腰椎穿刺术100例分析

Clinical analysis on 100 cases for the lumbar puncture techniques

目的观察应用改良腰椎穿刺术行腰椎穿刺的临床效果。方法对传统腰椎穿刺操作方法进行改进(1)始终固定穿刺点;(2)保持“垂直”概念,强调动作连贯性;(3)尽量减少引起穿刺方向、穿刺点偏移的动作;(4)增加进针至“阻滞感”的补充,不单以“落空感”作判断标准;(5)减少麻醉药用量。比较传统方法组和改良方法组的临床效果。结果传统方法组成功放出脑脊液(CSF)67例,成功率67%;改良方法组成功放出CSF87例,成功率87%,两组比较差异有统计学意义。结论改良腰椎穿刺方法能提高腰椎穿刺成功率,值得推广。

Objective To observe the clinical results that application improvement lumbar-puncture. Methods （ 1 ） Puncture point was always fixed; （2） To keep ＂perpendicular＂ concept, and emphasize the action coherent; （ 3 ） To reduce to cause the puncture-direction and puncture-point to be partial to move as far as possible of action; （4）To increment enters needle to the complement with ＂the feeling of obstruct＂ ,making the judgment standard by ＂end up in nothing feeling＂ not only; （5）To reduce anesthetic dosage. Results Among the 100 patients with the new method to be lumbar puncture, the success rate was 87 %. Of the 100 patients with the traditional method, the number was 67 %. Conclusion The method of the lumbar puncture teehrique can raise success rate indeed,deserving expansion.