Ross A W, Greenhalgh C, McGlade D P, Balson I G, Chester S C, Hutchinson R C, Ashley J E
Department of Anaesthesia, Royal Women's Hospital, Carlton, Victoria.
Anaesth Intensive Care. 1993 Jun;21(3):280-3. doi: 10.1177/0310057X9302100303.
One hundred and forty-four patients receiving subarachnoid anaesthesia for caesarean section were prospectively analysed for quality of anaesthesia and the occurrence of post dural puncture headache (PDPH). Anaesthesia was administered via 24 gauge Sprotte (n = 104) and 26 gauge Quincke (n = 40) needles using hyperbaric bupivacaine 0.5% with morphine 0.2 mg. Anaesthesia was successful in 103 patients with the Sprotte needle and 38 patients with the Quincke needle, and the operating conditions were considered to be excellent. Of the 104 patients in the Sprotte needle group there were ten with PDPH (9.6%), two of which were considered severe. Of the 40 patients in the Quincke needle group there were eight with PDPH (20%), three of which were considered severe. Despite the lower incidence of headache in the Sprotte needle group, this was not statistically significant (P > 0.05), due to the difference in population size. We conclude that the 24 gauge Sprotte needle is associated with a comparatively low but clinically relevant incidence of headache in the obstetric population.
对144例行剖宫产蛛网膜下腔麻醉的患者进行前瞻性分析，以评估麻醉质量和硬膜穿刺后头痛（PDPH）的发生率。采用0.5%重比重布比卡因加0.2mg吗啡，通过24G Sprotte针（n = 104）和26G Quincke针（n = 40）进行麻醉。使用Sprotte针的103例患者和使用Quincke针的38例患者麻醉成功，且手术条件被认为极佳。Sprotte针组的104例患者中有10例发生PDPH（9.6%），其中2例被认为是严重的。Quincke针组的40例患者中有8例发生PDPH（20%），其中3例被认为是严重的。尽管Sprotte针组头痛发生率较低，但由于样本量差异，差异无统计学意义（P > 0.05）。我们得出结论，24G Sprotte针在产科人群中与相对较低但具有临床相关性的头痛发生率相关。
