使用27号Quincke针和26号Atraucan针进行脊髓麻醉后发生的硬膜穿刺后头痛和背痛。
Postdural puncture headache and back pain after spinal anesthesia with 27-gauge Quincke and 26-gauge Atraucan needles.
作者信息
Schultz A M, Ulbing S, Kaider A, Lehofer F
机构信息
Department of Anesthesiology and General Intensive Care, University of Vienna General Hospital, Austria.
出版信息
Reg Anesth. 1996 Sep-Oct;21(5):461-4.
BACKGROUND AND OBJECTIVES
The purpose of this study was to determine whether the 26-gauge Atraucan needle shows any benefit on the incidence of postdural puncture headache (PDPH) and back pain as compared with the 27-gauge Quincke needle.
METHODS
We investigated 388 patients, 171 men and 217 women, who were receiving spinal anesthesia for subumbilical surgery. We compared spinal anesthesia via the 27-gauge Quincke needle in 202 patients (group Q) and via the 26-gauge Atraucan needle in 186 patients (group A).
RESULTS
The incidence of PDPH was 2.97% (6 of 202) in group Q and 2.69% (5 of 186) in group A. The incidence of back pain was 4.95% (10 of 202) in group Q and 5.91% (11 of 186) in group A. There was no statistically significant association of needle type, age, or sex with the incidence of PDPH and back pain.
CONCLUSIONS
Both needles are associated with very low incidences of PDPH and back pain, which are not affected by which needle is chosen.
背景与目的
本研究旨在确定与27号Quincke针相比，26号Atraucan针在硬膜穿刺后头痛（PDPH）和背痛发生率方面是否具有任何优势。
方法
我们调查了388例接受脐下手术脊髓麻醉的患者，其中男性171例，女性217例。我们比较了202例患者通过27号Quincke针进行脊髓麻醉（Q组）和186例患者通过26号Atraucan针进行脊髓麻醉（A组）的情况。
结果
Q组PDPH发生率为2.97%（202例中的6例），A组为2.69%（186例中的5例）。Q组背痛发生率为4.95%（202例中的10例），A组为5.91%（186例中的11例）。针的类型、年龄或性别与PDPH和背痛的发生率之间无统计学显著关联。
结论
两种针导致PDPH和背痛的发生率都非常低，且不受所选针具的影响。
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