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首页> 外文期刊>International journal of obstetric anesthesia >Post dural puncture headache in obstetric patients: experience from a West African teaching hospital.
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Post dural puncture headache in obstetric patients: experience from a West African teaching hospital.

机译：产科患者硬脑膜穿刺后头痛：西非教学医院的经验。

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BACKGROUND: This prospective, non-randomised study examined the frequency and severity of post dural puncture headache in 96 Ghanaian women who consented to spinal anaesthesia for caesarean section at the Korle Bu Teaching Hospital, Accra, Ghana. METHOD: Spinal anaesthesia was performed using 22-gauge (n = 22), 25-gauge (n = 46) or 26-gauge (n = 38) Quincke needles. Patients were followed up to determine the incidence and severity of post spinal headache. RESULT: The overall incidence of post dural puncture headache was 8.3%, but was significantly higher (33%) in patients in whom 22-gauge Quincke needles were used than in the other two groups (4% and 5% respectively: P = 0.003). Most patients rated their headache as mild to moderate on a 10-cm visual analogue scale. CONCLUSIONS: In view of the high incidence of headache and the need for treatment associated with the use of the 22-gauge Quincke needle, we recommend that this should not be used in the obstetric population. We are also aware that the incidence of post dural puncture headache could be further reduced by the use of small calibre pencil-point needles but these are currently very expensive and many obstetric units in developing countries may not be able to afford them.
机译：背景：这项前瞻性，非随机性研究在加纳阿克拉Korle Bu教学医院对96名同意接受脊麻麻醉的剖腹产加纳妇女进行了硬脑膜穿刺后头痛的发生频率和严重程度。方法：使用22号（n = 22），25号（n = 46）或26号（n = 38）Quincke针进行脊髓麻醉。对患者进行随访以确定脊柱后头痛的发生率和严重程度。结果：硬脑膜穿刺后头痛的总发生率为8.3％，但使用22针Quincke针的患者明显高于其他两组（分别为4％和5％）（P = 0.003） ）。大多数患者以10厘米的视觉模拟量表将头痛定为轻度至中度。结论：鉴于头痛的高发率以及使用22号Quincke针相关的治疗需求，我们建议不要在产科人群中使用该针头。我们还知道，使用小口径铅笔尖针可以进一步降低硬脑膜穿刺后头痛的发生率，但目前这些针头非常昂贵，发展中国家的许多产科单位可能负担不起。

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