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http://dx.doi.org/10.15204/jkobgy.2020.33.1.019

Analysis for Randomized Controlled Clinical Trials of Acupuncture-type Treatment on Gastrointestinal Dysfunction after Ceasarean Section  

Jeong, So-Mi (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Lee, Jin-Moo (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University)
Lee, Chang-Hoon (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University)
Hwang, Deok-Sang (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University)
Jang, Jun-Bock (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University)
Publication Information
The Journal of Korean Obstetrics and Gynecology / v.33, no.1, 2020 , pp. 19-35 More about this Journal
Abstract
Objectives: The purpose of this study was to show effectiveness of Acupuncture treatment on gastrointestinal dysfunctions after Cesarean section by analyzing randomized controlled clinical trials. Methods: We searched randomized controlled clinical trials related with acupuncture treatment on gastrointestinal dysfunctions after Cesarean section through national and overseas database and analyzed them in detail. Results: 6 articles were included according to our selection criteria and 1,084 women were involved. 3 studies used TEAS (Transcutaneous Electrical Acupoint Stimulation), 2 studies used Elastic band and 1 study used Acupressure by hand. Their results were statistically more effective than control groups. The most frequently used acupoints were Neiguan (PC6), Zusanli (ST36) followed by Sanyinjiao (SP6), Hegu (IL4). Conclusions: There was significant difference in the effectiveness of the intervention including Acupuncture treatment. Based on analysis, it could be an effective way for the treatment of gastrointestinal dysfunctions after Cesarean section in clinical practice.
Keywords
Cesarean Section; Nausea; Vomiting; Gastrointestinal Dysfunction; Acupuncture-type Treatment; Acupressure; Randomized Controlled Clinical Trials;
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  • Reference
1 National Health Insurance Corporation. Surgery Statistics[cited December 19, 2019]. Available from:URL:https://www.nhis.or.kr/bbs7/boards/B0039/35128.
2 Organization for Economic Cooperation and Development. Metadata for OECD Health Statistics 2018[cited June 2019]. Available form:URL:https://www.oecd.org/els/health-systems/Table-of-Content-Metadata-OECD-Health-Statistics-2018.pdf.
3 Martel M, et al. Maternal age and primary cesarean section rates : a multivariate analysis. Am J Obstet Gynecol. 1987;156(2):305-8.   DOI
4 New Manual of Gynecology. Seoul: Publishing Co. Gun Ja. 1999:112-3.
5 Cousins MJ, et al. Intrathecal and epidural administration of opioids. Anethesiology. 1984;61(3):276-310.   DOI
6 Sanchez-Ledesma MJ, et al. A Comparison of three antiemetic combinations for the prevention of postoperative nausea and vomiting. Anesth Analg. 2002;95(6):1590-5.   DOI
7 Sahin E, et al. The Effect of Gum Chewing, Early Oral Hydration, and Early Mobilization on Intestinal Motility After Cesarean Birth. Worldviews Evid Based Nurs. 2015;12(6):380-8.   DOI
8 Bragg D, et al. Postoperative ileus : Recent developments in pathophysiology and management. Clin Nutr. 2015;34(3):367-76.   DOI
9 Vather R, et al. Defining Postoperative ileus : result of a systematic review and global survey. J Gastrointest Surg. 2013;17(5):962-72.   DOI
10 Öbrink E, et al. Post-operative nausea and vomiting: update on predicting the probability and ways to minimize its occurrence, with focus on ambulatory surgery. Int J Surg. 2015;15:100-6.   DOI
11 Balki M, et al. Prophylactic granisetron does not prevent post delivery nausea and vomiting during elective cesarean delivery under spinal anesthesia. Anesth Analg. 2007;104(3):679-83.   DOI
12 Fang Z, et al. Influence of acupuncture treatment on cerebral activity in functional dyspepsia patients and its relationship with efficacy. Am J Gastroenterol. 2012;107(8):1236-47.   DOI
13 Liu Z, et al. Acupuncture for chronic severe functional constipation : A randomized controlled trial. Ann Intern Med. 2016;165(11):761-9.
14 Bao CH, et al. Randomized controlled trial : Moxibustion and acupuncture for the treatment of Crohn's disease. World J Gastroenterol. 2014;20(31):11000-11.   DOI
15 Chae HD, et al. Effect of acupuncture on reducing duration of Postoperative ileus after gastrectomy in gastric cancer. J Altern Complement Med. 2016;22(6):465-72.   DOI
16 Kim SW, et al. A study of acupuncture buried therapy in labor and delivery. J Korean Obstet Gynecol. 2004;17(2):123-9.
17 Kim ES, et al. Effectiveness of acupuncture -type interventions to prevent nausea and vomiting during and after cesarean delivery under spinal anesthesia : A systematic review. J Korean Obstet Gynecol. 2009;22(2):209-21.
