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蝶腭神经节阻滞治疗硬脊膜穿刺后头痛研究进展

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硬脊膜穿刺后头痛(PDPH)是椎管内麻醉后常见的并发症,是指由于穿刺导致硬脊膜破损引起的低颅压性头痛.以往多采用自体硬膜外血补丁(EBP)治疗,但由于其潜在的并发症患者接受度不高.近年来有研究证明一种新的、简单且微创的手术——蝶腭神经节(SPG)阻滞可以有效缓解PDPH.文章回顾SPG阻滞的解剖基础、发展历史、治疗PDPH的机制及相关操作方法,以期为SPG阻滞治疗PDPH的应用提供参考.
Research advances of sphenopalatine ganglion block for treatment of post-dural puncture headache
Post-dural puncture headache(PDPH)is a common complication after epidural anesthesia,which refers to the low cranial pressure headache caused by the puncture of the dura puncture.In the past,epidural blood patch(EBP)was often used for treat-ment,but due to its potential complications,the acceptance rate of patients was not high.In recent years,studies have proved that a new,simple,and minimally invasive operation--sphenopalatine ganglion(SPG)block can effectively relieve PDPH.This review summa-rizes the anatomy,development history,mechanism,and operation of SPG block in PDPH treatment to provide a reference for SPG block treatment of PDPH application.

Sphenopalatine ganglion blockPost-lumbar puncture headacheEpidural blood patch

吕洪伟、李凯

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济南市第四人民医院麻醉科,济南 250031

中国人民解放军联勤保障部队第九六○医院神经外科,济南 250031

蝶腭神经节阻滞 腰椎穿刺后头痛 硬膜外血补丁

2024

国际麻醉学与复苏杂志
中华医学会,徐州医学院

国际麻醉学与复苏杂志

CSTPCD
影响因子:0.909
ISSN:1673-4378
年,卷(期):2024.45(3)
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