Incidence of Post-dural Puncture with 25-Gauge Quincke Spinal Headache Needle

使用25號Quincke針作硬腦膜穿刺麻醉後引發頭痛的發生率

胡玉旺(Yuk-Wong Wu) ； 許汝寧(Yu-Ling Hui) ； 譚培炯(Peter P.C. Tan)

《Acta Anaesthesiologica Sinica》 29卷1期 (1991/03) Pp. 538-541

摘要

A retrospective study was undertaken in patients who received spinal anesthesia in past two years in order to find out the incidence of post-spinal headache. There were 3729 cases, 1997 males and 1732 females. Seventy-two patients were noted to have post-spinal headache of whom twelve were male and sixty were female. The overall incidence was 1.93 %. Incidence was 0.6% and 3.5% in male and female groups respectively. With respect to the type of surgical procedures in female group, patients undergoing Cesarean section had a higher incidence than those who received other surgical procedures, being 4.8% and 1.5% respectively. In conclusion, female patients were noted to have higher incidence of post-spinal headache, particularly in patients undergoing Cesarean section.

關鍵字

Spinal anesthesia ； Post-dural puncture headache

並列摘要

此報告收集過去兩年中，本院曾接受以25號Quincke針作硬腦膜穿刺半身麻醉後引發頭痛（PDPH）的發生率。共有3729個病例，男性1997個，女性1732個。其中有72位病人有穿刺下半身麻醉後引發頭痛發生，男性12例，女性60例，發生率是1.95%。在男性及女性的發生率分別是0.6%及3.5%。在女性病人方面，接受剖腹生產及非剖腹生產的手術產生PDPH的發生率是4.8%及1.5%。故女性病人有較高的PDPH發生率，特別是接受剖腹生產組為甚。