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(
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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 aromatherapy to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade D)
[laiyuan] => 证据不支持常规使用芳香疗法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
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)
推荐意见
证据不支持常规使用芳香疗法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 routine use of aromatherapy 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] => 1154
[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] => Regular multimodal analgesia including acetaminophen and NSAIDs, unless contraindicated, should be offered to all patients with PDPH.(Evidence: Low Level of Certainty，Recommendation: Grade B)
[laiyuan] => 应向所有患有硬脊膜穿破后头痛的患者提供常规多模式镇痛治疗，包括对乙酰氨基酚和非甾体抗炎药物的使用，除非有禁忌证。（证据级别：低；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应向所有患有硬脊膜穿破后头痛的患者提供常规多模式镇痛治疗，包括对乙酰氨基酚和非甾体抗炎药物的使用，除非有禁忌证。（证据级别：低；推荐强度：Grade B）
Regular multimodal analgesia including acetaminophen and NSAIDs, unless contraindicated, should be offered to all patients with PDPH.(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
Array
(
[id] => 1155
[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] => Short-term use of opioids may be considered in the treatment of PDPH if regular multimodal analgesia is ineffective. (Evidence: Low Level of Certainty，Recommendation: Grade C)
[laiyuan] => 在常规多模式镇痛治疗无效时，可以考虑短期使用阿片类药物治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在常规多模式镇痛治疗无效时，可以考虑短期使用阿片类药物治疗硬脊膜穿破后头痛 。（证据级别：低；推荐强度：Grade C）
Short-term use of opioids may be considered in the treatment of PDPH if regular multimodal analgesia is ineffective. (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] => 1156
[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] => long-term opioid use is not recommended in the treatment of PDPH. (Evidence: Moderate Level of Certainty，Recommendation: Grade D)
[laiyuan] => 不推荐长期使用阿片类药物治疗硬脊膜穿破后头痛 。（证据级别：中；推荐强度：Grade D）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐长期使用阿片类药物治疗硬脊膜穿破后头痛 。（证据级别：中；推荐强度：Grade D）
long-term opioid use is not recommended in the treatment of PDPH. (Evidence: Moderate 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
(
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[tjqd] =>
[nianfen] => 2023
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[pdf] =>
[tjyjyw] =>
[lyyw] => Caffeine may be offered in the first 24h of symptoms with a maximum dose of 900 mg per day (200–300mg if breastfeeding) and avoiding multiple sources to prevent untoward side effects. (Evidence: Low Level of Certainty，Recommendation: Grade B)
[laiyuan] => 可以在症状出现的前24h内使用咖啡因，最大剂量为每天900mg(如果正在哺乳，则为200-300mg)，并避免多个途径给药以防止不良反应 。（证据级别：低；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
可以在症状出现的前24h内使用咖啡因，最大剂量为每天900mg(如果正在哺乳，则为200-300mg)，并避免多个途径给药以防止不良反应 。（证据级别：低；推荐强度：Grade B）
Caffeine may be offered in the first 24h of symptoms with a maximum dose of 900 mg per day (200–300mg if breastfeeding) and avoiding multiple sources to prevent untoward side effects. (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
Array
(
[id] => 1158
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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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[nianfen] => 2023
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[pdf] =>
[tjyjyw] =>
[lyyw] => Evidence does not support the routine use of hydrocortisone, theophylline, and gabapentin in the management of PDPH.
(Evidence: Low Level of Certainty，Recommendation: Grade D)
[laiyuan] => 证据不支持常规使用氢化可的松、茶碱、和加巴喷丁来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
证据不支持常规使用氢化可的松、茶碱、和加巴喷丁来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 the routine use of hydrocortisone, theophylline, and gabapentin in the management of 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
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[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Evidence does not support routine use of acupuncture to treat PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 当前证据不支持常规使用针刺疗法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
当前证据不支持常规使用针刺疗法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 acupuncture 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] => 1160
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
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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 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] =>
[_nrsh] =>
)
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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[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[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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[zjfj] =>
[tjqd] =>
[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
