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All patients received spinal anesthesia with 0.5% Marcaine 10-15mg by 25 gauge Quincke needle. PDPH severity was assessed with Croker's classification; neck stiffness and satisfactory degree were assessed with VAS.
以学者Croker的分类标准来评估头痛严重程度,并使用视觉的类似语等级法VAS来评估头颈部僵硬酸痛程度和病患麻醉满意度。
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The reasons for false-positive facet blocks are multifactorial and include placebo response (18–32%) to diagnostic facet interventions, use of sedation, the liberal use of superficial LA, and the spread of injectate to paingenerating structures other than those targeted.166 Although some investigators have disputed this assertion,167,168 it is our belief that not only opioids, but sedatives such as midazolam, can lead to false-positive blocks by interfering with the interpretation of analgesic response (i.e., preventing a patient from engaging in normal activities) and virtue of their muscle relaxant properties.169 In a recent survey conducted in 500 patients receiving facet blocks or epidurals at an outpatient spine center, only 17% requested sedation.170
小关节阻滞性诊断的假阳性结果的原因是多种多样的,包括安慰剂反应(18–32%),如利用镇静剂,浅表大量应用LA以及注射液外渗到目标外的其他疼痛发生阻滞。虽然有些学者对这种论断持怀疑态度,但是我们认为不论类罂粟碱,咪达唑仑等镇静剂,都可因具有麻醉反应(如可阻止患者从事正常活动)及肌松特点而导致假阳性率。在最近一项500人的研究中,这些门诊患者接受了小关节阻滞或硬膜外阻滞,只有17%患者需要镇静剂。
- 更多网络解释与麻醉学者相关的网络解释 [注:此内容来源于网络,仅供参考]
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anesthesiologist:麻醉学者
anesthesia 无感觉 | anesthesiologist 麻醉学者 | anesthesiology 麻醉学
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anthologist:选集编者
anaesthesiologist麻醉学者 | anthologist选集编者 | anthropologist人类学家
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anaesthesiology:麻醉学
anaesthesiologist 麻醉学者 | anaesthesiology 麻醉学 | anaesthetic 麻醉剂