Yılmaz Nezir, Çukurlu Mustafa
Department of Anesthesiology and Reanimation, Adıyaman University Training and Research Hospital, Adıyaman, TUR.
Department of Orthopaedics and Traumatology, Adıyaman University Training and Research Hospital, Adıyaman, TUR.
Cureus. 2023 Jul 3;15(7):e41304. doi: 10.7759/cureus.41304. eCollection 2023 Jul.
Objective This study aimed to investigate the relationship between joint laxity and post-dural puncture headache (PDPH). Methods A total of 123 patients with PDPH - 73 females and 50 males - were included in the study. The patients were examined regarding joint laxity and classified into two groups according to the Beighton score. Those with a Beighton score between 0 and 3 were classified as Group I, and those with a score greater than 4 were classified as Group II. Data related to the demographic characteristics of the patients, time of onset of PDPH, severity, need for medical treatment, need for an epidural blood patch, and length of hospital stay were recorded, and a comparison was made between the two groups. Results There was no significant difference between the groups in terms of age, gender distribution, and PDPH onset time (p>0.05). In Group II, which included patients positive for joint laxity, total headache duration, headache severity, need for medical treatment, need for epidural blood patch, and hospital stay were significantly higher than in Group I (p<0.05). Conclusion Joint laxity may increase the risk of PDPH after spinal anesthesia and may affect treatment processes. The Beighton score can determine the development and severity of PDPH in patients with joint laxity. Assessing joint laxity and Beighton score can improve clinical decision-making in managing PDPH and positively affect patient outcomes.
目的 本研究旨在探讨关节松弛与腰麻后头痛（PDPH）之间的关系。方法 本研究共纳入123例PDPH患者，其中女性73例，男性50例。对患者进行关节松弛检查，并根据Beighton评分分为两组。Beighton评分为0至3分的患者分为I组，评分大于4分的患者分为II组。记录患者的人口统计学特征、PDPH发病时间、严重程度、治疗需求、硬膜外血贴需求及住院时间等数据，并对两组进行比较。结果 两组在年龄、性别分布及PDPH发病时间方面无显著差异（p>0.05）。在关节松弛阳性的II组患者中，总头痛持续时间、头痛严重程度、治疗需求、硬膜外血贴需求及住院时间均显著高于I组（p<0.05）。结论 关节松弛可能增加脊麻后发生PDPH的风险，并可能影响治疗过程。Beighton评分可确定关节松弛患者PDPH的发生及严重程度。评估关节松弛和Beighton评分可改善PDPH管理中的临床决策，并对患者预后产生积极影响。
