Advertisement

Chinese Journal of Integrative Medicine

, Volume 16, Issue 1, pp 71–74 | Cite as

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

  • Yi-hong Jiang (蒋奕红)
  • Wei Jiang (江 伟)
  • Lei-ming Jiang (蒋雷鸣)
  • Gao-xiang Lin (林高翔)
  • Hua Yang (杨 华)
  • Yi Tan (谭 毅)
  • Wei-wei Xiong (熊威威)
Clinical Experience

Abstract

Objective

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.

Methods

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.

Results

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).

Conclusions

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.

KeywordS

acupuncture spinal and epidural anesthesia morphine side effect 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    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.CrossRefPubMedGoogle Scholar
  2. 2.
    Bian JT. Study on a role of substance P in the spinal mechanisms of electroacupunctrure analgesia. Prog Physiol Sci 1995;26:325–328.Google Scholar
  3. 3.
    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.CrossRefPubMedGoogle Scholar
  4. 4.
    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.CrossRefPubMedGoogle Scholar
  5. 5.
    Cameron D, Gan TJ. Management of postoperative nausea and vomiting in ambulatory surgery. Anesthesiol Clin North Am 2003;21:347–365.CrossRefGoogle Scholar
  6. 6.
    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.CrossRefPubMedGoogle Scholar
  7. 7.
    Habib AS, Gen TJ. Evidence-based management of postoperative nausea and vomiting: a review. Can J Anaesth 2004;51:326–341.CrossRefPubMedGoogle Scholar
  8. 8.
    Jiang YH. Observation of two anaesthetic methods effect in prostate vaporization electrosection. Chin J Endosc (Chin) 2004;10:104.Google Scholar
  9. 9.
    Zhou L, ed. Physiology of gastroenteropathy. 1st ed. Beijing: Science Press; 1991:111–313.Google Scholar
  10. 10.
    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.Google Scholar
  11. 11.
    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.Google Scholar
  12. 12.
    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.Google Scholar
  13. 13.
    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.Google Scholar
  14. 14.
    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.Google Scholar

Copyright information

© Chinese Association of the Integration of Traditional and Western Medicine and Springer Berlin Heidelberg 2010

Authors and Affiliations

  • Yi-hong Jiang (蒋奕红)
    • 1
  • Wei Jiang (江 伟)
    • 2
  • Lei-ming Jiang (蒋雷鸣)
    • 3
  • Gao-xiang Lin (林高翔)
    • 1
  • Hua Yang (杨 华)
    • 2
  • Yi Tan (谭 毅)
    • 1
  • Wei-wei Xiong (熊威威)
    • 1
  1. 1.Department of AnesthesiologyHospital Affiliated to Guilin Medical CollegeGuangxi Zhuang Autonomous RegionChina
  2. 2.Department of Traditional Chinese MedicineHospital Affiliated to Guilin Medical CollegeGuangxi Zhuang Autonomous RegionChina
  3. 3.Department of UrologyHospital Affiliated to Guilin Medical CollegeGuangxi Zhuang Autonomous RegionChina

Personalised recommendations