J Korean Acad Nurs.  2013 Apr;43(2):215-224. 10.4040/jkan.2013.43.2.215.

Combination Effects of Capsicum Plaster at the Korean Hand Acupuncture Points K-D2 with Prophylactic Antiemetic on Postoperative Nausea and Vomiting after Gynecologic Laparoscopy

• Jung HJ
• Park SY

• KMID: 1739485
• DOI: http://doi.org/10.4040/jkan.2013.43.2.215

Abstract

PURPOSE
This study was done to evaluate the combination effects of capsicum plaster at the Korean hand acupuncture points K-D2 with prophylactic antiemetic on Postoperative Nausea and Vomiting (PONV).
METHODS
An experimental research design (a randomized, a double-blinded, and a placebo-control procedure) was used. The participants were female patients undergoing gynecologic laparoscopy; the control group (n=34) received intravenous prophylactic ramosetron 0.3mg, while the experimental group (n=34) had Korean Hand Therapy additionally. In the experimental group, capsicum plaster was applied at K-D2 of both 2nd and 4th fingers by means of Korean Hand Therapy for a period of 30 minutes before the induction of anesthesia and removed 8 hours after the laparoscopy.
RESULTS
The occurrence of nausea, nausea intensity and need for rescue with antiemetic in the experimental group was significantly less than in the control group 2 hours after surgery.
CONCLUSION
Results of the study show capsicum plaster at K-D2 is an effective method for reducing PONV in spite of the low occurrence of PONV because of the prophylactic antiemetic medication.

Keyword

Postoperative nausea and vomiting; Gynecology; Laparoscopy; Acupuncture points; Capsicum plaster

MeSH Terms

Acupuncture Points
Adult
Anesthesia
Antiemetics/*therapeutic use
Asian Continental Ancestry Group
Capsaicin/therapeutic use
Capsicum/*chemistry
Double-Blind Method
Female
Fingers
Genital Diseases, Female/*surgery
Humans
Laparoscopy/adverse effects
Middle Aged
Postoperative Nausea and Vomiting/*drug therapy/etiology
Republic of Korea
Time Factors
Vomiting/*drug therapy/etiology
Antiemetics
Capsaicin

Figure

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  Figure 1 Theoretical framework of this study based on Korean hand therapy and meridian theory.

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  Figure 2 Location of the Korean hand acupuncture point K-D2. In the experimental group, capsicum plaster (5×5mm2) was applied at the K-D2 points of both 2nd and 4th fingers. Patients of both groups were dressed with an inactive tape for a period of 30 minutes before the induction of anesthesia and removed 8 hours after laparoscopy.

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