Is ondansetron combined with ST36 (Zusanli) acupuncture point injection for postoperative vomiting effective?

2015 ◽  
Vol 20 (1) ◽  
pp. 36-37
Author(s):  
J-P Liu
Keyword(s):  
Acupuncture Point ◽  
Postoperative Vomiting ◽  
Point Injection

Ondansetron Combined with St36 (Zusanli) acupuncture point injection for postoperative vomiting

2014 ◽  
Vol 32 (2) ◽  
pp. 124-131 ◽  
Author(s):  
Zi Y Chen ◽  
Ling Lin ◽  
Huan H Wang ◽  
Yong Zhou ◽  
Jian Q Yan ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Normal Saline ◽  
Vitamin B1 ◽  
Postoperative Nausea And Vomiting ◽  
Acupuncture Point ◽  
Placebo Control ◽  
Postoperative Vomiting ◽  
Sham Injection ◽  
Point Injection ◽  
Secondary Outcomes

Background Ondansetron, sometimes combined with acustimulation at PC6 ( Neiguan), is commonly used for preventing postoperative nausea and vomiting, but PC6 is not the only point that can be used for this purpose. Objectives To evaluate the combined effects of ondansetron and ST36 ( Zusanli) acupuncture point injection on postoperative vomiting (POV) after laparoscopic surgery. Methods A randomised, patient and assessor-blinded, placebo-controlled clinical study was conducted. One hundred and sixty patients undergoing laparoscopic surgery were randomly assigned to one of four groups: (1) group P (placebo-control): intravenous normal saline+bilateral non-acupuncture point injection of vitamin B1 (n=40); (2) group O (ondansetron): intravenous ondansetron+bilateral ST36 sham injection (n=40); (3) group A (acupuncture point injection): intravenous normal saline+bilateral acupuncture point injection at ST36 of vitamin B1 (n=40); (4) group C (combination): intravenous ondansetron+bilateral acupuncture point injection at ST36 of vitamin B1 (n=40). Interventions were made on arrival at the postanaesthesia care unit. The primary outcome was the incidence of POV within 24 h after the operation. Secondary outcomes included severity of vomiting, incidence of rescue treatment, patients’ satisfaction and the first anal exsufflation time 24 h after the operation. Results The incidence of POV within 24 h postoperative period in each group was P 33%; O 11%, A 9% and C 6%. Outcomes for all intervention groups were significantly better than that for placebo (p<0.01). For the three interventions compared with placebo, the numbers needed to treat (NNTs) were O, NNT=5; A, NNT=5 and C, NNT=4. The secondary outcomes also demonstrated greater benefits of the combined regimen, with improvement seen in all the measures. Conclusions Ondansetron, acupuncture, and ondansetron and acupuncture combined are effective prophylaxis for POV.

scholarly journals Acupuncture and Postoperative Vomiting in Day-Stay Paediatric Patients

1996 ◽  
Vol 24 (6) ◽  
pp. 674-677 ◽  
Author(s):  
K. L. Schwager ◽  
D. B. Baines ◽  
R. J. Meyer
Keyword(s):  
Adult Population ◽  
Acupuncture Point ◽  
Controlled Study ◽  
Control Group ◽  
Postoperative Vomiting ◽  
Double Blind ◽  
Paediatric Patients ◽  
Transcutaneous Stimulation ◽  
Significant Difference ◽  
Stimulation Of

The stimulation of the acupuncture point P6 has been used to prevent nausea and vomiting in the adult population. It has, however, been subject to limited comparative evaluation in children. We proposed that stimulation of P6 and the analgesic point Li4 would reduce the incidence of postoperative vomiting. Eighty-four unpremedicated paediatric patients having day-stay surgery (circumcision or herniotomy/orchidopexy) were included in a randomized, double-blind, placebo-controlled study of transcutaneous stimulation of P6 and Li4 or no stimulation. The incidence of vomiting was recorded for 24 hours postoperatively. There was no statistically significant difference in total postoperative vomiting in those patients who were stimulated, compared with the control group (P=0.909), or between any group for postoperative vomiting in the recovery ward, day-stay ward or at home. For all groups, vomiting was more common within the first four hours and more likely to occur in the day-stay ward.

