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Àè¿Ê°åÎŵ»½Ñ¤Î¥¨¥Ó¥Ç¥ó¥¹Í×Ìó¡Ê¹ÅËì³°¼«²È·ìÃíÆþÎÅË¡¡Ë
¡û¥¨¥Ó¥Ç¥ó¥¹¤È¤Ê¤ë¤Ê¤é¤Ê¤¤Ê¸¸¥£±¸Å¤¤¸½ºß¤ÏÍøÍѲÁÃͤ¹¤é¤Ê¤¤ÏÀʸ¡¢Åª³°¤ì¤ÎÏÀʸ
£±¡ËAbstract
Background: Lumbar epidural blood patch (EBP) is a
common treatment of post–dural puncture headache,
but its effectiveness and mode of action remain a
matter of debate. The aim of this study was to assess
both the effectiveness and the predictive factors
of failure of EBP on severe post–dural puncture
headache. Methods: This prospective observational
study includes all patients treated in the authors¡Ç
hospital with EBP for incapacitating post–dural
puncture headache, from 1988 to 2000. The EBP effect
was classified into complete relief (disappearance
of all symptoms), incomplete relief of symptoms
(clinically improved patients who recovered
sufficiently to perform normal daily activity), and
failure (persistence of severe symptoms). The
following data were analyzed using a logistic
regression to identify predictive factors of
failure of EBP: (1) patient characteristics; (2)
circumstances of dural puncture; (3) delay between
dural puncture and EBP; and (4) the volume of blood
injected for EBP. Results: A total of 504 patients
were analyzed. The frequency rates of complete¤¹¤Ù¤Æ¤ÎÉôʬ¡ÎÍ×ÁǡϤò´Þ¤à¡¤Á´Éô¤½¤í¤Ã¤¿
relief´ËÏ¡¤·Ú¸º¡¤½üµî, incompleteÉôʬŪ¤Ë¡¤°ìÉôʬ¤Ï¡¤¤¢¤ëÄøÅÙ¡¤¾¯¤· relief

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