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[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
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[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
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[lyyw] => In patients with PDPH with severe neurological symptoms (eg, hearing loss, cranial neuropathies), EBP should be considered as a therapeutic option. (Evidence: Moderate Level of Certainty，Recommendation: Grade C)
[laiyuan] => 在硬脊膜穿破后头痛 伴有严重神经症状(如听力损失和颅神经病变)的患者中，应考虑采用硬膜外血补丁治疗作为治疗选择。（证据级别：中；推荐强度：Grade C）
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推荐意见
在硬脊膜穿破后头痛 伴有严重神经症状(如听力损失和颅神经病变)的患者中，应考虑采用硬膜外血补丁治疗作为治疗选择。（证据级别：中；推荐强度：Grade C）
In patients with PDPH with severe neurological symptoms (eg, hearing loss, cranial neuropathies), EBP should be considered as a therapeutic option. (Evidence: Moderate Level of Certainty，Recommendation: Grade C)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
(
[id] => 1174
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[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
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[lyyw] => If an EBP is performed within 48 h of dural puncture, patients should be counseled about a more likely need for repeat EBP to achieve symptom resolution. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
[laiyuan] => 如果在蛛网膜穿刺后48小时内进行硬膜外血补丁治疗，应告知患者可能需要再次进行硬膜外血补丁治疗以达到症状缓解。（证据级别：中；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果在蛛网膜穿刺后48小时内进行硬膜外血补丁治疗，应告知患者可能需要再次进行硬膜外血补丁治疗以达到症状缓解。（证据级别：中；推荐强度：Grade B）
If an EBP is performed within 48 h of dural puncture, patients should be counseled about a more likely need for repeat EBP to achieve symptom resolution. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
(
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[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
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[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Until symptom resolution, regular patient follow-up should be undertaken to determine the need for repeat EBP in cases of suspected persistent or severe CSF leak. (Evidence: Low Level of Certainty，Recommendation: Grade C)
[laiyuan] => 在症状缓解之前，应定期随访患者，以确定是否需要再次进行硬膜外血补丁治疗，特别是对存在持续或严重脑脊液漏的患者。（证据级别：低；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在症状缓解之前，应定期随访患者，以确定是否需要再次进行硬膜外血补丁治疗，特别是对存在持续或严重脑脊液漏的患者。（证据级别：低；推荐强度：Grade C）
Until symptom resolution, regular patient follow-up should be undertaken to determine the need for repeat EBP in cases of suspected persistent or severe CSF leak. (Evidence: Low Level of Certainty，Recommendation: Grade C)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
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[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
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[tjyjyw] =>
[lyyw] => When the site of dural puncture is known, an EBP should be performed ideally at, or one space below, this level. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
[laiyuan] => 在蛛网膜穿刺部位已知的情况下，理想情况下应该在该水平上或以下1个间隙进行硬膜外血补丁治疗。（证据级别：中；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在蛛网膜穿刺部位已知的情况下，理想情况下应该在该水平上或以下1个间隙进行硬膜外血补丁治疗。（证据级别：中；推荐强度：Grade B）
When the site of dural puncture is known, an EBP should be performed ideally at, or one space below, this level. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
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[pdf] =>
[tjyjyw] =>
[lyyw] => The transforaminal approach to the epidural space with fluoroscopic guidance can be considered in cases of prior laminectomies near the site of dural puncture or after unsuccessful interlaminar EBP. (Evidence: Moderate Level of Certainty，Recommendation: Grade c)
[laiyuan] => 在蛛网膜穿刺部位附近曾进行椎板切除术或经过无效的横间孔硬膜外血补丁治疗后，可以考虑采用影像学引导下的经椎管内隙入路。（证据级别：中；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在蛛网膜穿刺部位附近曾进行椎板切除术或经过无效的横间孔硬膜外血补丁治疗后，可以考虑采用影像学引导下的经椎管内隙入路。（证据级别：中；推荐强度：Grade C）
The transforaminal approach to the epidural space with fluoroscopic guidance can be considered in cases of prior laminectomies near the site of dural puncture or after unsuccessful interlaminar EBP. (Evidence: Moderate Level of Certainty，Recommendation: Grade c)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
