《硬脊膜穿破后头痛的国际多学科共识实践指南》解读  

Interpretation of the international multidisciplinary consensus and practice guidelines on postdural puncture headache

作　　者：吴奇 廖兴志 薄禄龙 邓小明 Wu Qi;Liao Xingzhi;Bo Lulong;Deng Xiaoming(Faculty of Anesthesiology,the First Hospital Affiliated to Naval Medical University,Shanghai 200433,China;Department of Anesthesi-ology,the 904th Hospital of Joint Logistics Support Force,Wuxi 214000,China)

机构地区：[1]海军军医大学第一附属医院麻醉学部,上海200433 [2]联勤保障部队第九〇四医院麻醉科,无锡214000

出　　处：《国际麻醉学与复苏杂志》2024年第4期337-341,共5页International Journal of Anesthesiology and Resuscitation

摘　　要：硬脊膜穿破后头痛(postdural puncture headache,PDPH)是硬脊膜外操作时意外刺破硬脊膜、进行脊髓麻醉、诊断性或介入性椎管内操作时出现的一种并发症。鉴于既往预防和治疗PDPH的综述大多缺乏结构化建议,美国区域麻醉和疼痛医学会等6个学术团体于2023年8月发布《硬脊膜穿破后头痛的国际多学科共识实践指南》,涉及PDPH预防、诊断和治疗的10个问题,共形成47个建议和37个声明,是一份较为全面的循证指南。文章对指南要点进行摘译和解读,以期增加麻醉医师对PDPH预防和管理新策略的认识。Postdural puncture headache(PDPH)is a complication following unintentional dural puncture during epidural analgesia,or intentional dural puncture during spinal anesthesia,diagnostic or interventional neuraxial procedures.Due to the lack of structured recommendations in previous reviews on the prevention and treatment of PDPH,in August 2023,six academic societies including the American Society of Regional Anesthesia and Pain Medicine released the“Consensus practice guidelines on postdural puncture headache from a multisociety,international working group”.This evidence-based guideline provides a comprehensive overview,and address 10 questions regarding the prevention,diagnosis,and treatment of PDPH,resulting in 47 recommendations and 37 statements.This review aims to summarize and interpret the key points of the guidelines,in order to increase awareness among anesthesiologists about new strategies for PDPH prevention and management in China.

关 键 词：硬脊膜穿破后头痛 并发症 椎管内麻醉 脑脊液漏 指南 

分 类 号：R61[医药卫生—外科学]