Efficacy of acupuncture combined with tropisetron in treating nausea and vomiting induced by car-boprost tromethamine in cesarean section
10.3760∕cma.j.issn.0254-1416.2017.10.008
- VernacularTitle:针刺联合托烷司琼治疗剖宫产术中卡前列素氨丁三醇诱发恶心呕吐的效果
- Author:
Zhongyan YAO
1
;
Yulin CHANG
;
Lili YU
;
Panpan SONG
;
Qianjie WEI
;
Zhiquan SHEN
;
Qiang YANG
Author Information
1. 061000,沧州市中心医院麻醉科
- Keywords:
Acupuncture therapy;
Indoles;
Carboprost;
Nausea;
Vomiting;
Cesarean Section
- From:
Chinese Journal of Anesthesiology
2017;37(10):1184-1187
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of acupuncture combined with tropisetron in treating nausea and vomiting induced by carboprost tromethamine in cesarean section. Methods Sixty-six patients aged 22-40 yr who received carboprost tromethamine and developed nausea and vomiting during cesarean section under lumbar anesthesia, were randomly divided into 3 groups(n=22 each): acupuncture group (group A), tropisetron group(group T)and acupuncture+ tropisetron group(group AT). In group A, 09% normal saline 2 ml was intravenously injected immediately, acupuncture was given at Renzhong, Neiguan and Hegu acupoints with lifting thrusting twirling the acupuncture needle for 10 min. In group T, tropisetron 10 mg was intravenously injected immediately, the needle was placed on Renzhong, Neiguan and Hegu skin surface. In group AT, tropisetron 10 mg was intravenously injected immediately, acupunc-ture was given at Renzhong, Neiguan and Hegu acupoints with lifting thrusting twirling the acupuncture nee-dle for 10 min. The nausea and vomiting score was assessed before anesthesia induction(T0), when nause-a or vomiting occurred(T1)and at 1, 3, 5 and 15 min after acupuncture or administration(T1-5). The degree of patient′s satisfaction with therapeutic effect was recorded. Results Compared with group A, the nausea and vomiting scores were significantly decreased at T4, and the patient's satisfaction score was in-creased in group AT(P<005). Compared with group T, the nausea and vomiting scores were significantly decreased at T2-4and the patient's satisfaction score was increased in group AT(P <005). Conclusion Acupuncture combined with ondansetron can quickly and effectively relieve the nausea and vomiting induced by carboprost tromethamine during cesarean section.