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[硬膜外麻醉后头痛]

[Headache following epidural anesthesia].

作者信息

Heinz T, Schlögel H

出版信息

Geburtshilfe Frauenheilkd. 1984 Mar;44(3):155-6. doi: 10.1055/s-2008-1036870.

DOI:10.1055/s-2008-1036870
PMID:6373480
Abstract

A study of the side effects of epidural anesthesia for painless delivery in 100 patients showed that 90% of the post partum patients were very satisfied with the analgesia and did not consider symptoms post partum to be very debilitating and did not blame the epidural anesthesia for the symptoms. Severe pain in the occiput and the cervical spine occurred in only two cases. In one case, the cerebro-spinal fluid was punctured. Headaches following epidural anesthesia are described as a great disadvantage of this method of obstetric analgesia. However, the headaches were no more common in the group with epidural anesthesia than in the compare group. No correlation was found with puncture of the dura which is suspected in the literature. Retention of urine was not found to be correlated to the epidural anesthesia. Uniformity of the responses by the maternity patients were striking especially if one considered that the social condition and the psychic condition of the individual woman such as attitude to delivery, presence of the husband at delivery, and other factors were not evaluated.

摘要

一项针对100例无痛分娩硬膜外麻醉副作用的研究表明,90%的产后患者对镇痛效果非常满意,不认为产后症状非常虚弱,也不将这些症状归咎于硬膜外麻醉。仅两例出现枕部和颈椎剧痛。其中一例发生了脑脊液穿刺。硬膜外麻醉后头痛被描述为这种产科镇痛方法的一个重大缺点。然而,硬膜外麻醉组的头痛发生率并不高于对照组。未发现与文献中怀疑的硬脊膜穿刺有相关性。未发现尿潴留与硬膜外麻醉有关。产妇的反应一致性令人惊讶,尤其是考虑到未对个体女性的社会状况和心理状况(如对分娩的态度、分娩时丈夫是否在场等因素)进行评估。

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[Headache following epidural anesthesia].[硬膜外麻醉后头痛]
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