Turk J Med Sci. 2015;45(4):877-81. doi: 10.3906/sag-1406-138.
BACKGROUND/AIM: Postdural puncture backache (PDPB) is the most frequent complaint after spinal anesthesia. In the literature its importance is generally overshadowed by postdural puncture headache. We studied two different kinds of spinal anesthesia needles to compare their technical handling capacities and incidences of PDPB.
Data of 256 pregnant female patients undergoing cesarean delivery under spinal anesthesia were collected for the study. Patients were divided into two groups as Group A (n = 109) and Group Q (n = 147) according to the spinal needle used for spinal anesthesia (i.e. 26-gauge atraumatic and 26-gauge Quincke needles, respectively). Backache incidences during a 1-week period postoperatively and handling characteristics of the needles were noted.
Spinal anesthesia was successfully performed at one attempt in 92.7% and 86.4% of patients in Groups A and Q, respectively. PDPB was encountered in 62.4% and 44.2% of patients in Groups A and Q, respectively, and the difference was statistically significant (P = 0.037).
Both 26-gauge Atraucan and Quincke needles have excellent handling characteristics. PDPB seems to be less common with the 26-gauge Quincke needle than with the Atraucan needle.
背景/目的：硬脊膜穿破后腰痛（PDPB）是脊髓麻醉后最常见的主诉。在文献中，它的重要性通常被硬脊膜穿破后头痛所掩盖。我们研究了两种不同的脊髓麻醉针，以比较它们的技术处理能力和 PDPB 的发生率。
研究收集了 256 例接受脊髓麻醉下剖宫产的孕妇的数据。根据脊髓麻醉使用的针（即 26 号无损伤针和 26 号 Quincke 针）将患者分为两组：A 组（n = 109）和 Q 组（n = 147）。记录术后 1 周内腰痛的发生率和针的处理特点。
A 组和 Q 组患者分别有 92.7%和 86.4%的患者一次成功进行了脊髓麻醉。A 组和 Q 组分别有 62.4%和 44.2%的患者出现 PDPB，差异有统计学意义（P = 0.037）。
26 号 Atraucan 针和 Quincke 针都有很好的处理特点。与 Atraucan 针相比，26 号 Quincke 针似乎引起 PDPB 的情况较少。
