Effectiveness of Combination Therapy with Goshuyuto and Ryokeijutsukanto for Post-Dural Puncture Headache after Epidural Anesthesia for Painless Delivery or Caesarean Section
- VernacularTitle:無痛分娩のための硬膜外麻酔後および帝王切開時脊髄くも膜下麻酔後の硬膜穿刺後頭痛に対する呉茱萸湯と苓桂朮甘湯との2剤併用療法の有効性
- Author:
Yoko SANO
1
;
Yuka SHIRASAKI
2
;
Moriya OGINO
2
Author Information
- Keywords: post-dural puncture headache (PDPH); goshuyuto; ryokeijutsukanto; epidural anesthesia; spinal subarachnoid anesthesia
- From:Kampo Medicine 2020;71(2):83-89
- CountryJapan
- Language:Japanese
- Abstract: To treat the patient who developed post-dural puncture headache (PDPH) after the epidural anesthesia for painless delivery or spinal subarachnoid anesthesia for caesarean section, we provided a combination therapy with Kampo medicines goshuyuto and ryokeijutsukanto (39 patients), and a single therapy with goshuyuto (17 patients). We compared the patients based on the improvement rate and the average of the differences of Numerical Rating Scale (NRS) before and after taking Kampo medicines. Of 39 patients treated with combination therapy, 82.1% were effective in the improvement rate, and 74.4% were effective in NRS differences. Of 17 patients treated with goshuyuto alone, 58.8% was effective in the improvement rate, and 41.2% in NRS differences. In the improvement rate, it was insignificant (p=0.094). However, in the comparison of the average of the NRS differences, the combination therapy was significantly more effective than with from goshuyuto alone (p=0.032) (p<0.05). There was no significant difference depending on when the administration was started. It was suggested that a combination therapy with goshuyuto and ryokeijutsukanto is effective and convenient for PDPH.
