剥夺睡眠在儿童腰椎穿刺术的应用及效果评价

目的探讨剥夺睡眠对儿童腰椎穿刺术效果评价及术后疼痛的影响。方法选择1⁸岁颅内感染,需要行腰椎穿刺至少2次以上患儿89侧,采取自身对照方法,人院后第1次腰椎穿刺为对照组,第2次复查腰椎穿刺为剥夺睡眠组。对照组进行腰椎穿刺常规护理;剥夺睡眠组在常规护理基础上,腰穿前1天晚上使患儿迟睡,术晨早起,并在上午思睡期进行穿刺。对两组腰椎穿刺使用镇静剂、检查配合、腰椎穿刺后入睡时间、持续睡眠时间及疼痛评分进行比较。结果①剥夺睡眠后,腰椎穿刺术中使用镇静剂的病人较前减少(χ2=11.392,p<0.05)具有统计学意义。②剥夺睡眠缩短腰椎穿刺后患儿入睡时间,对术后持续睡眠时间无影响。③睡眠剥夺对腰椎穿刺术后疼痛评分无明显影响。结论剥夺睡眠可减少镇静剂的使用,增加患儿依从性,临床上值得推广。

APPLICATION OF SLEEP DEPRIVATION IN LUMBAR PUNCTURE IN CHILDREN WITH PURULENT MENINGITIS AND ITS EFFECT EVALUATION

Objective To investigate the effects of sleep deprivation on the lumbar puncture in children with purulent meningitis. Methods 89 children with purulent me,ingitis were enrolled aged from 1 month to 8 - year - old. All the children got lumbar puncture at least 2 times. The selfcontrol n4~thod was employed for the analysis. The first lumbar puncture was proceeded as usual, and the second lumbar puncture was proceeded after the sleep dep- rivation. Results （ 1 ） After sleep deprivation, less patients needed sedatives （ Z2 = 11. 392,p 〈 0.05）. （2） Sleep deprivation shortened the time of patients to fall asleep, without any effects on sleep time. （3） Sleep deprivation could not decrease the pain score after lumbar puncture, Conclusion Sleep deprivation could reduce the use of sedatives, increase compliance in children, thus holding evaluation in clinics.