Meta-analysis of the effect of acupuncture combined with antiemetics on prevention and treatment of nausea and vomiting after general anesthesia
- VernacularTitle:针刺联合止吐药防治全麻术后恶心呕吐效果的Meta分析
- Author:
Shangkun SI
1
;
Hui LIU
;
Fashuai WANG
;
Weiliang ZHANG
;
Dongbin ZHANG
;
Fan SU
Author Information
- Keywords: Postoperative nausea and vomiting; Acupuncture; Acupuncture therapy; Antiemetic drugs; Randomized controlled trial; Meta analysis
- From: The Journal of Clinical Anesthesiology 2023;39(11):1178-1184
- CountryChina
- Language:Chinese
- Abstract: Objective To evaluate the effect of acupuncture(manual acupuncture,electroacu-puncture)on prevention and treatment of nausea and vomiting after general anesthesia.Methods By searching CNKI,VIP,China Biomedical Literature Database,Wanfang Medical,Embase,PubMed,Co-chrane Clinical Trial Registry,randomized controlled trial(RCT)on acupuncture combined with antiemetics for the prevention and treatment of nausea and vomiting after general anesthesia were performed.The retrieval period was from the establishment of the database to September 2022.RevMan 5.3 was used for statistical analysis.Results Fifteen studies involving 1 493 patients were included.There were 741 patients in the antiemetic group and 752 patients in the acupuncture combined antiemetic group.The incidence of postoperative nausea in the acupuncture combined with antiemetics group was significantly lower than that in the simple antiemetics group(OR=0.43,95％CI 0.34-0.54,P＜0.001).The incidence of postopera-tive vomiting in the acupuncture combined with antiemetics group was significantly lower than that in the simple antiemetics group(OR=0.55,95％CI 0.45-0.66,P＜0.001).Conclusion The incidence of postoperative nausea and vomiting was lower in patients treated with acupuncture(manual acupuncture,electroacupuncture)combined with antiemetics than with antiemetics alone.
