Chan S T
Department of Anaesthesia, Toa Payoh Hospital, Singapore, Republic of Singapore.
Med J Malaysia. 1995 Sep;50(3):241-5.
This prospective survey attempt to study the incidence of post-operative back pain after lumbar epidural anesthesia for non-obstetric patterns and the correlation of this symptom with various contributing factors. One hundred and five patients who were given lumbar epidural anaesthesia as the sole anaesthesia for non-obstetric surgery were studied. The choice of equipment, number of attempts at giving the injection, duration of surgery and position of patient during surgery were documented. One week post-operatively, the patients were asked whether they recalled any back pain. The nature, duration and severity of the back pain was documented. Statistical analysis was achieved by using Chi-squared test. Twenty-eight patients recalled "injection site tenderness" post-operatively. The pain was mild to moderate in severity and lasted up to 4 days. None of the studied patients had post-operative "backache". The pain showed no significant correlation with needle size, technique of injection, use of epidural catheter, patient's position during surgery, duration and number of attempts made during epidural injection.
这项前瞻性调查旨在研究非产科手术腰段硬膜外麻醉后术后背痛的发生率，以及该症状与各种相关因素的相关性。对105例接受腰段硬膜外麻醉作为非产科手术唯一麻醉方式的患者进行了研究。记录了设备的选择、注射尝试次数、手术持续时间和手术期间患者的体位。术后一周，询问患者是否记得有任何背痛。记录背痛的性质、持续时间和严重程度。采用卡方检验进行统计分析。28例患者术后回忆有“注射部位压痛”。疼痛程度为轻至中度，持续长达4天。所有研究患者均无术后“背痛”。疼痛与针的大小、注射技术、硬膜外导管的使用、手术期间患者的体位、硬膜外注射的持续时间和尝试次数均无显著相关性。
