针刺对乳腺手术后恶心呕吐预防作用的随机对照研究

A randomized controlled clinical trial of acupuncture to prevent nausea and vomitingafter breast surgery

目的:观察针刺预防乳腺手术后恶心呕吐的临床疗效。方法:将240例患者随机分为针刺组和空白组。针刺组在手术结束后选取双侧合谷、内关行针刺干预,空白组在手术结束后不给予干预措施。观察术后恶心呕吐的发生情况,完全缓解和需要补救治疗人数等。结果:针刺组在术后>2 h且≤6 h恶心和呕吐的发生率较空白组低,在术后≤6 h恶心呕吐的程度较空白组轻,在需要补救治疗人数方面较空白组少,差异均有统计学意义(P<0.05)。结论:针刺在预防乳腺手术后恶心呕吐方面具有一定的价值,尤其在术后早期(≤6 h)可有效减少术后恶心呕吐的发生。

Objective To investigate whether acupuncture can prevent postoperative nauseaand vomiting （PONV）in patients received breast surgery. Methods Two hundred and forty patients were randomly divided into the acupuncture group and the control group. Patients in the acupuncture group were treated at bilateral Hegu （IA） and Neiguan （P6） after surgery. Patients in the control group received no any interventions. The occurrence of postoperative nausea and vomiting, the number of complete remission and the remedial treatment were record ed. Results The incidences of nausea and vomiting in the acupuncture group were lower than those in the control group from 2 h to 6 h post-operation, with less need of remedy treatment （P 〈 0.05, respectively）. Conclusion Acupuncture in preventing nausea and vomiting after breast surgery owns a certain value in the early postoperative （6 h） stage, with effectively reducing the occurrence of postoperative nausea and vomiting.