Acupuncture in preventing postoperative nausea and vomiting: a systematic review and Bayesian network meta-analysis
Journal Title: TMR Non-Drug Therapy - Year 2021, Vol 5, Issue 2
Abstract
Background: Some studies have suggested acupuncture therapy can prevent postoperative nausea and vomiting. However, the best choice of acupuncture therapy for postoperative nausea and vomiting remains controversy. Methods: Several databases were searched from inception to April 2020. Randomized controlled trials met the criterion were included. Risk of bias was implemented with Cochrane risk-of-bias tool. Addis, R, OpenBUGS and STATA were used to conduct meta-analysis. The evidence was assessed by GRADE profiler 3.6. Results: Fifty studies involving 5980 patients were included. The risk of bias of most included studies were acceptable. The results of network=meta-analyses indicated, compared with placebo, electroacupuncture was the best choice for postoperative nausea (odds ratio = 0.09, 95% confidence interval: 0.02–0.51) and acupoint plaster for postoperative vomiting (odds ratio = 0.07, 95% confidence interval: 0.01–0.42), acupoint catgut embedding + 5HTRA for postoperative nausea and vomiting (odds ratio = 0.05, 95% confidence interval: 0.01–0.15), and transcutaneous electrical nerve stimulation + 5-hydroxytryptamine receptor antagonists for postoperative rescue antiemetics (odds ratio = 0.14, 95% confidence interval: 0.08–0.46). Conclusion: It was suggested transcutaneous electrical nerve stimulation + 5 -hydroxytryptamine receptor antagonists was the best choice. The results provided guidance for the prevention of postoperative nausea and vomiting.
Authors and Affiliations
Cheng-Wei Fu, Qing Shu, Yang Jiao, Tong Wu, Ai-Qun Song, Qiao-Chu Zhu, Wei-Ping Zhang
Keywords
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- EP ID EP694983
- DOI 10.12032/TMRND20210525030
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