The Analgesic Effects of Capsicum Plaster at the Zusanli Point After Abdominal Hysterectomy

Acupuncture has been used to supplement opioid analgesics for postoperative pain control. We designed this double-blind, sham-controlled study to assess the effectiveness of capsicum plaster (PAS) at Zusanli (ST-36) acupoints on postoperative opioid analgesic requirement, side effects, and recovery...

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Veröffentlicht in:Anesthesia and analgesia 2006-09, Vol.103 (3), p.709-713
Hauptverfasser: Kim, Kyo S., Nam, Yu M.
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description Acupuncture has been used to supplement opioid analgesics for postoperative pain control. We designed this double-blind, sham-controlled study to assess the effectiveness of capsicum plaster (PAS) at Zusanli (ST-36) acupoints on postoperative opioid analgesic requirement, side effects, and recovery profile. Ninety women undergoing total abdominal hysterectomy were randomly assigned to 3 treatment regimens (n = 30 each): group Zusanli = PAS at Zusanli acupoints, group sham = PAS at the nonacupoints on the shoulders, and group control = placebo tape at Zusanli acupoints. The PAS was applied before induction of anesthesia and maintained for 8 h per day for 3 postoperative days. The total amount of morphine administered in the first 24 h after the operation was significantly decreased in group Zusanli (31.5 +/- 6.8 mL) compared with groups control (44.3 +/- 10.1 mL) and sham (44.6 +/- 10.4 mL) (P < 0.01). The incidence of postoperative side effects and the use of rescue antiemetics during the 72 h after surgery were significantly reduced in group Zusanli compared with other groups (P < 0.01). PAS at Zusanli points decreased the postoperative opioid requirement and opioid-related side effects of patients undergoing abdominal hysterectomy.
doi_str_mv 10.1213/01.ane.0000228864.74691.9f
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The incidence of postoperative side effects and the use of rescue antiemetics during the 72 h after surgery were significantly reduced in group Zusanli compared with other groups (P &lt; 0.01). PAS at Zusanli points decreased the postoperative opioid requirement and opioid-related side effects of patients undergoing abdominal hysterectomy.</description><identifier>ISSN: 0003-2999</identifier><identifier>EISSN: 1526-7598</identifier><identifier>DOI: 10.1213/01.ane.0000228864.74691.9f</identifier><identifier>PMID: 16931685</identifier><identifier>CODEN: AACRAT</identifier><language>eng</language><publisher>Hagerstown, MD: International Anesthesia Research Society</publisher><subject>Acupuncture Points ; Administration, Topical ; Adult ; Analgesics - pharmacology ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. 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Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Capsicum</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Humans</subject><subject>Hysterectomy - methods</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Morphine - pharmacology</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Placebos</subject><subject>Postoperative Period</subject><issn>0003-2999</issn><issn>1526-7598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkUtr3DAURkVISaZp_kIQhWRn9-phPbIbhjwKgWaRbpqFkGWp41a2J5ZNmH8fTWZgtBH36tzvwhFC3wmUhBL2A0hpe19CPpQqJXgpudCk1OEELUhFRSErrU7RIgOsoFrrc_Q1pX-5JKDEGTonQjMiVLVAry9rj5e9jX99ah2-C8G7KeEh4JXd5M7c4edo0-RHbCc8ZfjPnGwfW_w8tP2El2H3tKyboWtzCn7c7ticMXTbb-hLsDH5y8N9gX7f372sHounXw8_V8unwnEJtCCVlB6cJ1zWwavGutDUzhIInoHWTjhZ09pBQwVVOihvia65gDoQzagV7ALd7HM34_A2-zSZrk3Ox5gtDXMyQklVcaYyeLsH3TikNPpgNmPb2XFrCJidWgPE5CFzVGs-1Rod8vDVYctcd745jh5cZuD6ANjkbAyj7V2bjpwCCYzzzPE99z7E7Cr9j_O7H83a2zitP1dDxXRBAQToXBS7b6TsA19ckzE</recordid><startdate>20060901</startdate><enddate>20060901</enddate><creator>Kim, Kyo S.</creator><creator>Nam, Yu M.</creator><general>International Anesthesia Research Society</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060901</creationdate><title>The Analgesic Effects of Capsicum Plaster at the Zusanli Point After Abdominal Hysterectomy</title><author>Kim, Kyo S. ; Nam, Yu M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4702-1577e0ce147bfe8dacfdbca10fe3099c6c7b2bc0d26289f8ea19b460bf1932a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Acupuncture Points</topic><topic>Administration, Topical</topic><topic>Adult</topic><topic>Analgesics - pharmacology</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Capsicum</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Humans</topic><topic>Hysterectomy - methods</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Morphine - pharmacology</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Placebos</topic><topic>Postoperative Period</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Kyo S.</creatorcontrib><creatorcontrib>Nam, Yu M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anesthesia and analgesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Kyo S.</au><au>Nam, Yu M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Analgesic Effects of Capsicum Plaster at the Zusanli Point After Abdominal Hysterectomy</atitle><jtitle>Anesthesia and analgesia</jtitle><addtitle>Anesth Analg</addtitle><date>2006-09-01</date><risdate>2006</risdate><volume>103</volume><issue>3</issue><spage>709</spage><epage>713</epage><pages>709-713</pages><issn>0003-2999</issn><eissn>1526-7598</eissn><coden>AACRAT</coden><abstract>Acupuncture has been used to supplement opioid analgesics for postoperative pain control. 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source MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Acupuncture Points
Administration, Topical
Adult
Analgesics - pharmacology
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Capsicum
Double-Blind Method
Female
Humans
Hysterectomy - methods
Medical sciences
Middle Aged
Morphine - pharmacology
Pain, Postoperative - drug therapy
Placebos
Postoperative Period
title The Analgesic Effects of Capsicum Plaster at the Zusanli Point After Abdominal Hysterectomy
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