Clarke G A, Power K J
Department of Anaesthesia, Centrallasarettet, Vasteras, Sweden.
Ann R Coll Surg Engl. 1988 May;70(3):144-6.
Postoperative morbidity in fifty day care patients undergoing spinal anaesthesia was evaluated by means of a postoperative questionnaire. Despite the use of a 26G spinal needle in all patients, there was an overall incidence of spinal headache of 18%, which rose to 39% when considering patients under 40 years of age. Several spinal headaches of three to five days' duration were reported. Patients receiving spinal anaesthesia were compared with a smaller group of patients receiving general anaesthesia for similar procedures, and this group showed no evidence of post-operative morbidity after 48 h. In agreement with a previous study, it is concluded that spinal anaesthesia is not a suitable technique for the young day care patient.
通过术后问卷调查对50例接受脊髓麻醉的日间手术患者的术后发病率进行了评估。尽管所有患者均使用26G脊髓穿刺针，但脊髓头痛的总体发生率为18%，若考虑40岁以下的患者，这一发生率则升至39%。有几例报告称脊髓头痛持续了三到五天。将接受脊髓麻醉的患者与一小群接受全身麻醉进行类似手术的患者进行了比较，该组患者在48小时后未出现术后发病迹象。与之前的一项研究一致，得出的结论是，脊髓麻醉不适用于年轻的日间手术患者。
