Deibel Matthew, Jones Jeffrey, Brown Michael
Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
Emerg Med J. 2005 Jan;22(1):46. doi: 10.1136/emj.2004.021188.
A short cut review was carried out to establish whether re-insertion of the stylet before needle removal changed the incidence of post-lumbar puncture syndrome and headache. Altogether 235 papers were found using the reported search, of which two presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.
进行了一项简短的循证医学文献回顾,以确定在拔针前重新插入导丝是否会改变腰椎穿刺后综合征及头痛的发生率。通过报告的检索方式共找到235篇论文,其中两篇提供了回答该临床问题的最佳证据。现将这些最佳论文的作者、发表日期、国家、研究的患者组、研究类型、相关结局、结果及研究不足列成表格。并给出了临床要点。