固定和非固定对小儿腰穿术成功率的影响

Influence of operation with fixation and without fixation on successful rate of children lumbar puncture

目的探讨固定和非固定对小儿腰穿术成功率的影响。方法回顾性分析我院收治的278例使用和未用腰穿固定法的患儿病例资料,固定组160例,非固定组118例。固定组采取小儿腰穿简单固定方法或小儿腰穿固定器进行固定。然后做常规腰穿术。非固定组按常规操作进行,不进行固定操作。结果固定组的一次性穿刺成功率(95.0%)明显高于非固定组(79.8%)(χ2=16.318,P<0.01),并发症发生率也明显的低于非固定组(χ2=4.332,P<0.05)。结论小儿腰穿固定操作可以明显减少小儿术中的活动,提高一次性穿刺成功率,减少腰穿并发症的发生。

Objective To investigate influence of operation with fixation and without fixation on successful rate of children lumbar puncture. Methods We analyzed retrospectively clinical document of 278 cases operated with lumbar puncture fixation and without. Acording to clinical document children were divided into fixation group（ 160 cases ） and non - fixation（ 118 cases ） ;Children in the former group were operated by lumbar puncture with simple fixation or child lumbar puncture fixation equipment. Those of the other group were just done by common lumbar puncture without fixation. Results First time successful rate of lumbar puncture in fixation group was 95.0% ; the one in non - fixation was 79.8%. There was statisstical differece in successful rates in two groups（x^2 = 16. 318 ,P 〈 0.01 ）. Incidence rate of complication in fixation group was reduced more than the one in non -fixation （X^2 = 4. 332 ,P 〈 0.05）. Conclusions Operation of children lumbar puncture with fixation can effectively reduce movement during operation, thus raise first time successful rate of lumbar puncture and made relate complication decreased.