Kleyweg R P, Hertzberger L I, Carbaat P A
Merwedeziekenhuis, afd. Neurologie, Dordrecht.
Ned Tijdschr Geneeskd. 1995 Feb 4;139(5):232-4.
To investigate the difference in frequency of headache after lumbar puncture with a standard needle or an atraumatic needle.
Prospective, randomised double blind study.
Department of Neurology, Merwedeziekenhuis, Dordrecht.
One hundred sequential patients were randomised to lumbar puncture with a 'standard needle' (20 gauge) or an 'atraumatic needle' (pencil point, 22 gauge). The patients were interviewed one week later. Patient and interviewer were unaware of the needle used.
After puncture with the standard needle 32% of the patients suffered from postlumbar puncture headache, after use of the atraumatic needle 6% (p < 0.001; 95% confidence interval of the difference: 0.11-0.40). Postpuncture complaints appeared to be less severe after puncture with the atraumatic needle.
In comparison with a standard needle, there is significantly less postpuncture headache after lumbar puncture with an atraumatic needle.
研究使用标准针或无创针进行腰椎穿刺后头痛发生频率的差异。
前瞻性随机双盲研究。
多德雷赫特Merwedeziekenhuis医院神经内科。
连续100例患者被随机分为用“标准针”（20号）或“无创针”（笔尖式，22号）进行腰椎穿刺。一周后对患者进行访谈。患者和访谈者均不知道所使用的针具。
使用标准针穿刺后，32%的患者出现腰穿后头痛，使用无创针后为6%（p<0.001；差异的95%置信区间：0.11 - 0.40）。使用无创针穿刺后穿刺后不适似乎较轻。
与标准针相比，使用无创针进行腰椎穿刺后穿刺后头痛明显较少。
