Clinical efficacy of acupuncture on the morphine-related side effects in patients undergoing spinal-epidural anesthesia and analgesia

Yi-hong Jiang; Wei Jiang; Lei-ming Jiang; Gao-xiang Lin; Hua Yang; Yi Tan; Wei-wei Xiong

doi:10.1007/s11655-010-0070-7

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Clinical efficacy of acupuncture on the morphine-related side effects in patients undergoing spinal-epidural anesthesia and analgesia

Updated：2021-08-27

- Clinical efficacy of acupuncture on the morphine-related side effects in patients undergoing spinal-epidural anesthesia and analgesia
- Chinese Journal of Integrative Medicine Vol. 16, Issue 1, Pages: 71-74(2010)
- Affiliations：
  
  1. Department of Anesthesiology, Hospital Affiliated to Guilin Medical College, Guangxi Zhuang Autonomous Region,China
  2. Department of Traditional Chinese Medicine, Hospital Affiliated to Guilin Medical College, Guangxi Zhuang Autonomous Region,China
  3. Department of Urology, Hospital Affiliated to Guilin Medical College, Guangxi Zhuang Autonomous Region,China
- Author bio：
- Funds：
  
  Supported by the Research Item of Guangxi Science and Technology Committee (No. 0848013), Research Item of Guangxi Medicine Committee (No. 2008256)
- DOI：10.1007/s11655-010-0070-7
  CLC：
- Published：2010，
  
  Published Online：4 February 2010，
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Jiang, Yh., Jiang, W., Jiang, Lm. et al. Clinical efficacy of acupuncture on the morphine-related side effects in patients undergoing spinal-epidural anesthesia and analgesia., Chin. J. Integr. Med. 16, 71–74 (2010). https://doi.org/10.1007/s11655-010-0070-7

Yi-hong Jiang, Wei Jiang, Lei-ming Jiang, et al. Clinical efficacy of acupuncture on the morphine-related side effects in patients undergoing spinal-epidural anesthesia and analgesia. [J]. Chinese Journal of Integrative Medicine 16(1):71-74(2010)
Jiang, Yh., Jiang, W., Jiang, Lm. et al. Clinical efficacy of acupuncture on the morphine-related side effects in patients undergoing spinal-epidural anesthesia and analgesia., Chin. J. Integr. Med. 16, 71–74 (2010). https://doi.org/10.1007/s11655-010-0070-7 DOI：

Yi-hong Jiang, Wei Jiang, Lei-ming Jiang, et al. Clinical efficacy of acupuncture on the morphine-related side effects in patients undergoing spinal-epidural anesthesia and analgesia. [J]. Chinese Journal of Integrative Medicine 16(1):71-74(2010) DOI： 10.1007/s11655-010-0070-7.

摘要

To investigate the effects of acupuncture on the morphine-related side effects (nausea

vomiting

itchiness and gastrointestinal disorders) in patients undergoing anesthesia and analgesia and try to find the clinical mechanism of acupuncture. Patients scheduled to have transurethral prostatic resection: enrolled in the study (69 patients)

characterized as Grade II or III by the American Society of Anesthesiologists physical status classification

were randomly assigned to three groups

23 patients in each group: the placebo group (control group)

non-anesthesia area (NAA) group

and the anesthesia area (AA) group. After spinal anesthesia

all patients received Patients Controlled Epidural Analgesia. The vital signs

bowel sounds

visual analogue scales

itchiness

nausea and vomiting

and time for first exhaust post operation were observed. Altogether

nine cases were eliminated

three in each group. Finally

sixty cases completed this study

: twenty in each group. There was a significant decrease of bowel sounds after morphine spinal anesthesia in the three groups. Compared with the control or AA group

the bowel sound recovered after acupuncture

the incidences of nausea and vomiting

itchiness

and time for first exhaust after operation decreased in the NAA group (P<0.05). There was a significant decrease of the incidence for itchiness in the NAA group compared with <the control group (P<0.05). On the basis of this study

it is obviously seen that acupuncture could: decrease the incidence of morphine-related side effects (nausea and vomiting

itchiness and gastrointestinal disorders) when the spinal cord conduct is normal. However

it decreases only the incidence of itchiness but not for gastrointestinal dysfunction when the spinal cord is blocked.

Abstract

To investigate the effects of acupuncture on the morphine-related side effects (nausea

vomiting

characterized as Grade II or III by the American Society of Anesthesiologists physical status classification

were randomly assigned to three groups

23 patients in each group: the placebo group (control group)

non-anesthesia area (NAA) group

and the anesthesia area (AA) group. After spinal anesthesia

all patients received Patients Controlled Epidural Analgesia. The vital signs

bowel sounds

visual analogue scales

itchiness

nausea and vomiting

and time for first exhaust post operation were observed. Altogether

nine cases were eliminated

three in each group. Finally

sixty cases completed this study

: twenty in each group. There was a significant decrease of bowel sounds after morphine spinal anesthesia in the three groups. Compared with the control or AA group

the bowel sound recovered after acupuncture

the incidences of nausea and vomiting

itchiness

it is obviously seen that acupuncture could: decrease the incidence of morphine-related side effects (nausea and vomiting

itchiness and gastrointestinal disorders) when the spinal cord conduct is normal. However

it decreases only the incidence of itchiness but not for gastrointestinal dysfunction when the spinal cord is blocked.

关键词

acupuncturespinal and epidural anesthesiaMorphineside effect

Keywords

acupuncturespinal and epidural anesthesiaMorphineside effect

references

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Acupuncture and Moxibustion Department, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University

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Department of Traditional Chinese Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences

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