內關穴位注射減少手術後噁心與嘔吐

P6 ACUPOINT INJECTION REDUCED POSTOPERATIVE NAUSEA AND VOMITING

石明煌(Min Hwang Shyr) ； 徐至清(lee-Ching Hsu) ； 胡玉旺(Yuk-Wong Wu) ； 許汝寧(Yu-Ling Hui) ； 譚培炯(Peter P.C. Tan)

《Acta Anaesthesiologica Sinica》 28卷3期 (1990/09) Pp. 357-360

摘要

五十多年來，即使麻醉技術不斷在進步，特別是對於門診，小兒，以及麻醉前式麻醉時接受鴉片類藥物病患來說，手術後的噁心與嘔吐仍然是個問題，而且到目前為止，仍然缺乏有效的預防方法，針灸提供我們另一種可能的嘗識。本實驗將六十四位接愛門診部份性子宮頸擴張及子宮內膜搔括術病人分為二組：第一組為對照組；第二組為實驗組，實驗組在接受和對照組相同的FentanyI-Valium-Thiopentone靜脈麻醉後，於右手內關穴內注射三毫升的生理食鹽水。手術後，在恢復室觀察並記錄是否發生噁心與嘔吐，直到病人出院為止。結果顯示，實驗組病人手術才是發生可噁心與嘔吐的機率，呈有意義的減少，我們無法以現代醫學來解釋針刺防止噁心與嘔吐的機轉，但是認為它值得進一步的研究與應用。

關鍵字

Nausea and vomiting-postoperativ ； Acupuncture-P6 (Neiguan) acupoint injection

並列摘要

Despite improvements in anesthetic techniques postoperative vomiting still remains a problem, particularly in ambulant outpatients, and when an opoid is given before or during anesthesia. Anti-emetic are of limited value and often cause drowsiness u r other side effects .We report a study in which a simple acupuncture procedure was used in patients undergoing fraction D & C under standard intravenous anesthesia. Sixty-four patients were included and allocated randomly into one of the two groups: control group receiving standard fentanly-valium-thiopentone anesthesia alone, and the other group receiving injection of 3 mL normal saline into the P6 acqupuncture point after the anesthesia. Ten out o f the 32 control patients experienced nausea or vomiting compred with only 2 out o f 32 patients receiving acupoint injection. The reduction in nausea was significant. These findings cannot be well explained, but it is recommanded that the use of acupuncture as an anti-emetic should be explored further.