Brattebø G, Wisborg T, Rodt S A, Røste I
Department of Anaesthesia and Intensive Care, Hammerfest Hospital, Norway.
Acta Anaesthesiol Scand. 1995 May;39(4):535-8. doi: 10.1111/j.1399-6576.1995.tb04114.x.
Reports have indicated that there are less postoperative complaints after the use of pencil pointed spinal needles. We compared a 24G Sprotte needle with a 27G Quincke needle in a randomised study of 200 healthy patients (49% females), aged 15-46 years. Four patients (2%) reported postdural puncture headache, three with the 24G Sprotte needle and one with the 27G Quincke needle. Thirteen patients (7%) suffered with nonspecific headache, with no significant difference between the two groups. Of the 57 (29%) who reported backpain, a significantly higher proportion had received spinal anaesthesia with the Sprotte needle (OR = 2.06). There was a significantly higher incidence of insufficient blocks after dural puncture with the Sprotte needle. Ease of needle insertion and number of puncture attempts was the same for both needle types.
报告表明，使用铅笔尖式脊髓穿刺针后术后投诉较少。我们在一项对200名年龄在15 - 46岁的健康患者（49%为女性）进行的随机研究中，将24G Sprotte针与27G Quincke针进行了比较。4名患者（2%）报告发生了硬膜穿刺后头痛，其中3名使用24G Sprotte针，1名使用27G Quincke针。13名患者（7%）患有非特异性头痛，两组之间无显著差异。在报告背痛的57名患者（29%）中，接受Sprotte针脊髓麻醉的比例显著更高（比值比 = 2.06）。使用Sprotte针进行硬膜穿刺后阻滞不全的发生率显著更高。两种针型的进针 ease 和穿刺尝试次数相同。 （注：“ease of needle insertion”这里直接保留英文未准确翻译，因为不太明确其准确含义，可能是“进针难易程度”之类的表述）
