Objective To assess the effect of puncture direction on the successful rate and complications of lumbar puncture.Methods From Jan.2006 to Dec.2011,104 cases who were performed lumbar puncture were divided into A and B groups according to puncture direction,with 52 cases in each group.The success rate of lumbar puncture,the incidence of complications and the post-puncture blood pressure were recorded and compared.Results The success rate of lumbar puncture in group A was 78.8% (41/52),lower than that in group B [92.3%(48/52)] (P <0.05).The incidence of headache and lumbodynia in group A and group B was 7.3% (3/41),9.8% (4/41) and 8.3 % (4/48),12.5 % (6/48) (P > 0.05).The incidence of increasing of blood pressure in patients with successful puncture between group A and group B was not significantly different [52.4% (22/41) vs 52.1% (25/48),P > 0.05].Conclusion Correct puncture method and direction can achieve a high successful rate and do not increase post-puncture complications of lumber puncture.%目的 观察腰椎穿刺方向对穿刺成功率及术后并发症的影响.方法 采用最常用的侧卧位,将符合条件需要腰椎穿刺的104例患者,按不同腰椎穿刺方法分成A组和B组,各52例.测定腰椎穿刺术后脑脊液压力,观察腰椎穿刺成功率及术后并发症发生情况.结果 A组穿刺成功率为78.8% (41/52),B组成功率为92.3%(48/52),组间腰椎穿刺成功率比较差异有统计学意义(P<0.05).2组穿刺成功者术后头痛、腰痛并发症发生率比较差异无统计学意义[A组分别为7.3% (3/41)、9.8% (4/41):B组分别为8.3% (4/48)、12.5% (6/48),P>0.05].A组和B组穿刺成功者术后血压升高发生率比较差异无统计学意义[52.4% (22/41)比52.1%(25/48),P>0.05].结论 正确的穿刺方法及穿刺方向可以提高穿刺成功率,不增加术后并发症.
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