Kreuscher H, Sandmann G
Institut für Anaesthesiologie der Städtischen Kliniken Osnabrück.
Reg Anaesth. 1989 May;12(3):46-9.
In a prospective study spinal anesthesia was performed in 500 patients (338 male and 162 female patients between 16 and 91 years of age: mean 46 years), with a total number of 603 spinal anesthetics. In all cases a 22G Whitacre needle was used. All patients were mobilized from the day of the operation onward and visited 4 days later by the interviewer and asked about any symptoms, especially headache. Mild postspinal headache occurred in 11 cases (1.8% of total), all in patients younger than 50 years of age and more in women. There were 6 patients among the 11 who did not need specific therapy their headache; for the others antipyretic analgesics, adequate hydration and/or bedrest were satisfactory. The study shows that the incidence of postspinal headache was significantly reduced by the use of Whitacre's pencil-point needle in comparison with findings reported in the literature.
在一项前瞻性研究中，对500例患者（年龄在16至91岁之间，男性338例，女性162例，平均46岁）实施了脊髓麻醉，共进行了603次脊髓麻醉操作。所有病例均使用22G惠特克针。所有患者自手术当日起即可活动，4天后由访视者进行访视，并询问有无任何症状，尤其是头痛情况。11例患者（占总数的1.8%）出现轻度脊髓穿刺后头痛，均为年龄小于50岁的患者，且女性更多。11例中有6例患者的头痛无需特殊治疗；其他患者使用解热镇痛药、充分补液和/或卧床休息后情况良好。该研究表明，与文献报道的结果相比，使用惠特克笔尖针可显著降低脊髓穿刺后头痛的发生率。
