儿童腰椎穿刺术后两种体位的对比研究

目的:探讨儿童腰椎穿刺术后两种卧位的舒适性及并发症发生情况。方法:将230例行腰椎穿刺术患儿随机分为观察组和对照组各115例,观察组术后交替采取去枕平卧位和平头侧卧位,对照组术后去枕平卧4~6h,观察术后头痛、腰背痛、脑疝等并发症发生情况。结果:两组患儿头痛、脑疝发生情况比较无显著性差异,观察组术后腰背疼痛的发生率明显低于对照组(P<0.01)。结论:腰椎穿刺术后交替采取去枕平卧与平头侧卧位,不仅具有传统卧位使头痛发生率低的优点,而且可减少腰背疼痛的发生率,提高患儿舒适度。

Comparative study on tow kinds of lying positions taken after lumbar puncture for child

Objective: To discuss the degree of comfort of the two lying positions and the incidence of complications after lumbar puncture for child.Methods: 230 children who had lumbar puncture were divided into observation group(n=115) and control group(n=115) at random.Horizontal and lateral recumbent positions without pillow were taken alternately in the observation group and only horizontal position without pillow was taken for 4-6 hours in the control group after lumbar puncture,and the incidence of complications such as headache,backache and cerebral hernia was observed.Results: There was no significant difference in the comparison of the incidence of headache and cerebral hernia of the two groups,but the incidence of backache was evidently less in the observation group than that in the control group(P<0.01).Conclusion: It can not only reduce the incidence of headache to take the horizontal and lateral recumbent positions without pillow alternately after lumbar puncture for child,but effectively decrease the incidence of backache so as to increase children's comfort.