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评估静卧对腰穿后头痛外观的影响。

Evaluation of the effects of resting in appearance of post lumbar puncture headache.

作者信息

Afshinmajd Siamak, Davati Ali, Ahmadvand Afshin, Modara Farhad, Moghaddamnia Masoud, Jaberian Moslem

机构信息

Neurophysiology Research Center, Shahed University, Tehran, Iran..

Department of Social Medicine, Shahed University, Tehran, Iran..

出版信息

Acta Med Iran. 2014;52(1):43-5.

Abstract

Lumbar puncture (LP) is a procedure for obtaining spinal fluid from spinal meningeal spaces this can be done as a diagnostic or therapeutic procedure which can result in to a typical positional headache named as post lumbar puncture headache .This can cause a lot of discomforts for patients and makes fear from the procedure. This study designed to evaluate the effect of resting position after LP on post lumbar puncture headache (PLPH). Patients who had a diagnostic lumbar puncture were divided randomly in two groups .Group A patients had one hour rest in the supine position while group B patients had one hour rest in the prone position. Both groups followed for appearance of symptoms of PLPH for 5 days. 119 patients completed the study, 57 (48%) male patients and 62 (52%) female .PLPH totally appeared in 38 (31.9%) patients .In the group A PLPH was present in 20 patients whereas in group B it was present in 18 patients. Statistical analysis showed no significant differences between two groups (P>0.07). Position of rest after LP has no significant effect on reducing post lumbar puncture headache and there is no need to emphasize on position of rest after LP.

摘要

腰椎穿刺(LP)是一种从脊髓膜腔获取脑脊液的操作,可作为诊断或治疗手段,但可能导致一种典型的体位性头痛,称为腰穿后头痛。这会给患者带来诸多不适,并使患者对该操作产生恐惧。本研究旨在评估腰椎穿刺后静卧姿势对腰穿后头痛(PLPH)的影响。接受诊断性腰椎穿刺的患者被随机分为两组。A组患者仰卧位休息1小时,而B组患者俯卧位休息1小时。两组均随访5天以观察PLPH症状的出现情况。119例患者完成了研究,其中男性患者57例(48%),女性患者62例(52%)。共有38例(31.9%)患者出现了PLPH。A组有20例患者出现PLPH,而B组有18例患者出现PLPH。统计分析显示两组之间无显著差异(P>0.07)。腰椎穿刺后的静卧姿势对减轻腰穿后头痛无显著影响,无需强调腰椎穿刺后的静卧姿势。

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