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[catid] => 302
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from a multisociety international working group
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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 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] =>
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)
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
[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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[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
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
[keywords] =>
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[hits] =>
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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 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] =>
[keywords] =>
[description] =>
[hits] =>
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[status] => 9
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(
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(
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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 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
from a multisociety international working group
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
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[demo_url] =>
[zjpjff] => the US Preventative Services Task Force (USPSTF)
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[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
[thumb] =>
[keywords] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[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
[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] =>
[uid] => 1
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[status] => 9
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[link_id] => 0
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[demo_url] =>
[zjpjff] => the US Preventative Services Task Force (USPSTF)
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[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
Array
(
[id] => 1170
[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] => Clinicians should follow appropriate guidelines regarding neuraxial injection in patients on antithrombotics or with low platelet counts. (Evidence: Moderate Level of Certainty，Recommendation: Grade A)
[laiyuan] => 对于服用抗血栓药或血小板计数低的患者，临床医师应遵循有关椎管内注射的适当指南。（证据级别：中；推荐强度：Grade A）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于服用抗血栓药或血小板计数低的患者，临床医师应遵循有关椎管内注射的适当指南。（证据级别：中；推荐强度：Grade A）
Clinicians should follow appropriate guidelines regarding neuraxial injection in patients on antithrombotics or with low platelet counts. (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
Array
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[id] => 1171
[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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[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Caution should be exercised when considering an EBP in febrile patients or patients presenting with other systemic signs of infection. Deferring the procedure may be appropriate if there is risk of hematogenous infection. (Evidence: Moderate Level of Certainty，Recommendation: Grade C)
[laiyuan] => 在考虑进行硬膜外血补丁时，应谨慎对待发热患者或出现其他全身感染征象的患者。如果存在血行感染的风险，推迟手术可能是合适的。（证据级别：中；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在考虑进行硬膜外血补丁时，应谨慎对待发热患者或出现其他全身感染征象的患者。如果存在血行感染的风险，推迟手术可能是合适的。（证据级别：中；推荐强度：Grade C）
Caution should be exercised when considering an EBP in febrile patients or patients presenting with other systemic signs of infection. Deferring the procedure may be appropriate if there is risk of hematogenous infection. (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] => 1172
[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] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/1172.html
[link_id] => 0
[tableid] => 0
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(
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[nrsh] => Array
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[wailian] => https://guide.medlive.cn/guideline/29530
[demo_url] =>
[zjpjff] => the US Preventative Services Task Force (USPSTF)
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => When PDPH is refractory to conservative therapy and impairs activities of daily living, an EBP should be considered to treat headache and other neurological sequelae of intracranial hypotension. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
[laiyuan] => 在硬脊膜穿破后头痛 对保守疗法无效且影响日常生活活动时，应考虑采用硬膜外血补丁来治疗头痛和其他颅内低压的神经后遗症。（证据级别：中；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957828
[_updatetime] => 1704957828
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在硬脊膜穿破后头痛 对保守疗法无效且影响日常生活活动时，应考虑采用硬膜外血补丁来治疗头痛和其他颅内低压的神经后遗症。（证据级别：中；推荐强度：Grade B）
When PDPH is refractory to conservative therapy and impairs activities of daily living, an EBP should be considered to treat headache and other neurological sequelae of intracranial hypotension. (Evidence: Moderate 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
