评估使用26g quincke脊髓针进行蛛网膜下阻滞后硬膜穿刺后头痛的不可改变因素:前瞻性观察性研究

IF 0.2 Q4 ANESTHESIOLOGY
Chander K Negi, S. Bhandari, Ravinder Kumar, S. Rana, Radhika Sharma, Nishita Kaushal
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引用次数: 0

摘要

背景与目的:硬脊膜穿刺后头痛(PDPH)是蛛网膜下腔阻滞(SAB)的并发症之一,PDPH的发生率与患者或使用的脊髓针类型有关。本研究观察了在SAB下计划手术的患者中PDPH的发生率和严重程度与不可改变因素的关系。方法:研究纳入302例产科和非产科患者,年龄20-60岁,美国麻醉师学会(ASA) I/II级,体重指数(BMI) 18.5-29.9 kg。m-2计划在SAB下使用26g昆克脊柱针进行手术。主要结局是产科和非产科患者的PDPH发生率。次要结局包括发病、PDPH的严重程度、年龄、BMI和性别与PDPH的关系。结果:PDPH总发生率为5.6%,产科组8例(7%),非产科组9例(4.8%)(P = 0.597)。产科患者发病时间为17.25±3.69 h,非产科患者发病时间为18.0±6.02 h (P = 0.663)。所有患者均无严重的PDPH。患者的BMI与PDPH的发生率无关。非产科组女性患者PDPH发生率较高(P = 0.0002)。非产科组6例PDPH患者年龄在31 ~ 40岁,40岁以上2例(P = 0.0173)。结论:产科人群与非产科人群的PDPH发生率相当。在非产科患者的亚组分析中,女性和年轻患者的PDPH发病率较高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of non-modifiable factors associated with post-dural puncture headache following subarachnoid block utilising 26 G quincke spinal needle: Prospective, observational study
Background and Aims: Post-dural puncture headache (PDPH) is one of the complications of the subarachnoid block (SAB), and the incidence of PDPH is influenced by various factors related to either patients or the type of spinal needle used. This study observed the incidence and severity of PDPH in relation to non-modifiable factors in the patients scheduled for surgeries under SAB. Methods: The study enrolled 302 obstetric and non-obstetric patients, aged 20–60 years, American Society of Anesthesiologists (ASA) I/II having body mass index (BMI) 18.5–29.9 kg.m-2 scheduled for surgeries under SAB utilizing 26 G Quincke spinal needle. Primary outcome was the incidence of PDPH in obstetric and non-obstetric patients. The secondary outcomes included onset, severity of PDPH, and association of age, BMI, and gender to PDPH. Results: The total incidence of PDPH was 5.6%, eight (7%) patients in obstetric and nine (4.8%) patients in non-obstetric group (P = 0.597). The onset of PDPH was comparable in obstetric 17.25 ± 3.69 and non-obstetric patients 18.0 ± 6.02 h (P = 0.663). None of the patient had severe PDPH. The BMI of the patients was not associated with the incidence of PDPH. The female patients among non-obstetric group had higher incidence of PDPH (P = 0.0002). The six patients having PDPH in non-obstetric group belonged to age-group of 31–40 yrs as compared to two above 40 years (P = 0.0173). Conclusion: Obstetric population had comparable incidence of PDPH to non-obstetric population. In the subgroup analysis of non-obstetric patients, the higher incidence of PDPH was observed in the female and younger patients.
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