Department of Pediatric Hematology-Oncology, University Hospital of Archet-2.
Department of Pedo-psychiatrist, University Hospital of Lenval, Nice, France.
J Pediatr Hematol Oncol. 2022 Mar 1;44(2):e381-e385. doi: 10.1097/MPH.0000000000002232.
This study aimed to evaluate the impact of patient's position on pain and anxiety during lumbar puncture (LP).
A randomized controlled trial included children between 2 and 18 years old receiving at least 2 therapeutic LPs. They were randomly assigned to undergo lateral decubitus position or sitting position LP. Primary outcome was the maximum LP-induced pain, secondary endpoint the maximum LP-induced anxiety score.
Twenty-eight patients were randomized. For patients under 6 years old, mean of Face, Leg, Activity, Cry, and Consolability were 2.8/10±3.0 (median=1) at first time and 1.5±1.7 (median=1) at second time. For patients 6 to 18 years old, mean of visual analog scale were 2.2±2.2 (median=1.5) at first time and 3.2±2.8 (median=3) at second time. There was no significant differences according to position on anxiety among children.
Results did not demonstrate whether lateral decubitus position could generate less pain and anxiety than sitting position.
本研究旨在评估患者体位对腰椎穿刺（LP）过程中疼痛和焦虑的影响。
一项随机对照试验纳入了 2 至 18 岁需至少接受 2 次治疗性 LP 的儿童。他们被随机分配到侧卧位或坐位 LP。主要结局是 LP 引起的最大疼痛，次要终点是 LP 引起的最大焦虑评分。
共 28 例患者被随机分组。对于 6 岁以下的患者，首次时面部、腿部、活动、哭泣和安慰评分的均值为 2.8/10±3.0（中位数=1），第二次时为 1.5±1.7（中位数=1）。对于 6 至 18 岁的患者，首次时视觉模拟评分均值为 2.2±2.2（中位数=1.5），第二次时为 3.2±2.8（中位数=3）。两种体位下患儿的焦虑评分无显著差异。
结果并未表明侧卧位比坐位能产生更少的疼痛和焦虑。
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