scholarly journals Exploring the Evidence Base for Acupuncture in the Treatment of Ménière's Syndrome—A Systematic Review

2011 ◽  
Vol 2011 ◽  
pp. 1-13 ◽  
Author(s):  
Andrew F. Long ◽  
Mei Xing ◽  
Ken Morgan ◽  
Alison Brettle
Keyword(s):  
Systematic Review ◽  
Acute Phase ◽  
Chinese Literature ◽  
Acupuncture Point ◽  
Evidence Base ◽  
Weight Of Evidence ◽  
Randomized Controlled ◽  
Randomized Controlled Studies ◽  
Point Injection ◽  
Number Of Treatment

Ménière's syndrome is a long-term, progressive disease that damages the balance and hearing parts of the inner ear. To address the paucity of information on which evidence-based treatment decisions should be made, a systematic review of acupuncture for Ménière's syndrome was undertaken. The method used was a systematic review of English and Chinese literature, from six databases for randomized, non-randomized and observational studies. All studies were critically appraised and a narrative approach to data synthesis was adopted. Twenty-seven studies were included in this review (9 in English and 18 in Chinese languages): three randomized controlled trials, three non-randomized controlled studies and four pre-test, post-test designs. All but one of the studies was conducted in China. The studies covered body acupuncture, ear acupuncture, scalp acupuncture, fluid acupuncture point injection and moxibustion. The studies were of varying quality. The weight of evidence, across all study types, is of beneficial effect from acupuncture, for those in an acute phase or those who have had Ménière's syndrome for a number of years. The review reinforces the importance of searching for studies from English and Chinese literature. The transferability of the findings from China to a Western context needs confirmation. Further research is also needed to clarify questions around the appropriate frequency and number of treatment/courses of acupuncture. The weight of evidence suggests a potential benefit of acupuncture for persons with Ménière's disease, including those in an acute phase and reinforces the importance of searching for published studies in the Chinese language.

scholarly journals An update on acupuncture point injection: Table 1

QJM ◽  
2016 ◽  
Vol 109 (10) ◽  
pp. 639-641 ◽  
Author(s):  
T. Sha ◽  
L.L. Gao ◽  
C.H. Zhang ◽  
J.G. Zheng ◽  
Z.H. Meng
Keyword(s):  
Acupuncture Point ◽  
Point Injection

EVALUATION OF THE RECOVERY EFFECTS OF MOTOR FUNCTION BY ELECTRO-ACUPUNCTURE, POINT INJECTION AND MASSAGE IN CHILDREN WITH SPASTIC CEREBRAL PALSY

2015 ◽  
pp. 36-42
Author(s):  
Thi Ngoc Linh Nguyen ◽  
Kim Thanh Dang ◽  
Dien Hong Nguyen
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Acupuncture Point ◽  
Spastic Cerebral Palsy ◽  
Controlled Clinical Trial ◽  
Recovery Effect ◽  
Motor Disabilities ◽  
Massage Group ◽  
Point Injection ◽  
The Central Nervous System

Background: Cerebral palsy is a medical term for a group of disorders of the central nervous system causing multiple motor disabilities, intellectual, sensory and behaviors children with cerebral palsy are the burden of family and society. Purposes: Evaluate the recovery effect of motor function by electro-acupuncture, point injection and massage in children with spastic cerebral palsy. Patients and Method: a controlled, clinical trial. Sixty patients were divided into two groups: a controlled group and a massage group. Two groups were treated electro-acupuncture, point injection and massage was added in the massage group during four weeks, once a day, six times per day. Results: after treatment, all of patients in massage group had good and fair levels (100%). The massage group decreased level of spastic muscle more than the controlled group with electro-acupuncture and point injection (p<0.05). Conclusion: Electro-acupuncture, point injection combined with massage improved the motor function and level of spastic muscle in children with spastic cerebral palsy. Keywords: Cerebral palsy, spastic, electro-acupuncture, point injection, massage

Sign in / Sign up

Export Citation Format

Share Document