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[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
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[nianfen] => 2023
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[pdf] =>
[tjyjyw] =>
[lyyw] => Evidence does not support routine use of SPGBs to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 证据不支持常规使用蝶鼻神经节阻滞治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
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)
推荐意见
证据不支持常规使用蝶鼻神经节阻滞治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade I）
Evidence does not support routine use of SPGBs to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
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] => 1161
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
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[lyyw] => GONBs may be offered to patients with PDPH following spinal anesthesia with a narrower gauge (22G or less) needle, although headache may recur in a significant proportion with more severe headache requiring an EBP.(Evidence:Moderate Level of Certainty，Recommendation: Grade C)
[laiyuan] => 对于经脊麻使用较窄针头(≤22 G)引起的硬脊膜穿破后头痛患者，可以尝试枕大神经阻滞，尽管头痛可能会在相当比例的患者中复发，且头痛更严重时需要进行硬膜硬膜外血补丁。（证据级别：中；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于经脊麻使用较窄针头(≤22 G)引起的硬脊膜穿破后头痛患者，可以尝试枕大神经阻滞，尽管头痛可能会在相当比例的患者中复发，且头痛更严重时需要进行硬膜硬膜外血补丁。（证据级别：中；推荐强度：Grade C）
GONBs may be offered to patients with PDPH following spinal anesthesia with a narrower gauge (22G or less) needle, although headache may recur in a significant proportion with more severe headache requiring an 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
(
[id] => 1162
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
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[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Evidence does not support use of spinal and epidural morphine to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade D)
[laiyuan] => 证据不支持使用脊髓和硬脊膜外吗啡治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade D）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
证据不支持使用脊髓和硬脊膜外吗啡治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade D）
Evidence does not support use of spinal and epidural morphine to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade D)
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] => 1163
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[pdf] =>
[tjyjyw] =>
[lyyw] => Evidence does not support routine use of epidural dextran to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 证据不支持常规使用硬脊膜外右旋糖酐治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
证据不支持常规使用硬脊膜外右旋糖酐治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade I）
Evidence does not support routine use of epidural dextran to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
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] => 1164
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[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Evidence does not support routine use of epidural gelatin to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 证据不支持常规使用硬脊膜外明胶治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
证据不支持常规使用硬脊膜外明胶治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade I）
Evidence does not support routine use of epidural gelatin to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
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] => 1165
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[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Evidence does not support routine use of epidural HES to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 证据不支持常规使用硬脊膜外羟乙基淀粉治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
证据不支持常规使用硬脊膜外羟乙基淀粉治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade I）
Evidence does not support routine use of epidural HES to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
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] => 1166
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
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[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Evidence does not support routine use of fibrin glue to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 证据不支持常规使用纤维蛋白胶治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
证据不支持常规使用纤维蛋白胶治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade I）
Evidence does not support routine use of fibrin glue to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
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] => 1167
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
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[pdf] =>
[tjyjyw] =>
[lyyw] => Fibrin glue should be reserved for management of PDPH refractory to EBP or when autologous blood injection is contraindicated. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 纤维蛋白胶应保留用于处理对硬膜外血补丁无效的硬脊膜穿破后头痛 或自体血液注射有禁忌的情况。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
纤维蛋白胶应保留用于处理对硬膜外血补丁无效的硬脊膜穿破后头痛 或自体血液注射有禁忌的情况。（证据级别：低；推荐强度：Grade I）
Fibrin glue should be reserved for management of PDPH refractory to EBP or when autologous blood injection is contraindicated. (Evidence: Low Level of Certainty，Recommendation: Grade I)
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] => 1168
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
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[pdf] =>
[tjyjyw] =>
[lyyw] => Brain imaging may be considered when non-orthostatic headache is present or develops after initial orthostatic headache, or when headache onset is more than five days after suspected dural puncture. (Evidence: Low Level of Certainty，Recommendation: Grade C)
[laiyuan] => 在发生初始直立性头痛后出现或发展为非直立性头痛，或疑似硬脊膜穿孔后头痛超过5d时，可以考虑进行脑成像。（证据级别：低；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在发生初始直立性头痛后出现或发展为非直立性头痛，或疑似硬脊膜穿孔后头痛超过5d时，可以考虑进行脑成像。（证据级别：低；推荐强度：Grade C）
Brain imaging may be considered when non-orthostatic headache is present or develops after initial orthostatic headache, or when headache onset is more than five days after suspected dural puncture. (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
(
[id] => 1169
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[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
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[nianfen] => 2023
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[pdf] =>
[tjyjyw] =>
[lyyw] => Focal neurological deficits, visual changes, alterations in consciousness, or seizures, especially in the postpartum period, should prompt neuroimaging to evaluate alternative diagnoses. (Evidence: Moderate Level of Certainty，Recommendation: Grade A)
[laiyuan] => 出现局灶性神经功能缺陷、视觉变化、意识改变或癫痫，特别是在产后期，应当进行神经影像学检查以评估其他可能的诊断。（证据级别：中；推荐强度：Grade A）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
出现局灶性神经功能缺陷、视觉变化、意识改变或癫痫，特别是在产后期，应当进行神经影像学检查以评估其他可能的诊断。（证据级别：中；推荐强度：Grade A）
Focal neurological deficits, visual changes, alterations in consciousness, or seizures, especially in the postpartum period, should prompt neuroimaging to evaluate alternative diagnoses. (Evidence: Moderate 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
