Comparison of the effects of acupuncture with Neiguan(PC6)-to-Waiguan(TE5) and esmolol on hemodynamics during anesthesia induction and postoperative nausea and vomiting.
10.13703/j.0255-2930.20241009-k0003
- Author:
Jiping XU
1
;
Jiafu JI
2
;
Lan ZHAO
1
;
Yuanyuan ZHAO
1
;
Fan SU
2
Author Information
1. Department of Anesthesiology, Rizhao Municipal Central Hospital, Rizhao 276800, Shandong Province, China.
2. Department of Anesthesiology, Affiliated Hospital of Shandong University of TCM, Jinan
- Publication Type:English Abstract
- Keywords:
acupuncture with Neiguan (PC6)-to-Waiguan (TE5);
esmolol;
general anesthesia;
hemodynamics;
postoperative nausea and vomiting
- MeSH:
Humans;
Female;
Adult;
Middle Aged;
Acupuncture Points;
Male;
Hemodynamics;
Propanolamines/administration & dosage*;
Postoperative Nausea and Vomiting/drug therapy*;
Young Adult;
Heart Rate;
Aged;
Blood Pressure;
Acupuncture Therapy
- From:
Chinese Acupuncture & Moxibustion
2025;45(9):1265-1270
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the clinical efficacy of acupuncture with Neiguan (PC6)-to-Waiguan (TE5) and esmolol on hemodynamics during anesthesia induction and postoperative nausea and vomiting.
METHODS:A total of 100 patients undergoing elective laparoscopic hernia repair or gynecological surgery under general anesthesia were randomly divided into an acupuncture group (50 cases, 3 cases were eliminated) and an esmolol group (50 cases, 2 cases were eliminated). In the acupuncture group, before anesthesia induction, patients were applied to acupuncture with Neiguan (PC6)-to-Waiguan (TE5), and the needles were retained for 15 min on the right side and 30 min on the left side. Patients in the esmolol group were intravenously injected with 20 mg esmolol hydrochloride injection 5 min before anesthesia induction. The systolic blood pressure (SBP) and heart rate (HR) of the two groups were recorded at 5 min after entering the operating room (T0), before anesthesia induction (T1), after anesthesia induction (T2), before tracheal intubation (T3) and 1 min after tracheal intubation (T4). The visual analogue scale (VAS) scores of pain and the incidence of nausea and vomiting in the two groups were observed at the time of entering postanesthesia care unit (PACU) (T5), leaving PACU (T6), 6 h after operation (T7) and 24 h after operation (T8). The dosage of anesthesia-related drugs in the two groups was counted.
RESULTS:The SBP and HR of the two groups at T2, T3 and T4 were lower than those at T1 (P<0.05). SBP and HR at T3 in the acupuncture group were higher than those in the esmolol group (P<0.05). Compared with the esmolol group, in the acupuncture group, the VAS scores of pain at T6 and T7 were decreased (P<0.05), the incidence of nausea and vomiting at T7 and T8 and the nausea and vomiting visual analogue scale (NVAS) scores were decreased (P<0.05). Compared with the esmolol group, the dosage of propofol in the acupuncture group was decreased (P<0.05).
CONCLUSION:Acupuncture with Neiguan (PC6)-to-Waiguan (TE5) can relieve hemodynamic fluctuations during anesthesia induction, reduce postoperative pain and nausea and vomiting, and reduce the dosage of propofol. The curative effect is better than that of esmolol.
