Effect of acupressure on post operative nausea and vomiting


Karim Naseri 1 , * , Shohleh Shami 2 , Behzad Ahsan 3 , Mohammadreza Zojaji Kohan 3

1 Assistant Professor Department of Anesthesiology, Sanandaj, Iran.

2 Instructor Department of Nursing, Kordestan University of Medical Sciences, Sanandaj, Iran.

3 Assistant Professor Department of Anesthesiology, Kordestan University of Medical Sciences, Sanandaj, Iran.

How to Cite: Naseri K, Shami S, Ahsan B, Zojaji Kohan M. Effect of acupressure on post operative nausea and vomiting, Hormozgan Med J. 2007 ; 10(4):e90163.


Hormozgan Medical Journal: 10 (4); e90163
Published Online: August 13, 2006
Article Type: Research Article
Received: September 07, 2004
Accepted: August 13, 2006


Introduction: Nausea and vomiting is one of the most common postoperative
complications. Aside from pharmacological interventions, other complementary
healing modalities have been introduced to assist patients in decreasing this
complication. This study examined acupressure as a potentially safe method
(comparing to the traditional approach of using drugs) for preventing and or
reliving nausea and vomiting in the postoperative patient.
Methods: A double-blinded, experimental interventional study was conducted on
240 ASA (American Society of Anesthesiologist) I and II adults who were scheduled
for elective orthopedic surgery. The patients were divided randomly in two groups.
In case group, acupressure was performed 5 minutes before induction of anesthesia
by applying an acuband on the Nei Guan point that remained in situ for 5.5 hours. In
the control group bands without button inside were applied. Induction and
maintenance of anaesthesia was similar in two groups. Patients were asked by
another person (who didn’t know about applied bounds) about any nausea or
vomiting in recovery room, 6 and 24 hours after operation. The results were
analyzed by SPSS, T and Chi-square statistical tests.
Results: There were no significant difference considering age between two
groups. The two groups had no difference regarding anesthetic drugs. The
incidence of nausea and vomiting were the same in recovery room and there were
no differences between two groups in this regard. In the acupressure group the
incidence of nausea and/or vomiting was significantly lower than placebo group
in the 6th and 24th hour after operation. The incidence of nausea and vomiting in
the women of two groups were slightly but not significantly higher than the men.
The acupressure effects on decreasing nausea and vomiting were the same in men
and women in different times post operation.
Conclusion: The results of this study showed that the acupressure on the
acupuncture point PC 6 (Pericardium-6) is an effective method for reducing
postoperative nausea and vomiting in adults after orthopedic surgery. We suggest
this method in other surgeries that are accompanied by higher incidence of nausea
and vomiting.



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