Handler C E, Smith F R, Perkin G D, Rose F C
J R Soc Med. 1982 Jun;75(6):404-7. doi: 10.1177/014107688207500607.
A prospective single blind trial in 50 patients was performed to investigate the effect of posture on post lumbar puncture headache (LPH). A difference between the frequency of headache at five hours between the two groups (prone for four hours, versus 30 degrees head down tilt for 30 minutes followed by supine posture for 3 1/2 hours) did not reach significance. These findings do not support the suggestion that a prone posture, by possibly reducing cerebrospinal fluid (CSF) leakage, significantly reduces the frequency of this common clinical problem. The value of bed rest after lumbar puncture remains equivocal. Other methods used for reducing LPH are reviewed.
对50名患者进行了一项前瞻性单盲试验，以研究体位对腰穿后头痛（LPH）的影响。两组在5小时时头痛频率的差异（俯卧4小时，与头向下倾斜30度30分钟后仰卧3.5小时）未达到显著水平。这些发现不支持这样的观点，即俯卧位可能通过减少脑脊液（CSF）漏出而显著降低这种常见临床问题的发生频率。腰穿后卧床休息的价值仍不明确。本文综述了用于减少腰穿后头痛的其他方法。
