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The Efficiency of Intravenous Theophylline on the Headache Which Occurs After Spinal Anesthesia

机译:静脉茶碱对脊髓麻醉后头痛的有效性

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Background: Headache which occurs after spinal anesthesia is the most frequent complication (30 - 40%). In our study, we studied the efficiency of intravenous theophylline application on the patients who came with after spinal anesthesia headache (ASAH).?Methods: Sixty patients were included in this study. The patients were divided into three groups. The first group was given; intravenous (iv)200 mg theophylline + 1000 ml Dextrose Linger lactate (DRL) with in half hour, the 2nd, oral 100 mgcaffeine + 500 mg paracetomol + 1000 ml DRL and the 3rd, oral and iv placebo with 1000 ml DRL within half hour. These patients were asked to degree the pain before the medicine was given and one hour after it was given using The Visual Pain Scala (VPS).?Results: In the first group, statistically significant difference was detected in the VPS results before and after the theophylline infusion (P 0.1).?Conclusion: The reason for the pain is the leak of the cerebrospinal fluid (CSF) from where the injection is given and the fall of CSF pressure. The agents like theophylline which causes vasoconstriction in brain veins help get over the headache. Our results tend to show that theophylline infusion after spinal anesthesia is a method which is efficient, fast and does minimal harm during the headache therapy.doi:10.4021/jnr71e
机译:背景:脊麻后发生的头痛是最常见的并发症(30-40%)。在我们的研究中,我们研究了静脉麻醉茶碱对脊柱麻醉后头痛(ASAH)患者的有效性。方法:本研究纳入60例患者。将患者分为三组。第一组给了;静脉(iv)200毫克茶碱+ 1000毫升葡萄糖乳酸(DRL)在半小时内,第二次口服100毫克咖啡因+ 500毫克对乙酰氨基酚+ 1000毫升DRL,第三次,口服和静脉注射安慰剂与1000毫升DRL在半小时内。这些患者被要求在服药前和服药后一小时使用视觉疼痛Scala(VPS)减轻疼痛程度。结果:在第一组中,患者在服药前后的VPS结果有统计学差异。结论:疼痛的原因是注射时脑脊液(CSF)的泄漏和CSF压力的下降。茶碱等可引起脑静脉血管收缩的药物有助于缓解头痛。我们的研究结果表明,脊髓麻醉后输注茶碱是一种有效,快速且头痛治疗过程中危害最小的方法。doi:10.4021 / jnr71e

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