230例腰穿后头痛发病率及有关因素的分析

Clinical analysis of incidence of post lumbar puncture headache with its correlative factors in 230 cases

摘要: 本文对腰穿后头痛发病率及其有关因素进行了分析。在230例接受诊断性腰穿患者中,33例出现头痛,总发病率为14%。其中男性患者9例,女性24例。女性发病率(25%)显著高于男性(6.7%)(P<0.001)。而随年龄增加,头痛发病率下降。青少年和成年的发病率均显著高于老年(P<0.05)。结果还表明,头痛发病率与季节变化,脑脊液终压水平及腰穿后液体摄取量之间的关系不大。

Abstract: Diagnostic lumbar puncture was performed in 230 outpatients, with post-lumbar puncture headache （PLPH） in 33 cases （9 men and 24 women）. The incidence of PLPH in women （25%） was higher remarkably than that in man （6.7%）（P＜0.001）. The incidence in the younger adults differed significantly from that in the older （P＜0.05）. The results also showed that the PLPH incidence had no correlation with the season, terminal pressure of cerebrospinal fluid and intake of water.