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涉及 5% 高比重利多卡因的脊髓麻醉后腿部和背部疼痛

Leg and back pain after spinal anaesthesia involving hyperbaric 5% lignocaine.

作者信息

Salmela L, Aromaa U, Cozanitis D A

机构信息

Department of Anaesthesia, Helsinki University Central Hospital, Finland.

出版信息

Anaesthesia. 1996 Apr;51(4):391-3. doi: 10.1111/j.1365-2044.1996.tb07755.x.

Abstract

Fifty-four patients, aged 27-90 years, who were given lignocaine 5% in 6.8% glucose solution for spinal anaesthesia were studied. Thirteen of these patients experienced pain in the legs and/or back after recovery from anaesthesia. The patients affected were younger (p < 0.05) and the site of the dural puncture was higher (p < 0.01) than those individuals without pain. Five of the 13 patients (38%) with pain and seven of the 41 patients (17%) without pain admitted to a high alcohol intake, which might be a contributing factor. Leg and/or back pain is associated with the intrathecal use of hyperbaric 5% lignocaine.

摘要

对54例年龄在27至90岁之间、接受5%利多卡因6.8%葡萄糖溶液脊麻的患者进行了研究。这些患者中有13例在麻醉恢复后出现腿部和/或背部疼痛。与无疼痛的患者相比,出现疼痛的患者年龄更小(p<0.05),硬脊膜穿刺部位更高(p<0.01)。13例疼痛患者中有5例(38%)、41例无疼痛患者中有7例(17%)承认饮酒量高,这可能是一个促成因素。腿部和/或背部疼痛与鞘内使用高压5%利多卡因有关。

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