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《Journal of Modern Oncology》 2004-06
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The clinical observation of prevention of postpunctural lumbago after epidural anesthesia

DU Shao-fen, LI Yi-xian, LI Xi-rong, et al.Department of Anesthesia, Affiliated Tumor Hospital, Shantou University Medical College, Guangdong Shantou 515031, China.  
Objective To study the causes and prevention of postpunctural lumbago after epidural anesthesia. Methods Ninety-six abdominal tumor patients scheduled for operation in epidural anesthesia were randomly divided into three groups, 32 cases for each group. In group Ⅰthe bevel of the needle was inserted vertically along the spinal axis(vertical insertion method), while in group Ⅱthe bevel of the needle was inserted horizontally along the spinal axis and rotated to the demanded direction later ( horizontal insertion method). Group Ⅰand Ⅱreceived 15 mL bupivacaine (0.75%) and 2 mL normal saline epidurally. GroupⅢ was also given horizontal insertion method,and received 15 mL bupivacaine (0.75%) and 2 mL dexamethasone (10mg). Then, all patients were given 5~7 mL bupivacaine epidurally. Postpunctural lumbago severity and incidence were examined. Results The incidences of postpunctural lumbago in three groups were 43.8% , 21.9 % and 3.1%, respectively five days after operation. The severity and incidence of postpunctural lumbago of group Ⅱwas significantly lower than that of group Ⅰ(P0.05), the severity and incidence of postpunctural lumbago of group Ⅲwas significantly lower than that of group Ⅱ (P0.05). Conclusion Horizontal insertion method and addition of dexamethasone to local anesthetic could reduce the severity and incidence of postpunctural lumbago.
【CateGory Index】: R614
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