PDF(Pubmed)
Abstract：
UNASSIGNED: Transient neurologic syndrome (TNS) is a postoperative pain in the back and buttock that can occur after spinal anesthesia. The spinal needle design may have an impact on the occurrence of TNS. We decided to compare the incidence of TNS and related factors between two spinal needle types.
UNASSIGNED: In this randomized clinical trial, 150 patients aged 18-60 years and American Society of Anesthesiologists (ASA) physical status I who underwent lower abdomen or lower extremity surgeries with spinal anesthesia and supine position were enrolled. They were randomly divided into two groups (25 G Quincke or Sprotte needle) with 0.5% bupivacaine (12.5 mg). After the operation, the patients were asked to report any pain in the lower back, buttock, and thigh areas. A Visual Analog Scale (VAS) was also used to record the severity of the pain.
UNASSIGNED: Overall, 45 patients developed TNS. Twenty-nine patients in the Sprotte group (38.7%) and 16 patients in the Quincke group (21.3%) developed TNS (p = 0.75). More patients in the Sprotte group (25.3%) had severe pain (VAS score of 8-10) when compared with the Quincke group (6.7%). There was no significant difference in TNS symptoms duration between the two groups. In about half of patients (51.9%) in the Sprotte group and 57.3% of patients in the Quincke group, the symptoms resolved after 2-3 h.
UNASSIGNED: Although the incidence of TNS did not differ significantly, patients for whom a Sprotte spinal needle had been used had more severe pain. This suggests that the Quincke needle caused less severe pain.
UNASSIGNED: In this randomized clinical trial, 150 patients aged 18-60 years and American Society of Anesthesiologists (ASA) physical status I who underwent lower abdomen or lower extremity surgeries with spinal anesthesia and supine position were enrolled. They were randomly divided into two groups (25 G Quincke or Sprotte needle) with 0.5% bupivacaine (12.5 mg). After the operation, the patients were asked to report any pain in the lower back, buttock, and thigh areas. A Visual Analog Scale (VAS) was also used to record the severity of the pain.
UNASSIGNED: Overall, 45 patients developed TNS. Twenty-nine patients in the Sprotte group (38.7%) and 16 patients in the Quincke group (21.3%) developed TNS (p = 0.75). More patients in the Sprotte group (25.3%) had severe pain (VAS score of 8-10) when compared with the Quincke group (6.7%). There was no significant difference in TNS symptoms duration between the two groups. In about half of patients (51.9%) in the Sprotte group and 57.3% of patients in the Quincke group, the symptoms resolved after 2-3 h.
UNASSIGNED: Although the incidence of TNS did not differ significantly, patients for whom a Sprotte spinal needle had been used had more severe pain. This suggests that the Quincke needle caused less severe pain.
摘要：
■短暂性神经系统综合征（TNS）是脊髓麻醉后可能发生的背部和臀部的术后疼痛。脊柱穿刺针的设计可能对TNS的发生产生影响。我们决定比较两种类型的脊柱穿刺针的TNS发生率和相关因素。
■在这项随机临床试验中，纳入150例年龄在18-60岁之间的患者，以及美国麻醉师协会（ASA）的身体状况I，这些患者接受了采用脊髓麻醉和仰卧位的下腹部或下肢手术。将他们随机分为两组（25GQuincke或Sprotte针头），使用0.5％布比卡因（12.5mg）。手术后,患者被要求报告下背部的任何疼痛，臀部,和大腿区域。还使用视觉模拟量表(VAS)记录疼痛的严重程度。
■总的来说，45例患者发生TNS。Sprotte组的29名患者（38.7％）和Quincke组的16名患者（21.3％）发生了TNS（p=0.75）。与Quincke组（6.7％）相比，Sprotte组（25.3％）更多的患者出现严重疼痛（VAS评分为8-10）。两组患者TNS症状持续时间差异无统计学意义。在大约一半的患者(51.9%)在Sprotte组和57.3%的患者在Quincke组,2-3小时后症状缓解。
■虽然TNS的发病率没有显著差异，使用Sprotte脊柱穿刺针的患者疼痛更严重.这表明Quincke针引起的疼痛较轻。
■在这项随机临床试验中，纳入150例年龄在18-60岁之间的患者，以及美国麻醉师协会（ASA）的身体状况I，这些患者接受了采用脊髓麻醉和仰卧位的下腹部或下肢手术。将他们随机分为两组（25GQuincke或Sprotte针头），使用0.5％布比卡因（12.5mg）。手术后,患者被要求报告下背部的任何疼痛，臀部,和大腿区域。还使用视觉模拟量表(VAS)记录疼痛的严重程度。
■总的来说，45例患者发生TNS。Sprotte组的29名患者（38.7％）和Quincke组的16名患者（21.3％）发生了TNS（p=0.75）。与Quincke组（6.7％）相比，Sprotte组（25.3％）更多的患者出现严重疼痛（VAS评分为8-10）。两组患者TNS症状持续时间差异无统计学意义。在大约一半的患者(51.9%)在Sprotte组和57.3%的患者在Quincke组,2-3小时后症状缓解。
■虽然TNS的发病率没有显著差异，使用Sprotte脊柱穿刺针的患者疼痛更严重.这表明Quincke针引起的疼痛较轻。
