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改良腰椎穿刺技术在神经系统疾病诊断和治疗中的应用

Application of modified lumbar puncture in diagnosis and treatment of nervous system diseases
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摘要 目的评价改良腰椎穿刺技术在神经系统疾病诊断和治疗中的应用效果。方法将60例需行腰椎穿刺的成人患者随机分成两组,每组30例,分别采用传统腰椎穿刺技术及改良腰椎穿刺技术。比较两组的刺穿成功率及术后疼痛程度。结果研究组1次穿刺成功率、穿刺成功率分别为73.3%、90.0%,对照组分别为50.0%、66.7%,研究组穿刺成功率显著高于对照组(P〈0.05);研究组术后疼痛程度显著低于对照组(P〈0.01)。结论改良腰椎穿刺技术的腰椎穿刺成功率高,术后患者疼痛明显减轻。 Objective To evaluate the application effect of modified lumbar punc- ture (LP) in diagnosis and treatment of nervous system diseases. Methods Sixty adults needing LP were randomly assigned to two groups of 30 ones each and re- ceived traditional or modified LP. Puncture achievement ratio and post-operative pain were compared between 2 groups. Results One-shot achievement and achievement ratio were re- spectively 73.3% and 90.0% in research and 50.0% and 66.7% in control group, achievement ratio was significantly higher in research than control group (P〈0. 05) ; post operative pain degree was significantly lower in research than control group (P〈0. 01). Conclusion Puncture achievement ratio of modified LP is high, post-operative pain lightens notably.
出处 《临床心身疾病杂志》 CAS 2015年第6期106-107,共2页 Journal of Clinical Psychosomatic Diseases
关键词 腰椎穿刺 麻醉 成人 穿刺成功率 疼痛 LP anesthesia adult puncture achievement ratio pain
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参考文献3

  • 1吴江,贾建平,崔丽英.神经病学[M].北京:人民卫生出版社,2006:170.
  • 2陈文彬,潘祥林,康熙雄,等.诊断学[M].北京:人民卫生出版社,2008:577-578.
  • 3吴江,王怀经,赵玲辉.局部解剖学[M].北京:人民卫生出版社,2005:276.

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