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

OriginalPaper | Updated：2021-08-27

- Clinical efficacy of acupuncture on the morphine-related side effects in patients undergoing spinal-epidural anesthesia and analgesia
- Clinical efficacy of acupuncture on the morphine-related side effects in patients undergoing spinal-epidural anesthesia and analgesia
- 中国结合医学杂志（英文版） 2010年16卷第1期页码：71-74
- 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
  中图分类号：
- 纸质出版日期：2010，
  
  网络出版日期：2010-2-4，
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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, 2010,16(1):71-74.
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, 2010,16(1):71-74. 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

Qin W, Tian J, Bai LJ, Pan XH, Yang L, Chen P, et al. FMRI connectivity analysis of acupuncture effects on an amygdala-associated brain network. Mol Pain 2008;4:55.

Bian JT. Study on a role of substance P in the spinal mechanisms of electroacupunctrure analgesia. Prog Physiol Sci 1995;26:325–328.

Stein DJ, Birnbach DJ, Danzer BI, Koroda MM, Grunebaum A, Thys DM. Acupressure versus intravenous metoclopramide to prevent nausea and vomiting during spinal anesthesia for cesarean section. Anesth Analg 1997;84:342–345.

Sim CK, Xu PC, Pua HL, Zhang G, Lee TL. Effects of electroacupuncture on intraoperative and postoperative analgesic requirement. Acupunct Med 2002;20:56–65.

Cameron D, Gan TJ. Management of postoperative nausea and vomiting in ambulatory surgery. Anesthesiol Clin North Am 2003;21:347–365.

Gan TJ, Meyer T, Apfel CC, Chung F, Davix PJ, Eubanks S, et al. Consensus guidelines for managing postoperative nausea and vomiting. Anesth Analg 2003,97:62–71.

Habib AS, Gen TJ. Evidence-based management of postoperative nausea and vomiting: a review. Can J Anaesth 2004;51:326–341.

Jiang YH. Observation of two anaesthetic methods effect in prostate vaporization electrosection. Chin J Endosc (Chin) 2004;10:104.

Zhou L, ed. Physiology of gastroenteropathy. 1st ed. Beijing: Science Press; 1991:111–313.

Lin ZF, Zheng DQ, Tan ZJ, Qin Y, Wang JC, Chen ZQ, et al. TCM classification of syndromes for 270 cases of superapubil prostatectomy via bladder. Tradit Chin Med Res (Chin) 2002;15:22–23.

Zhang AL, Chen RX, Kang MF, Cheng LH, Xu QS. Clinical effect of acupuncture in the treatment of gastrokinetic disturbance. Chin Acupunct Moxibust (Chin) 1994;14:1–2.

Shang JK, Yang ZG, Xue L. The effect of acupuncture on recover of gastrointestinal function in 62 patients of post abdominal surgical under epidural anesthesia. Shaanxi J Tradit Chin Med (Chin) 2001;22:416.

Zhang XH, Huang YG, Zhao X, Reng HZ, Luo AL. The antiemetic effectiveness of droperidol and ondansetron during morphine patient controlled analgesia. Chin J Pain Med 1999;5:19–23.

Zhang JJ, Sun LB, Xia JH, Huang WQ, Chen BX. Comparison of navoban, ondasetron and dropridol in reducing postoperative nausea and vomiting associated epidural anesthesia with morphine. J Pract Med 2001;17:443–444.

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