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脊柱穿刺后头痛——一个临床问题(作者译)

[Postspinal headache -- a clinical problem (author's transl)].

作者信息

Meyer-Hamme K, Stratmann D, Watermann W F, Götte A

出版信息

Anaesthesist. 1979 Oct;28(10):77-80.

PMID:525746
Abstract

A prospective study was made in 255 patients following spinal anaesthesia to detect the incidence of post operative headache, reference also being made to the size of needle used for lumbar puncture. There was a difference in the frequency of headache related to the size of needle used (9.7% with 22 gauge needle as against 6.7% with 25 gauge needle). Also the value of prophylaxis of headache by means of an epidural blood patch was shown (1.3%). Age also played a role, the older the patient, the less the risk of headache. The social class of the patient played no role at all.

摘要

对255例接受脊髓麻醉的患者进行了一项前瞻性研究,以检测术后头痛的发生率,同时还参考了用于腰椎穿刺的针的尺寸。与所使用针的尺寸相关的头痛发生率存在差异(22号针的头痛发生率为9.7%,而25号针为6.7%)。此外,还显示了通过硬膜外血贴预防头痛的效果(1.3%)。年龄也起到了一定作用,患者年龄越大,头痛风险越低。患者的社会阶层根本不起作用。

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