The effect of capsicum plaster in pain after inguinal hernia repair in children
- Authors
- Kim, Kyo Sang; Kim, Dong Won; Yu, Yeon K.
- Issue Date
- Oct-2006
- Publisher
- BLACKWELL PUBLISHING
- Keywords
- acupuncture; capsaicin; children; postoperative pain surgery; hernia repair
- Citation
- PEDIATRIC ANESTHESIA, v.16, no.10, pp.1036 - 1041
- Indexed
- SCIE
SCOPUS
- Journal Title
- PEDIATRIC ANESTHESIA
- Volume
- 16
- Number
- 10
- Start Page
- 1036
- End Page
- 1041
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/180942
- DOI
- 10.1111/j.1460-9592.2006.01927.x
- ISSN
- 1155-5645
- Abstract
- Background : Capsicum plaster at a classical Chinese acupoint is an alternative to acupuncture, which has been used as a supplemental therapy to opioid analgesics for pain control during the postoperative period. We investigated the postoperative analgesic efficacy of capsicum plaster at Zusanli (ST-36) points after pediatric hernia repair. Methods: This double-blind, sham-controlled study was designed in 108 children, aged 4 month to 9 year, undergoing unilateral hernia repair, and was randomly assigned to three treatment regimens: group Zusanli (Z) = capsicum plaster at Zusanli acupoints and placebo tape on the shoulder as a nonacupoint, group Sham (S) = capsicum plaster on the shoulders and placebo tape at Zusanli acupoints, and group control (C) = placebo tape at Zusanli acupoints and on the shoulder. The postoperative pain scores and analgesic requirements during 24 h postoperatively were assessed. Results: Total meperidine consumption was significantly lower in group Z (0.87 +/- 0.35 mg.kg(-1)) compared with group C (1.27 +/- 0.41 mg.kg(-1)) and S (1.22 +/- 0.45 mg.kg(-1)) (P < 0.001). The pain scores on both the objective pain scale (OPS) and the Children Hospital of Ontario Pain Scale (CHEOPS), were significantly lower in group Z compared with the other groups at 6 and 24 h postoperatively, but not at the 10 min and 1 h postoperative time periods. Conclusions: Placement of capsicum plaster at the Zusanli points reduces pain and postoperative opioid consumption in children undergoing inguinal hernia repair, but not in the first six postoperative hours.
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