两种不同药物镇静方法对小儿腰椎穿刺制动效果的观察

Observation of Effects of Two Different Methods of Drug Sedation on Children with Lumbar Puncture

目的探讨不同镇静方法对小儿腰椎穿刺的制动效果,确立术前药物镇静安全可靠方法。方法将74例患儿随机分成两组,对照组在腰穿前肌注鲁米那;实验组在腰椎穿前不仅肌注鲁米那,并给予10%水合氯醛口服或灌肠。结果实验组97.2%的患儿能在30min内进入睡眠状态,顺利完成腰椎穿刺,对照组仅78.9%的患儿能完成腰椎穿刺,两组制动效果差别有统计学意义(P<0.05)。结论腰椎穿刺前,肌注鲁米那配合10%水合氛醛口服或灌肠能使患儿安静入睡,制动效果良好,能提高腰椎穿刺成功率。

Objective To discuss the braking effects of two different methods of drug sedation on children with lumbar puncture for establishing the safe and reliable methods of preoperative drug sedation. Methods 74 cases of patients were divided into two groups randomly, the control group was injected the luminal before lumbar puncture; the experimental group was given the 10% chloral hydrate by oral administration or enema on the basis of control group. Results 97.2% children could enter the sleep condition within 30 minutes and complete the lumbar puncture smoothly in experimental group, only 78.9% children could complete the lumbar puncture in the control group, the two groups had statistically significant difference in braking effects （P〈0.05）. Conclusion Before the lumbar puncture, intermuscular injection of luminal combined with 10% chloral hydrate by oral administration or enema have good results, which can make the children go to sleep peacefully and improve the successful rate of lumbar ouncture.