Ziaei Somayeh, Yari Mitra, Pizarro Ana Beatriz, Golfam Parisa, Ahmadi Alireza
Anesthesia Department, Emam Reza Hospital Kermanshah University of Medical Sciences Kermanshah Iran.
Clinical Research Center, Fundación Valle del Lili Cali Colombia.
Health Sci Rep. 2024 May 1;7(5):e2025. doi: 10.1002/hsr2.2025. eCollection 2024 May.
Transient neurologic syndrome (TNS) is a postoperative pain in the back and buttock that can occur after spinal anesthesia. The spinal needle design may have an impact on the occurrence of TNS. We decided to compare the incidence of TNS and related factors between two spinal needle types.
In this randomized clinical trial, 150 patients aged 18-60 years and American Society of Anesthesiologists (ASA) physical status I who underwent lower abdomen or lower extremity surgeries with spinal anesthesia and supine position were enrolled. They were randomly divided into two groups (25 G Quincke or Sprotte needle) with 0.5% bupivacaine (12.5 mg). After the operation, the patients were asked to report any pain in the lower back, buttock, and thigh areas. A Visual Analog Scale (VAS) was also used to record the severity of the pain.
Overall, 45 patients developed TNS. Twenty-nine patients in the Sprotte group (38.7%) and 16 patients in the Quincke group (21.3%) developed TNS ( = 0.75). More patients in the Sprotte group (25.3%) had severe pain (VAS score of 8-10) when compared with the Quincke group (6.7%). There was no significant difference in TNS symptoms duration between the two groups. In about half of patients (51.9%) in the Sprotte group and 57.3% of patients in the Quincke group, the symptoms resolved after 2-3 h.
Although the incidence of TNS did not differ significantly, patients for whom a Sprotte spinal needle had been used had more severe pain. This suggests that the Quincke needle caused less severe pain.
短暂性神经综合征（TNS）是脊髓麻醉后可出现的腰背部和臀部术后疼痛。脊髓穿刺针的设计可能会对TNS的发生产生影响。我们决定比较两种脊髓穿刺针类型的TNS发生率及相关因素。
在这项随机临床试验中，纳入了150例年龄在18至60岁之间、美国麻醉医师协会（ASA）身体状况为I级、接受脊髓麻醉且仰卧位的下腹部或下肢手术患者。他们被随机分为两组（25G Quincke针或Sprotte针），使用0.5%布比卡因（12.5mg）。术后，要求患者报告腰背部、臀部和大腿区域是否有任何疼痛。还使用视觉模拟量表（VAS）记录疼痛的严重程度。
总体而言，45例患者发生了TNS。Sprotte组有29例患者（38.7%）发生TNS，Quincke组有16例患者（21.3%）发生TNS（P = 0.75）。与Quincke组（6.7%）相比，Sprotte组有更多患者（25.3%）出现严重疼痛（VAS评分为8至10分）。两组之间TNS症状持续时间无显著差异。Sprotte组约一半患者（51.9%）和Quincke组57.3%的患者症状在2至3小时后缓解。
虽然TNS的发生率无显著差异，但使用Sprotte脊髓穿刺针的患者疼痛更严重。这表明Quincke针引起的疼痛较轻。
