학술논문
[Effect of acupuncture on the prevention of nausea and vomiting after laparoscopic cholecystectomy: a randomized clinical trial].
Document Type
Academic Journal
Author
Miranda LE; Universidade de Pernambuco (UPE), Hospital Universitário Oswaldo Cruz, Divisão de Cirurgia Geral e Transplante de Fígado, Recife, PE, Brasil. Electronic address: lecmiranda@gmail.com.; Filho LFMES; Universidade de Pernambuco (UPE), Faculdade de Ciências Médicas, Recife, PE, Brasil.; Siqueira ACB; Universidade de Pernambuco (UPE), Faculdade de Ciências Médicas, Recife, PE, Brasil.; Miranda AC; Universidade de Pernambuco (UPE), Faculdade de Ciências Médicas, Recife, PE, Brasil.; Rocha BRCB; Universidade de Pernambuco (UPE), Faculdade de Ciências Médicas, Recife, PE, Brasil.; Lima IVP; Universidade de Pernambuco (UPE), Faculdade de Ciências Médicas, Recife, PE, Brasil.; Silva VSGD; Universidade de Pernambuco (UPE), Faculdade de Ciências Médicas, Recife, PE, Brasil.; Lima DL; Universidade de Pernambuco (UPE), Hospital Universitário Oswaldo Cruz, Divisão de Cirurgia Geral e Transplante de Fígado, Programa de Pós-Graduação de Medicina, Recife, PE, Brasil.; Naspollini H; Universidade de Pernambuco (UPE), Hospital Universitário Oswaldo Cruz, Divisão de Cirurgia Geral e Transplante de Fígado, Recife, PE, Brasil.
Source
Publisher: Elsevier Editora Ltda Country of Publication: Brazil NLM ID: 101624623 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-2291 (Electronic) Linking ISSN: 01040014 NLM ISO Abbreviation: Braz J Anesthesiol Subsets: MEDLINE
Subject
Language
Portuguese
Abstract
Background and Objectives: Postoperative nausea and vomiting (PONV) is a common and undesirable complication observed after laparoscopic cholecystectomy (LC). We investigated the effects of auriculoacupuncture (AA) on the prevention of postoperative nausea and vomiting in the immediate postoperative period of uncomplicated laparoscopic cholecystectomy.
Methods: Sixty-eight patients were randomly divided into two groups, auriculoacupuncture (n = 35) and control (n = 33) and then they were evaluated prospectively. The needle was placed before anaesthesia induction and remained for 20 minutes. Nausea intensity was evaluated using an analogic visual scale and PONV events were registered immediately after anaesthesia care unit admission and in the second, fourth and sixth hours after the surgery.
Results: The auriculoacupuncture group had a significantly smaller incidence of nausea and vomiting than the control group throughout the whole postoperative period (16/35 vs. 27/33, p = 0.03 and 4/35 vs. 15/33, p = 0.005, respectively); the AA group had fewer nausea events 2hours (p = 0.03) and 6hours (p = 0.001) after surgery and fewer vomiting events 2hours (p = 0.01) and 6hours (p = 0.02) after surgery.
Conclusions: Auriculoacupuncture can partially prevent postoperative nausea and vomiting when compared to metoclopramide alone after uncomplicated laparoscopic cholecystectomy. Auriculoacupuncture can be recommended as an adjuvant therapy for postoperative nausea and vomiting prevention in selected patients.
(Copyright © 2019 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.)
Methods: Sixty-eight patients were randomly divided into two groups, auriculoacupuncture (n = 35) and control (n = 33) and then they were evaluated prospectively. The needle was placed before anaesthesia induction and remained for 20 minutes. Nausea intensity was evaluated using an analogic visual scale and PONV events were registered immediately after anaesthesia care unit admission and in the second, fourth and sixth hours after the surgery.
Results: The auriculoacupuncture group had a significantly smaller incidence of nausea and vomiting than the control group throughout the whole postoperative period (16/35 vs. 27/33, p = 0.03 and 4/35 vs. 15/33, p = 0.005, respectively); the AA group had fewer nausea events 2hours (p = 0.03) and 6hours (p = 0.001) after surgery and fewer vomiting events 2hours (p = 0.01) and 6hours (p = 0.02) after surgery.
Conclusions: Auriculoacupuncture can partially prevent postoperative nausea and vomiting when compared to metoclopramide alone after uncomplicated laparoscopic cholecystectomy. Auriculoacupuncture can be recommended as an adjuvant therapy for postoperative nausea and vomiting prevention in selected patients.
(Copyright © 2019 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.)