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[catid] => 303
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
[keywords] =>
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[hits] =>
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[url] => https://www.anes-guide.com/show/1141.html
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[tjyjyw] =>
[lyyw] => Routine use of non-cutting spinal needles for LP for all populations is recommended.(Evidence: High Level of Certainty，Recommendation: Grade A)
[laiyuan] => 推荐在所有人群中常规使用非切割脊髓穿刺针。（证据级别：高；推荐强度：Grade A）
[znzldj] => B
[_inputtime] => 1704957827
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[_nrjc] =>
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)
推荐意见
推荐在所有人群中常规使用非切割脊髓穿刺针。（证据级别：高；推荐强度：Grade A）
Routine use of non-cutting spinal needles for LP for all populations is recommended.(Evidence: High Level of Certainty，Recommendation: Grade A)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
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[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
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[tjqd] =>
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[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => If using a cutting needle for LP, use of a narrower gauge needle is recommended to decrease the risk of PDPH. (Evidence: High Level of Certainty，Recommendation: Grade A)
[laiyuan] => 如果使用切割针进行腰椎穿刺，推荐使用较窄口径的针，以减少硬脊膜穿破后头痛风险。（证据级别：高；推荐强度：Grade A）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果使用切割针进行腰椎穿刺，推荐使用较窄口径的针，以减少硬脊膜穿破后头痛风险。（证据级别：高；推荐强度：Grade A）
If using a cutting needle for LP, use of a narrower gauge needle is recommended to decrease the risk of PDPH. (Evidence: High Level of Certainty，Recommendation: Grade A)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
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[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Limited evidence supports use of narrower gauge non-cutting needles over larger needles for LP to decrease the risk of PDPH.(Evidence: Moderate Level of Certainty，Recommendation: Grade C)
[laiyuan] => 有限的证据支持使用较窄口径的非切割针而非较大针进行腰椎穿刺，以减少硬脊膜穿破后头痛风险。（证据级别：中；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
有限的证据支持使用较窄口径的非切割针而非较大针进行腰椎穿刺，以减少硬脊膜穿破后头痛风险。（证据级别：中；推荐强度：Grade C）
Limited evidence supports use of narrower gauge non-cutting needles over larger needles for LP to decrease the risk of PDPH.(Evidence: Moderate Level of Certainty，Recommendation: Grade C)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
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[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => If using a cutting needle for LP, insertion with the bevel parallel to the long axis of the spine is preferred as it may decrease the risk of PDPH. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
[laiyuan] => 如果使用切割针进行腰椎穿刺，穿刺时应首选将切面平行于脊柱长轴，这可能减少硬脊膜穿破后头痛风险。（证据级别：中；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果使用切割针进行腰椎穿刺，穿刺时应首选将切面平行于脊柱长轴，这可能减少硬脊膜穿破后头痛风险。（证据级别：中；推荐强度：Grade B）
If using a cutting needle for LP, insertion with the bevel parallel to the long axis of the spine is preferred as it may decrease the risk of PDPH. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
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[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
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[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => After inadvertent dural puncture during epidural catheter placement, an intrathecal catheter may be considered to provide anesthesia/analgesia. This decision must consider potential risks associated with intrathecal catheters. (Evidence: Low Level of Certainty，Recommendation: Grade B)
[laiyuan] => 在硬脊膜外导管放置过程中发生意外硬脊膜穿孔后，可以考虑使用蛛网膜下腔导管提供麻醉或镇痛。这一决定必须考虑与蛛网膜下腔导管相关的潜在风险。（证据级别：低；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在硬脊膜外导管放置过程中发生意外硬脊膜穿孔后，可以考虑使用蛛网膜下腔导管提供麻醉或镇痛。这一决定必须考虑与蛛网膜下腔导管相关的潜在风险。（证据级别：低；推荐强度：Grade B）
After inadvertent dural puncture during epidural catheter placement, an intrathecal catheter may be considered to provide anesthesia/analgesia. This decision must consider potential risks associated with intrathecal catheters. (Evidence: Low Level of Certainty，Recommendation: Grade B)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
