Kortum K, Nolte H, Kenkmann H J
Reg Anaesth. 1982 Jan;5(1):1-6.
A retrospective study by questionnaire was carried out on 3056 patients (1457 female and 1599 male patients) to ascertain morbidity after spinal anaesthesia with 0,5% isobaric bupivacaine, with special regard taken to the incidence of post spinal headache. It was found that in female patients below the age of 50 the incidence of complaints was higher than in male patients, especially in the 30-50 year range. In male patients the incidence was higher in the 40-60 year group, with the highest incidence in the 50-60 year olds. The size of needle employed played a definite role. The complaints distributed according to the site of operation showed a dependence on age and size of needle. Altogether, 324 post spinal headaches were detected, 194 (13.3%) in female patients, significantly more than the 130 (8.1%) reported by male patients. In patients over 60, the incidence dropped and there was no sex difference. There was a higher incidence of headache with larger needles used for spinal anaesthesia. 84% the headaches cleared up within 2 weeks. Only in 9% did the headache persist longer than 4 weeks.
采用问卷调查的方式对3056例患者（1457例女性患者和1599例男性患者）进行了一项回顾性研究，以确定使用0.5%等比重布比卡因进行脊髓麻醉后的发病率，特别关注脊髓穿刺后头痛的发生率。结果发现，50岁以下的女性患者中，主诉的发生率高于男性患者，尤其是在30至50岁年龄段。在男性患者中，40至60岁组的发生率较高，50至60岁的患者发生率最高。所使用的针的尺寸起到了一定作用。根据手术部位分布的主诉显示出对年龄和针的尺寸的依赖性。总共检测到324例脊髓穿刺后头痛，女性患者中有194例（13.3%），明显多于男性患者报告的130例（8.1%）。在60岁以上的患者中，发病率下降且无性别差异。用于脊髓麻醉的针尺寸越大，头痛的发生率越高。84%的头痛在2周内消失。只有9%的头痛持续超过4周。
