Chronic pain in parturients with an accidental dural puncture: A case-controlled prospective observational study.

作者: Sharon Orbach‐Zinger , Amit Frenkel , Alexander Ioscovich , Yair Binyamin , Yaacov Gozal

DOI: 10.1111/AAS.13816

关键词:

摘要: BACKGROUND We set out to examine incidence of chronic headache and back pain in women with PDPH after accidental dural puncture during labor. METHODS Chronic headache, backache, disability were assessed 18-24 months postpartum. Women treated epidural blood patch (PDPH-EBP) identified matched who had a without (PDPH-no EBP), uncomplicated analgesia analgesia. Our primary outcome was backache. Secondary the effect on development. used Chi-square or Fisher's exact test calculate odds ratios. RESULTS There no statistically significant difference demographic characteristics between groups. In group, reported 2/116 (1.7%) 7/116 (6.0%) PDPH-no EBP 9/56 (16.1%) 10/56 (17.9%) PDPH-EBP 12/59 (20.3%) 14/59 (23.7%) No group (chronic score 3 4). High by 8.9% 8.4% group. CONCLUSION high pain, disability. did not find development conservatively EBP-treated patients.

参考文章(19)
Kamal Kishore, Anil Agarwal, Complications and controversies of regional anaesthesia: a review. Indian Journal of Anaesthesia. ,vol. 53, pp. 543- 553 ,(2009)
Michael Von Korff, Johan Ormel, Francis J. Keefe, Samuel F. Dworkin, Grading the severity of chronic pain. Pain. ,vol. 50, pp. 133- 149 ,(1992) , 10.1016/0304-3959(92)90154-4
Christopher W. Berger, Edward T. Crosby, Wlodzimierz Grodecki, North American survey of the management of dural puncture occurring during labour epidural analgesia. Canadian Journal of Anaesthesia-journal Canadien D Anesthesie. ,vol. 45, pp. 110- 114 ,(1998) , 10.1007/BF03013247
Blair H Smith, Kay I Penny, Alison M Purves, Calum Munro, Brenda Wilson, Jeremy Grimshaw, Alastair W. Chambers, Cairns W. Smith, The Chronic Pain Grade questionnaire : validation and reliability in postal research Pain. ,vol. 71, pp. 141- 147 ,(1997) , 10.1016/S0304-3959(97)03347-2
W. P. J. van Oosterhout, A. A. van der Plas, E. W. van Zwet, R. Zielman, M. D. Ferrari, G. M. Terwindt, Postdural puncture headache in migraineurs and nonheadache subjects: a prospective study. Neurology. ,vol. 80, pp. 941- 948 ,(2013) , 10.1212/WNL.0B013E3182840BF6
Terrance W. Breen, Bernard J. Ransil, Phillppa A. Groves, Nancy E. Oriol, Factors associated with back pain after childbirth. Anesthesiology. ,vol. 81, pp. 29- 34 ,(1994) , 10.1097/00000542-199407000-00006
Christopher E. P. ORLIKOWSKI, Jan E. DICKINSON, Michael J. PAECH, Susan J. McDONALD, Elizabeth NATHAN, Intrapartum analgesia and its association with post-partum back pain and headache in nulliparous women. Australian & New Zealand Journal of Obstetrics & Gynaecology. ,vol. 46, pp. 395- 401 ,(2006) , 10.1111/J.1479-828X.2006.00624.X
S Banks, M Paech, L Gurrin, An audit of epidural blood patch after accidental dural puncture with a Tuohy needle in obstetric patients International Journal of Obstetric Anesthesia. ,vol. 10, pp. 172- 176 ,(2001) , 10.1054/IJOA.2000.0826
Hanne B. Albert, Claus Manniche, Modic changes following lumbar disc herniation European Spine Journal. ,vol. 16, pp. 977- 982 ,(2007) , 10.1007/S00586-007-0336-8
Michael Von Korff, Samuel F. Dworkin, Linda Le Resche, Graded chronic pain status: an epidemiologic evaluation. Pain. ,vol. 40, pp. 279- 291 ,(1990) , 10.1016/0304-3959(90)91125-3