요부 경막외마취 후 경막외강으로 투여한 Dexamethasone의 효과

The Effect of Epidural Dexamethasone after Lumbar Epidural Anesthesia

  • 김동희 (단국대학교 의과대학 마취과학교실) ;
  • 김태진 (단국대학교 의과대학 마취과학교실)
  • Kim, Dong-Hee (Department of Anesthesiology, College of Medicine, Dankook University) ;
  • Kim, Tae-Jin (Department of Anesthesiology, College of Medicine, Dankook University)
  • 발행 : 1998.05.30

초록

Background: Epidural steroid injection(ESI) is often adminstered to treat lower back pain, but its effect iveness on postepidural backache have not yet been determined. Methods: Sixty patients scheduled for cesarean section under epidural anesthesia were randomly assigned to receive, 1 ml of normal saline(Group 1), or 5 mg of dexamethasone (Group 2), epidurally via indwelling catheter after delivery. Results: The incidences of postepidural backache occured significantly more often in Group 1(56.7%) than in Group 2(26.7%)(P<0.05). There was a significant association between postepidural backache and multiple attempts at epidural needle placement. Conclusion: Epidural dexamethasone has a preventive effect on postepidural backache.

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