Gaur, A. Acupressure wristbands do not prevent postoperative nausea and vomiting after urological endoscopic surgery. Can J Anaesth 47: 319-324, 2000 https://doi.org/10.1007/BF03020945
  23. Lewis, I.H., Pryn, S.J., Reynolds, P.I., Pandit, U.A., Wilton, N.C.T. Effect of P6 acupressure on postoperative vomiting in children undergoing outpatient strabismus correction. Br J Anaesth 67: 73-78, 1991 https://doi.org/10.1093/bja/67.1.73