Objective

Cesarean sections (CS) under spinal anesthesia may lead to newly developed low back pain (LBP) after anesthesia. The cause of this pain is still unknown. This subject was investigated.

Methods

The persistent LBP after the section was retrospectively analyzed in patients who were operated on under spinal or general anesthesia between January 1, 2018, and January 1, 2020.

Result

General anesthesia was used in 52 women, but 251 women were operated on under spinal anesthesia. Newly developed persistent LBP was detected in 57 (18,8%) of a total of 303 patients. Of those patients with LBP, general anesthesia was used in 14 of 52 (26,9%) patients, but 43 of 251 (17.1%) patients received spinal anesthesia. Baby weight after CS was the only variable associated with persistent LBP after 3 and 6 months (P < 0.05) in multiple logistic regression analysis. Patient age and anesthesia type were not associated with persistent LBP (P > 0.05).

Conclusion

This study shows anesthesia type as spinal or general was not associated with increased persistent LBP. Performing more spinal than general anesthesia in the cesarean section may be false data about the increased rate of LBP after CS.

中文翻译：

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剖宫产麻醉技术会导致产后持续性腰痛吗？回顾性分析

客观的

脊髓麻醉下的剖宫产术 (CS) 可能会导致麻醉后新出现的腰痛 (LBP)。这种疼痛的原因仍然未知。这个问题被调查了。

方法

回顾性分析了2018年1月1日至2020年1月1日期间在腰麻或全身麻醉下接受手术的患者的切开后持续腰痛。

结果

52 名女性使用了全身麻醉，但 251 名女性在脊髓麻醉下进行了手术。在总共 303 名患者中，有 57 名 (18.8%) 检测到新出现的持续性 LBP。在这些 LBP 患者中，52 名患者中有 14 名 (26.9%) 使用了全身麻醉，但 251 名患者中有 43 名 (17.1%) 接受了脊髓麻醉。 在多元逻辑回归分析中，CS 后的婴儿体重是与 3 个月和 6 个月后持续性 LBP 相关的唯一变量 ( P < 0.05)。患者年龄和麻醉类型与持续性 LBP 无关（P  > 0.05）。

结论

这项研究表明，脊髓或全身麻醉类型与持续 LBP 增加无关。在剖宫产手术中进行更多的脊髓麻醉而不是全身麻醉可能是关于 CS 后 LBP 增加率的错误数据。