Fassoulaki A, Sarantopoulos C, Andreopoulou K
Department of Anaesthesia, St. Savas Hospital, Athens, Greece.
Anaesthesiol Reanim. 1991;16(6):375-8.
Sixty-nine patients who underwent transurethral resection of the prostate under subarachnoid anaesthesia were studied. They were randomly allocated to either an early mobilisation group (group A, 30 patients), or a 24 hour bed rest group (group B, 39 patients). The incidence and severity of postspinal headache were assessed in each patient at 24, 48 and 72 hours. The incidence of headache in group B was significantly higher when compared with group A at 48 and 72 hours postoperatively (p less than 0.025 and p less than 0.01, respectively). The total incidence of headache throughout the 72 hours was also significantly higher in group B (p less than 0.01). Regarding the severity of headache the two groups did not differ significantly. Therefore, bed rest is not recommended as a prophylactic measure for postspinal headache.
对69例在蛛网膜下腔麻醉下接受经尿道前列腺切除术的患者进行了研究。他们被随机分为早期活动组（A组，30例患者）或24小时卧床休息组（B组，39例患者）。在术后24、48和72小时对每位患者的脊麻后头痛发生率和严重程度进行评估。B组头痛发生率在术后48小时和72小时与A组相比显著更高（分别为p<0.025和p<0.01）。整个72小时内B组头痛总发生率也显著更高（p<0.01）。关于头痛严重程度，两组无显著差异。因此，不建议将卧床休息作为预防脊麻后头痛的措施。
