椎管内麻醉后腰背痛的预防与处理

Prevention and treatment of low back pain induced by intravertebral anesthesia

背景椎管内麻醉是临床麻醉中常用的一种麻醉方法，其麻醉效果确切，设备要求低，因此在我国各基层医院中应用极为广泛。但是，椎管内麻醉后可引起腰背疼痛且发生率较高，严重影响患者术后的生活质量。因此椎管内麻醉后腰背痛越来越受到人们的关注。目的探讨椎管内麻醉后腰背痛的预防及处理方法。内容从椎管内麻醉后腰背痛的发生机制、发病原因、诊断标准、治疗方法和预防措施等几方面就与此相关的研究进展作一综述。趋势椎管内麻醉后腰背痛不仅造成患者一定的身心伤害，而且影响患者术后的生活质量，对椎管内麻醉后腰背痛的有效预防和治疗应得到人们的重视。

Background Intravertebral anesthesia, an anesthetic method commonly used in clinical anesthesia, due to the exact effect of anesthesia, low requirements for equipment, therefore, is widely applied in the primary hospital in China. However, intravertebral anesthesia can cause a higher incidence of low back pain, which severely affected patient＇s postoperative quality of life. Therefore, low back pain induced by intravertebral anesthesia has been paid more and more attention. Objective To explore the prevention and treatment of low back pain induced by intravertebral anesthesia. Content This article reviewed the research advances in the mechanism, pathogenesis, diagnostic criteria, treatment methods and preventive measures of low back pain induced by intravertebral anesthesia. Trend Low back pain induced by intravertebral anesthesia not only causes patients with physical and psychological harm, but also influence the postoperative quality of life, effective prevention and treatment of low back pain induced by intravertebral anesthesia should get people＇s attention.