国际麻醉学与复苏杂志   2024, Issue (3): 10-10
    
蝶腭神经节阻滞治疗硬脊膜穿刺后头痛研究进展
吕洪伟, 李凯1()
1.济南市第四人民医院
Research advances of sphenopalatine ganglion block for treatment of post‑dural puncture headache
 全文:
摘要:

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。

关键词: 蝶腭神经节阻滞; 腰椎穿刺后头痛; 硬膜外血补丁
Abstract:

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 treatment, 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 summarizes the anatomy, development history, mechanism, and operation of SPG block in PDPH treatment to provide a reference for SPG block treatment of PDPH application.

Key words: Sphenopalatine ganglion block; Post‑lumbar puncture headache; Epidural blood patch