대한한의학회지 (The Journal of Korean Medicine)

  • 제17권2호
  • /
  • Pages.331-336
  • /
  • 1996
  • /
  • 1010-0695(pISSN)
  • /
  • 2288-3339(eISSN)
대한한의학회 (The Society of Korean Medicine)
권호 표지

수술후 오심구토에 대한 이침요법의 임상적 연구

Effect of Auricular acupuncture on Postoperative Nausea and Vomiting

  • 김용석 (경희대학교 한의과대학 침구학교실) ;
  • 김창환 (경희대학교 한의과대학 침구학교실) ;
  • 김건식 (경희대학교 의과대학 마취과학교실)
  • Kim, Yong-Suk (Department of Acupuncture and Moxibustion, College of Oriental Medicine, KyungHee University) ;
  • Kim, Chang-Hwan (Department of Acupuncture and Moxibustion, College of Oriental Medicine, KyungHee University) ;
  • Kim, Keon-Sik (Department of Anesthesiology, College of Medicine, KyungHee University)
  • 발행 : 1996.10.30
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초록

본 논문은 수술후 오심, 구토증에 대한 이침요법의 효과를 연구하기 위하여 시도되었다. 경희대학교 의과대학 부속병원에서 전신마취하에 복식 자궁절제술을 받기로 예정된 100명의 환자를 두 군으로 나누어 이침요법을 하지 않은 대조군과 이침요법을 시행한 실험군을 대상으로 연구를 하였다. 대상환자의 연령, 체중, 신장, 마취시간은 두 군간에 통계적으로 유의성있는 차이는 없었다. 수술후 12시간이내에 한번이라도 오심, 구역 및 구토가 발생된 환자는 대조군이 68%, 실험군이 30%으로 실험군이 대조군에 비하여 유의성있는 효과를 보였다. 이침요법에 의한 부작용은 나타나지 않았다. 이침요법은 복식 자궁절제술 후 오심, 구토를 부작용없이 예방하는데 상당한 효과가 있는 것으로 사려된다.

We have studied the effect of auricular acupuncture on postoperative nausea and vomiting (PONV). 100 female patients undergoing transabdominal hysterectomy were entered into the study. The patients were divided into two groups (auricular acupuncture treatment group and non-treatment group) to test the effectiveness of auricular acupuncture. acupuncture consisted of needle insertion in one ear at four points: sympathetic, stomach, shinmoon and occiput. Before the operation, the above points were punctured perpendicularly by the thumbtack-type needle, leaving its handle lying flat on the skin surface. There was no significant difference in age, weight, height and duration of anesthesia among the two groups of patients. There was a cignificant difference between the control group and auricular acupuncture treatment group in the incidence of vomiting at the first 12 h after surgery 68% and 30%, respectively, p<0.01) No noteworthy side effects fbom treatment were observed. auricular acupuncture is effective in reducing nausea and vomiting after transabdominal hysterectomy in female patients.

키워드

참고문헌

  1. Acupuncture and Moxibustion(II) Choi, Y.T.(et al.)
  2. The Journal of the Korean Society of Anesthesiologists v.28 no.3 Effect of electro acupuncture stimulation of PC6 and PC7 antiemetic point on postoperative nausea and vomiting Kim, K.S.;Kim, D.S.;Shin, K.I.;Kim, Y.S.
  3. British Journal of Anaesthesia v.69 no.SUP.1 Physiology of nausea and vomiting Andrews, P.L.R.
  4. J Pharmacol Exp Ther v.203 Naloxone antagonizes narcotic selfblockade of emesis in the cat Costello, D.J.;Borison, H.L.
  5. British Medical Journal v.293 Traditional Chinese acupuncture:a potentially useful antiemetic? Dundee, J.W.;Chestnut, W.N.;Ghaly, R.G.;Lynas, A.G.A.
  6. British Journal of Anaesthesia v.63 Effect of stimulation of the P6 antiemetic point on postoperative nausea and vomiting Dundee, J.W.;Ghaly, R.G.;Bill, K.M.;Chestnutt, W.N.;Fitzpatrick, K.T.J.;Lynas, A.G.A.
  7. British Journal of Anaesthesia v.63 Does the timing of P6 acupuncture influence its efficacy as a postoperative antiemetic? Dundee, J.W.;Ghaly, R.G.
  8. Anaesthesia v.41 Acupuncture and postoperative vomiting Fry, E.N.S.
  9. Anaesthesia v.42 Antiemetic studies with traditional Chinese acupuncture. A comparison of manual needling with electrical stimulation and commonly used antiemetics Ghaly, R.G.;Fitzpatrick, K.T.J.;Dundee, J.W.
  10. Ann Rev Pharmacol Toxicol. v.22 Neurochemical basis of acupuncture analgesia Han, J.S.;Terenius, L.
  11. Anaesthesia v.45 Electro-acupuncture and postoperative emesis Ho, R.T.;Jawan, B.;Fung, S.T.;Cheung, H.K.;Lee, J.H.
  12. British Journal of Anaesthesia v.69 no.SUP.1 The study of postoperative nausea and vomiting Korttila, K.
  13. British Journal of Anaesthesia v.67 Effect of P6 acupressure on postoperative vomiting in children undergoing outpatiend strabismus correction Lewis, I.H.;Pryn, S.J.;Reynolds, P.I.;Pandit, U.A.;Wilton, N.C.T.
  14. Anasth Anal v.69 Delayed side effects of droperidol after ambulatory general anesthesia Melnick, S.;Sawyer, R.;Karamteikar, D.;Phitayakorn, P.;Uy, N.T.;Patel, R.
  15. British Journal of Anaesthesia v.69 no.SUP.1 Anaesthetic factors contributing to postoperative nausea and vomiting Rabey, P.G.;Smith, G.
  16. British Journal of Anaesthesia v.69 no.SUP.1 Current management of postoperative nausea and vomiting Rowbotham, D.J.
  17. Zhongguo zhenjiuxue Wang, D.S.
  18. Anesthesiology v.77 Postoperative nausea and vomiting:its etiology, treatment and prevention Watcha, M.F.;White, P.F.
  19. British Journal of Anaesthesia v.295 Traditional Chinese acupuncture as an antiemetic Weightman, W.M.;Zacharias, M.;Herbison, P.
  20. Acta Anaesthesiol Scan v.37 Comparision of P6 acupoing injection with 50% glucose in water and intravenous droperidol for prevention of vomiting after gynecological laparoscopy Yang, L.C.;Jawan, B.;Chen, C.N.;Ho, R.T.;Chang, K.A.;Lee, J.H.
  21. British Journal of Anaesthesia v.67 P6 acupuncture and postoperative vomiting after tonsillectomy in children Yentis, S.M.;Bissonnette, B.