Différences
Ci-dessous, les différences entre deux révisions de la page.
| Les deux révisions précédentes Révision précédente Prochaine révision | Révision précédente | ||
|
acupuncture:evaluation:soins peri-operatoires:07. nausees et vomissements post-operatoires [18 Feb 2024 17:28] Nguyen Johan [3.1. Generic Acupuncture] |
acupuncture:evaluation:soins peri-operatoires:07. nausees et vomissements post-operatoires [25 May 2025 11:26] (Version actuelle) Nguyen Johan |
||
|---|---|---|---|
| Ligne 6: | Ligne 6: | ||
| ===== Systematic Reviews and Meta-Analysis===== | ===== Systematic Reviews and Meta-Analysis===== | ||
| - | | ☆☆☆ | Evidence for effectiveness and a specific effect of acupuncture | | + | |
| - | | ☆☆ | Evidence for effectiveness of acupuncture | | + | |
| - | | ☆ |Limited evidence for effectiveness of acupuncture | | + | |
| - | | Ø |No evidence or insufficient evidence | | + | |
| Ligne 223: | Ligne 220: | ||
| ^Conclusions|TEAS is a reasonable modality to incorporate into a multimodal management approach for the prevention of PONV, PON, POV and associated with lower numbers needing antiemetic rescue, lower incidence of adverse effects after general anesthesia. | | ^Conclusions|TEAS is a reasonable modality to incorporate into a multimodal management approach for the prevention of PONV, PON, POV and associated with lower numbers needing antiemetic rescue, lower incidence of adverse effects after general anesthesia. | | ||
| + | === Comparison of Acupuncture techniques === | ||
| + | == Zhou 2025 == | ||
| + | Zhou T, Hou H, Cairen Z, Wang Y, Wang P, Ge L, Wa M, Xu Z, Tang F, Wang C, Liu R, Li D, Xue J, Zhang S. Comparative effectiveness of acupoint stimulation for preventing postoperative nausea and vomiting after general anesthesia: a network meta-analysis of randomized trials. Int J Surg. 2025 Jan 1;111(1):1330-1347. https://doi.org/10.1097/JS9.0000000000001976 | ||
| + | ^Objective| The objective was to systematically evaluate the effectiveness of different acupoint stimulation techniques in preventing postoperative nausea and vomiting (PONV) after general anesthesia.| | ||
| + | ^Methods| The authors searched PubMed, Cochrane Library, Web of Science, and Embase for relevant papers, about the effect of acupoint stimulation for preventing PONV from their inception to 31 July 2023. Two reviewers performed study screening, data extraction, and risk of bias assessment. The authors focused on patient important outcomes, including the incidence of PONV, postoperative nausea (PON), or postoperative vomiting (POV), and the number of patients requiring antiemetic rescue. The authors conducted network meta-analyses to estimate the relative effectiveness between different acupoint stimulation using Stata 17.0 and Revman 5.3 software.| | ||
| + | ^Results| The authors included **50 randomized trials** involving **7372 participants **(median age: 43.5 years, female: 73.3%). The network meta-analysis revealed that compared with the control (sham acupoint stimulation or blank control), antiemetic alone could significantly reduce the incidence of POV (RR 0.49, 95% CI: 0.36-0.69), but could not significantly reduce the incidence of PONV and PON (RR 0.49, 95% CI: 0.36-0.69; RR 0.81, 95% CI: 0.59-1.10; respectively); both TEAS and electroacupuncture alone significantly reduced the incidence of PONV, PON, and POV, and combined with antiemetic was usually more effective than single acupoint stimulation.| | ||
| + | ^Conclusions| Both TEAS and electroacupuncture, with or without antiemetic, could significantly reduce the incidences of postoperative nausea and vomiting after general anesthesia.| | ||
| ==== Specific Clinical Forms ==== | ==== Specific Clinical Forms ==== | ||
| Ligne 280: | Ligne 284: | ||
| === Laparoscopic surgery === | === Laparoscopic surgery === | ||
| + | |||
| + | |||
| + | == Tang 2025 == | ||
| + | |||
| + | Tang X, Qu S. The Impact of Acupuncture on Pain Intensity, Nausea, and Vomiting for Laparoscopic Cholecystectomy: A Meta-analysis Study. Surg Laparosc Endosc Percutan Tech. 2025 Feb 1;35(1):e1349. https://doi.org/10.1097/SLE.0000000000001349 | ||
| + | ^Backgound| Acupuncture may have some potential in pain relief after laparoscopic cholecystectomy, and this meta-analysis aims to explore the impact of acupuncture on pain intensity, nausea and vomiting for patients undergoing laparoscopic cholecystectomy.| | ||
| + | ^Methods| PubMed, EMbase, Web of science, EBSCO, Cochrane library databases, CNKI, VIP, and Wangfang were systematically searched, and we included randomized controlled trials (RCTs) assessing the effect of acupuncture on pain control for laparoscopic cholecystectomy.| | ||
| + | ^Results| **Five RCTs and 366 patients** were included in the meta-analysis. Overall, compared with control intervention for laparoscopic cholecystectomy, acupuncture was associated with significantly reduced pain scores at 6 hours [mean difference (MD)=-0.86; 95% CI=-1.37 to -0.34; P =0.001, 2 RCTs) and pain scores at 8 to 10 hours (MD=-0.71; 95% CI=-1.13 to -0.28; P =0.001, 2 RCTs), decreased incidence of nausea (odds ratio=0.10; 95% CI=0.03-0.34; P =0.0003, 3 RCTs), and vomiting (odds ratio=0.11; 95% CI=0.01-0.85; P =0.03, 3 RCTs), but demonstrated no obvious impact on pain scores at 12 to 24 hours (MD=-0.38; 95% CI=-1.02 to 0.27; P =0.25, 2 RCTs).| | ||
| + | ^Conclusions| Acupuncture may be effective to reduce pain intensity, nausea, and vomiting for laparoscopic cholecystectomy.| | ||
| + | |||
| == Huang 2023 == | == Huang 2023 == | ||
