CAJ | 학술논문

目的：观察持续硬膜外镇痛（CEA）用于防治硬膜穿破后头痛（PDPH）的疗效。方法：30例意外出现硬膜穿破者随机分为观察组和对照组各15例。观察组采取CEA等方法，对照组则采取硬膜外腔单次注入生理盐水等方法，对2组患者头痛、头晕恶心、呕吐发生情况及不同时间段的相关评分和安全性进行观察。结果：观察组头痛发生率为13.33％、头晕恶心发生率6.67%，呕吐0例，均低于对照组，头痛持续时间较对照组明显缩短（<0.05）；且术后第2、3、4、5天观察组的头痛评分、头晕恶心评分和呕吐评分均低于对照组（<0.05），2组安全性相比差异无统计学意义（>0.05）。结论：CEA用于防治PDPH疗效确切。
목적：관찰지속경막외진통（CEA）용우방치경막천파후두통（PDPH）적료효。방법：30례의외출현경막천파자수궤분위관찰조화대조조각15례。관찰조채취CEA등방법，대조조칙채취경막외강단차주입생리염수등방법，대2조환자두통、두훈악심、구토발생정황급불동시간단적상관평분화안전성진행관찰。결과：관찰조두통발생솔위13.33％、두훈악심발생솔6.67%，구토0례，균저우대조조，두통지속시간교대조조명현축단（<0.05）；차술후제2、3、4、5천관찰조적두통평분、두훈악심평분화구토평분균저우대조조（<0.05），2조안전성상비차이무통계학의의（>0.05）。결론：CEA용우방치PDPH료효학절。
Objective:To observe the effects of continuous epidural analgesia (CEA) treatment on patients with post dural puncture headache (PDPH). Methods:Thirty cases of accidental dural puncture patients were randomly divided into groups of observation and control (15 cases in each group). The observation group were given CEA, and the control group took equal amount physiological saline. The occurrence of headache, dizziness, nausea, vomiting were observed. Meanwhile, the neurological scores and safety were evaluated. Results:In the observa-tion group, the incidences of the headache, dizziness and nausea and vomiting were 13.33%, 6.67%and 0 respec-tively. All the incidences in the observation group were lower than those in the control group. The lasting time of headache in the observation group was significantly shorter than the control group ( <0.05). And the scores of headache grade, dizziness, nausea and vomiting in the observation group were lower than those of the control group at days 2, 3, 4, 5 after operation ( <0.05). The safety between the 2 groups shows no significant difference ( >0.05). Conclusion:CEA is effective to treat PDPH.