Hoffmann P, Schockenhoff B
Anasth Intensivther Notfallmed. 1980 Oct;15(5):416-22.
The incidence and localization of headache after spinal analgesia were studied by means of a questionnaire. The case material comprised 503 spinal analgesias carried out with a 4% hyperbaric and a 2% isobaric solution of mepivacaine respectively and with 0.5% isobaric solution of bupivacaine. The use of the 4% solution of mepivacaine was followed by an increased incidence of prolonged dull headache in the occipital region. The observations suggest that the occurrence of headache after spinal analgesia may also depend on the type of analgesic agent employed.
通过问卷调查的方式对脊髓镇痛后头痛的发生率及部位进行了研究。病例资料包括分别用4%的重比重甲哌卡因溶液、2%的等比重甲哌卡因溶液以及0.5%的等比重布比卡因溶液实施的503例脊髓镇痛。使用4%的甲哌卡因溶液后,枕部出现持续性钝痛的发生率增加。这些观察结果表明,脊髓镇痛后头痛的发生可能还取决于所使用的镇痛剂类型。