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Abstract：
Objective This study aimed to investigate the relationship between joint laxity and post-dural puncture headache (PDPH). Methods A total of 123 patients with PDPH - 73 females and 50 males - were included in the study. The patients were examined regarding joint laxity and classified into two groups according to the Beighton score. Those with a Beighton score between 0 and 3 were classified as Group I, and those with a score greater than 4 were classified as Group II. Data related to the demographic characteristics of the patients, time of onset of PDPH, severity, need for medical treatment, need for an epidural blood patch, and length of hospital stay were recorded, and a comparison was made between the two groups. Results There was no significant difference between the groups in terms of age, gender distribution, and PDPH onset time (p>0.05). In Group II, which included patients positive for joint laxity, total headache duration, headache severity, need for medical treatment, need for epidural blood patch, and hospital stay were significantly higher than in Group I (p<0.05). Conclusion Joint laxity may increase the risk of PDPH after spinal anesthesia and may affect treatment processes. The Beighton score can determine the development and severity of PDPH in patients with joint laxity. Assessing joint laxity and Beighton score can improve clinical decision-making in managing PDPH and positively affect patient outcomes.
摘要：
目的探讨关节松弛与硬膜穿刺后头痛(PDPH)的关系。方法123例PDPH患者，其中女性73例，男性50例。检查患者的关节松弛度，并根据Beighton评分分为两组。那些Beighton得分在0到3之间的人被归类为I组，分数大于4分的被归类为II组.与患者人口统计学特征相关的数据，PDPH的发病时间，严重程度,需要医疗,需要硬膜外补血,记录住院时间，并对两组进行比较。结果各组间年龄差异无统计学意义,性别分布，和PDPH发病时间(p>0.05)。在第二组中，其中包括关节松弛阳性的患者，总头痛持续时间，头痛严重程度，需要医疗,需要硬膜外补血,住院时间明显高于I组（p<0.05）。结论关节松弛可能会增加椎管内麻醉后PDPH的风险，并可能影响治疗过程。Beighton评分可以确定关节松弛患者PDPH的发展和严重程度。评估关节松弛和Beighton评分可以改善PDPH管理的临床决策，并积极影响患者的预后。