18 Chernyak GV, et al. Perioperative acupuncture and related techniques. Anesthesiology. 2005;102(5):1031-49.   DOI
19 Stakenborg N, et al. Postoperative Ileus: Pathophysiology, Current Therapeutic Approaches. Handb Exp Pharmacol. 2017;239:39-57.   DOI
20 Lee A, et al. The use of nonphamacologic techniques to prevent postoperative nausea and vomiting : a meta-analysis. Anesth Analg. 1999;88(6):1362-9.   DOI
21 Mittal R, et al. Neurotransmitters: The Critical Modulators Regulating Gut-Brain Axis. J Cell Physiol. 2017;232(9):2359-72.   DOI
22 Paterson CM, et al. The Characteristics of the second stage of labour in 25,069 singleton deliveries in the North West Thames Health Region. Br J Obstet Gynaecol. 1992;99(5):377-80.   DOI
23 Mu Li, et al. Effect of transcutaneous electrical acupoint stimulation on recovery of gastrointestinal function after cesarean section. Zhongguo Zhen Jiu. 2019;39(3):259-62.
24 The FO, et al. Intestinal handlinginduced mast cell activation and inflammation in human postoperative ileus. Gut. 2008;57(1):33-40.   DOI
25 Shen YJ et al. Efficacy of intravenous scopolamine for preventing postoperative nausea and vomiting after cesarean section. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2012;34(1):32-7.
26 Abadi F, et al. Effect of Acupressure on Symptoms of Postoperative Ileus After Cesarean Section. J Acupunct Meridian Stud. 2017;10(2):114-9.   DOI
27 Ashraf DM, et al. Effect of acupressure on post-operative nausea and vomiting in cesarean section: a randomised controlled trial. J Clin Diagn Res. 2013;7(10):2247-9.
28 Noroozinia H, et al. The effect of acupressure on nausea and vomiting after cesarean section under spinal anesthesia. Acta Med Iran. 2013;51(3):163-7.
29 El-Deeb AM, et al. Effect of acupuncture on nausea and/or vomiting during and after cesarean section in comparison with ondansetron. J Anesth. 2011;25(5):698-703.   DOI
30 Fuchs F, et al. Post-partum management after cesarean delivery. Guidelines for clinical practice. J Gynecol Obstet Biol Reprod (Paris). 2015;44(10):1111-7.   DOI
31 The Society of Korean Medicine Obstetrics and Gynecology. Oriental Obstetrics & Gynecology. Seoul:Publishing Co. Eui Seong Dang. 2012:542-3.
32 Zhou D, et al. Transcutaneous Electrical Acupoint Stimulation Accelerates the Recovery of Gastrointestinal Function after Cesarean Section: A Randomized Controlled Trial. Evid Based Complement Alternat Med. 2018;2018:7341920.
33 Lee A, et al. Stimulation of the wrist acupuncture point P6 for preventing postoperative anusea and vomiting. Cochrane Database Syst Rev. 2009;(2):CD003281.
34 Oh JS, et al. A Study on the change of symptoms during the postoperative period following c/sec in primipara and multipara. J Korean Obstet Gynecol. 2004;17(3):160-70.
35 Macones GA, et al. Guidelines for postoperative care in cesarean delivery : Enhanced Recovery After Surgery (ERAS). Am J Obstet Gynecol. 2019;221(3):247.e1-247.e9.   DOI
36 Dundee JW, et al. Effect of stimulation of the P6 antiemetic point of postoperative nausea and vomiting. Effect of stimulation of the P6 antiemetic point of postoperative nausea and vomiting. Br J Anaesth. 1989;63(5):612-8.   DOI
37 Liu WC, et al. f-MRI study of acupuncture-induced periaqueductal gray activity in humans. Neuroreport. 2004;15(12):1937-40.   DOI
38 Handbook of Standard Acupoints. Seoul: Hansol medical book Co. 2018:36, 72, 86, 194.
39 Frey UH, et al. P6 acustimulation effectively decreases postoperative nausea and vomiting in high risk patients. Br J Anaesth. 2009;102(5):620-5.   DOI
40 Ebrahim Soltani A, et al. Acupressure using ondansetron versus metoclopramide on reduction of postoperative nausea and vomiting. Arch Iran Med. 2010;13(4):288-93.
41 Watcha MF, et al. Postoperative nausea and vomiting : its otiology, treatment and prevention. Anesthesiology. 1992;77(1):162-84.   DOI
42 Xu HY, et al. Effect of electroacupuncture at Hegu(LI4) and Sanyinjiao(SP6) on short-term adverse effects of drug-induced abortion. Zhongguo Zhen Jiu. 2007;27(2):103-5.
43 Zou D, et al. Inhibition of transient lower esophageal sphincter relaxations by electrical acupoint stimulation. Am J Physiol Gastrointest Liver Physiol. 2005;289(2):197-201.   DOI
44 Wan Q, et al. Auricular-plaster therapy plus acupuncture at zusanli for postoperative recovery of intestinal function. J Tradit Chin Med. 2000;20(2):134-5.
45 Wang H, et al. Electroacupuncture at zusanli prevents sever scalds-induced gut ischemia and paralysis by activating the cholinergic pathway. Evid Based Complement Alternat Med. 2015;2015:787393.