CAJ | 학술논문

目的观察腰椎穿刺方向对穿刺成功率及术后并发症的影响.方法采用最常用的侧卧位,将符合条件需要腰椎穿刺的104例患者,按不同腰椎穿刺方法分成A组和B组,各52例.测定腰椎穿刺术后脑脊液压力,观察腰椎穿刺成功率及术后并发症发生情况.结果 A组穿刺成功率为78.8％ (41/52),B组成功率为92.3％(48/52),组间腰椎穿刺成功率比较差异有统计学意义(P＜0.05).2组穿刺成功者术后头痛、腰痛并发症发生率比较差异无统计学意义[A组分别为7.3％ (3/41)、9.8％ (4/41):B组分别为8.3％ (4/48)、12.5％ (6/48),P＞0.05].A组和B组穿刺成功者术后血压升高发生率比较差异无统计学意义[52.4％ (22/41)比52.1％(25/48),P＞0.05].结论正确的穿刺方法及穿刺方向可以提高穿刺成功率,不增加术后并发症.
목적 관찰요추천자방향대천자성공솔급술후병발증적영향.방법 채용최상용적측와위,장부합조건수요요추천자적104례환자,안불동요추천자방법분성A조화B조,각52례.측정요추천자술후뇌척액압력,관찰요추천자성공솔급술후병발증발생정황.결과 A조천자성공솔위78.8％ (41/52),B조성공솔위92.3％(48/52),조간요추천자성공솔비교차이유통계학의의(P＜0.05).2조천자성공자술후두통、요통병발증발생솔비교차이무통계학의의[A조분별위7.3％ (3/41)、9.8％ (4/41):B조분별위8.3％ (4/48)、12.5％ (6/48),P＞0.05].A조화B조천자성공자술후혈압승고발생솔비교차이무통계학의의[52.4％ (22/41)비52.1％(25/48),P＞0.05].결론 정학적천자방법급천자방향가이제고천자성공솔,불증가술후병발증.
Objective To assess the effect of puncture direction on the successful rate and complications of lumbar puncture.Methods From Jan.2006 to Dec.2011,104 cases who were performed lumbar puncture were divided into A and B groups according to puncture direction,with 52 cases in each group.The success rate of lumbar puncture,the incidence of complications and the post-puncture blood pressure were recorded and compared.Results The success rate of lumbar puncture in group A was 78.8％ (41/52),lower than that in group B [92.3％(48/52)] (P ＜0.05).The incidence of headache and lumbodynia in group A and group B was 7.3％ (3/41),9.8％ (4/41) and 8.3 ％ (4/48),12.5 ％ (6/48) (P ＞ 0.05).The incidence of increasing of blood pressure in patients with successful puncture between group A and group B was not significantly different [52.4％ (22/41) vs 52.1％ (25/48),P ＞ 0.05].Conclusion Correct puncture method and direction can achieve a high successful rate and do not increase post-puncture complications of lumber puncture.