Published online Apr 26, 2022. doi: 10.12998/wjcc.v10.i12.3764
Peer-review started: June 26, 2021
First decision: September 1, 2021
Revised: October 14, 2021
Accepted: March 4, 2022
Article in press: March 4, 2022
Published online: April 26, 2022
Processing time: 298 Days and 22 Hours
Propofol is a common choice for painless endoscopic sedation and anesthetics, but it can cause severe respiratory and circulatory depression. Therefore, it is important to find a way to reduce the dose of propofol.
Wrist-ankle acupuncture may reduce propofol dose during colonoscopy.
To determine if control group patients were different from the wrist-ankle acupuncture group regarding advantages in operation time, waking time, incidence of nausea and vomiting, incidence of abdominal distension, pain after colonoscopy, examiner satisfaction, patient satisfaction and Borg fatigue index.
During colonoscopy, the wrist-ankle needle was inserted to explore whether the dose of propofol could be reduced. Patient's operation time, waking time, incidence of nausea and vomiting, incidence of abdominal distension, pain after colonoscopy, examiner satisfaction, patient satisfaction and Borg fatigue index during painless colonoscopy were compared between wrist-ankle acupuncture group and the control group.
Wrist-ankle acupuncture can reduce the induced dose and total dose of propofol, reduce the incidence of adverse reactions of painless colonoscopy and does not affect the satisfaction of the examiner and the patient.
Wrist-ankle acupuncture combined with propofol can significantly reduce propofol dose during painless colonoscopy, decrease the incidence of adverse drug reactions, reduce the incidence of abdominal distention after examination, improve examiners' satisfaction and safety of colonoscopy and reduce the wake-up time of patients.
The wrist-ankle needle is simple to operate and can reduce the dosage of propofol, and it is easy to promote in clinical practice.