Lindh A, Andersson A S, Westman L
Department of Anaesthesiology and Intensive Care Medicine, Ersta Hospital, Stockholm, Sweden.
Acta Anaesthesiol Scand. 2001 Mar;45(3):290-3. doi: 10.1034/j.1399-6576.2001.045003290.x.
The aetiology of transient lumbar pain (TLP) after spinal anaesthesia has generated much interest. Many theories have been discussed. Early ambulation has been suggested as one plausible theory for developing TLP.
A total of 107 patients scheduled for inguinal hernial repair under spinal anaesthesia (20 mg/ml hyperbaric lidocaine) were randomised to either early or late ambulation: the early ambulation (group A), as early as possible after total regression of spinal block or the late mobilisation (group B) bedridden for more than 12 h. The clinical course and duration of operation were monitored. Assessments 4, 8 and 12 h after spinal anaesthesia were performed with respect to wound pain, nausea, tiredness and eventual symptoms of TLP were recorded. The patients also kept a diary about any symptoms once daily day 1-3 at home. A telephone follow-up was performed at day 5-7.
Our results showed an incidence of TLP of 23% in all patients. No difference was recorded between early and late mobilisation patients, 12 and 13 patients, respectively.
Early ambulation does not seem to increase the risk of developing TLP.
脊髓麻醉后短暂性腰痛（TLP）的病因引起了广泛关注。人们讨论了许多理论。早期活动被认为是TLP发生的一种可能理论。
总共107例计划在脊髓麻醉（20mg/ml高压利多卡因）下进行腹股沟疝修补术的患者被随机分为早期活动组或晚期活动组：早期活动组（A组）在脊髓阻滞完全消退后尽早活动，晚期活动组（B组）卧床超过12小时。监测临床过程和手术时间。在脊髓麻醉后4、8和12小时评估伤口疼痛、恶心、疲劳情况，并记录最终的TLP症状。患者还在术后第1至3天在家中每天记录一次任何症状。在第5至7天进行电话随访。
我们的结果显示所有患者中TLP的发生率为23%。早期活动组和晚期活动组之间无差异，分别为12例和13例患者。
早期活动似乎不会增加发生TLP的风险。
