Post-Dural Puncture Headache: A Tertiary Care Hospital an Observational Study on Causes, Effects and Management

Dr. Md. Taihidur Rahman, Dr. Nilufar Akter, Dr. Alamgir Jalil Pramanik, Dr. Md. Sirajul Islam Mondal, Mahbub Hassan
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Abstract

Background: The current study was carried out to evaluate the association of socio-clinical variables with Post Dural Puncture Headache (PDPH) in the obstetrics and obstetrics patients. Post-dural puncture headache are well- known complications of neuraxial anesthesia in parturients. Objectives: The aim of this study is to assess the Causes, Effects and Management of post dural puncture headache among obstetric patients in a tertiary care hospital an observational study. Methods: This is an observational study. The study used to be carried out in the admitted patient’s Department of anesthesiology, Rangpur Medical College Hospital, Bangladesh. In Bangladesh for the duration of the period from January 2020 to December 2021. Results: This study shows that the according to age of 120 Patients aged 18 to 45 years where, 30(25.0%) were 18-25 years, 65(54.17%) were 26-35 years and 25(20.83%) were 36-45 years. And according to gender 21% were Male, 79% were Female. And according to BMI (n=120). According to BMI distribution the <18.5 (underweight range), 18.5 to <24.9 (Normal), 25-29.9 (Overweight) and ≥30.0 (Obese) were 15(12.5%), 55(45.83%), 35(29.16%) and 15(12.5%) respectfully. Conclusions: We concluded that in the present study about obstetric populace had better prevalence of PDPH in contrast to obstetric population. PDPH was once related with enhanced quantity of efforts; sorts of method used, and begin of ambulation.
硬脑膜穿刺后头痛:一家三级医院的原因、效果和处理的观察性研究
背景:本研究旨在评估社会临床变量与产科及产科患者硬脑膜穿刺后头痛(PDPH)的关系。摘要硬脊膜穿刺后头痛是神经轴麻醉的常见并发症。目的:本研究的目的是评估三级医院产科患者硬膜穿刺后头痛的原因、影响和处理。方法:观察性研究。该研究过去是在孟加拉国Rangpur医学院医院住院病人的麻醉科进行的。于2020年1月至2021年12月期间在孟加拉国。结果:本研究显示120例18 ~ 45岁患者中,18 ~ 25岁30例(25.0%),26 ~ 35岁65例(54.17%),36 ~ 45岁25例(20.83%)。按性别划分,21%为男性,79%为女性。根据BMI (n=120)。BMI分布中<18.5(体重过轻)、18.5 ~ <24.9(正常)、25 ~ 29.9(超重)、≥30.0(肥胖)分别为15(12.5%)、55(45.83%)、35(29.16%)和15(12.5%)。结论:我们得出结论,在目前的研究中,与产科人口相比,产科人口的PDPH患病率更高。PDPH一度与努力量的增加有关;使用的方法种类,以及行走的开始。
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