Chang Alexandra, Acquah Joseph, Reddy Sanjay, Chao Maria T
Departments of Anesthesiology and Internal Medicine, Loma Linda University (Dr Chang), United States.
Osher Center for Integrative Medicine, University of California San Francisco (Dr Acquah), United States.
Glob Adv Health Med. 2016 Jan;5(1):103-6. doi: 10.7453/gahmj.2015.010. Epub 2016 Jan 1.
Postdural puncture headache (PDPH) is a recognized complication of neuraxial anesthesia. This case report documents 1 patient who developed PDPH following epidural anesthesia for postoperative pain control. The patient declined conventional treatments, including an epidural blood patch and intravenous caffeine. This report documents successful use of adjunct acupuncture for the management of PDPH. Additional research on acupuncture as a potential adjunctive therapy for PDPH is needed, particularly for patients who are reluctant to receive more invasive treatments.
硬膜穿刺后头痛(PDPH)是一种公认的椎管内麻醉并发症。本病例报告记录了1例患者在接受硬膜外麻醉以控制术后疼痛后发生PDPH的情况。该患者拒绝了包括硬膜外血贴和静脉注射咖啡因在内的传统治疗方法。本报告记录了辅助针灸治疗PDPH取得成功的案例。需要对针灸作为PDPH潜在辅助治疗方法进行更多研究,特别是对于那些不愿接受更具侵入性治疗的患者。