Singh Balwinderjit, Sohal Amartej Singh, Singh Iqbal, Goyal Subash, Kaur Prabhjot, Attri Joginder Pal
Department of Anesthesia, PIMS, Jalandhar, India.
Department of Surgery, PIMS, Jalandhar, India.
Anesth Essays Res. 2018 Jan-Mar;12(1):186-189. doi: 10.4103/aer.AER_139_17.
Postspinal headache and low backache are common complaints following spinal anesthesia which regresses spontaneously but sometimes becomes very troublesome for the patient as well as for the anesthesiologists. The aim of this study was to evaluate the incidence of postspinal headache and low backache after spinal anesthesia in lower abdominal surgery.
One hundred patients of 18-60 years of age group with patients physical status the American Society of Anesthesiologists Class I or II after due consent divided into equal numbers of two groups: median (M) approach and paramedian (P) approach scheduled for lower abdominal surgery. Group M (50 patients) received spinal by median approach while in Group (50 patients) received spinal by paramedian approach. The incidence of postspinal headache and low backache was observed in each group. All the patients were observed up to 7 days postoperatively. Data collected was analyzed statistically by SPSS (IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp) and Chi-square test, and < 0.05 considered as statistically significant.
Postspinal headache was observed to be 4% in paramedian approach and 20% in median approach group. Backache incidence recorded in both the groups was 2% and 10%, respectively. value calculated statistically was < 0.05 and hence statistically significant in paramedian approach in respect of incidence of both postspinal headache and backache.
Incidence of postspinal headache and low backache is less in paramedian approach than in median approach.
脊麻后头痛和腰痛是脊麻后常见的主诉，通常会自行缓解，但有时会给患者和麻醉医生带来很大困扰。本研究的目的是评估下腹部手术脊麻后头痛和腰痛的发生率。
100例年龄在18 - 60岁、美国麻醉医师协会身体状况分级为I或II级的患者，在获得适当同意后，平均分为两组：正中（M）入路组和旁正中（P）入路组，计划进行下腹部手术。M组（50例患者）采用正中入路进行脊麻，而P组（50例患者）采用旁正中入路进行脊麻。观察每组脊麻后头痛和腰痛的发生率。所有患者术后观察7天。收集的数据使用SPSS（IBM SPSS Statistics for Windows，版本22.0。纽约州阿蒙克：IBM公司）进行统计学分析，并采用卡方检验，P < 0.05被认为具有统计学意义。
旁正中入路组脊麻后头痛发生率为4%，正中入路组为20%。两组记录的腰痛发生率分别为2%和10%。统计学计算得出的P值 < 0.05，因此在旁正中入路组，脊麻后头痛和腰痛的发生率具有统计学意义。
旁正中入路脊麻后头痛和腰痛的发生率低于正中入路。
