小儿腰椎穿刺术的全程护理干预效果观察

Effects of Whole-Course Nursing Intervention in Children with Lumber Puncture

目的探讨全程护理干预对儿科行腰椎穿刺术患儿的穿刺配合情况、一次穿刺成功率及术后并发症的影响。方法选择414岁意识清楚、首次腰穿的年长儿128例,随机分为干预组（68例）及对照组（60例）。干预组在此基础上实施操作前、中、后的全程护理干预措施,对照组采用常规护理,观察两组患儿的配合情况、一次穿刺成功率及术后并发症情况。结果患儿的穿刺配合情况、一次穿刺成功率及术后并发症（头痛、腰痛和尿潴留）两组比较,差异有统计学意义（P〈0.01）。结论操作前、中、后的全程护理干预措施可加强患儿的密切配合,提高穿刺成功率,减少、减轻术后并发症（腰痛、头痛、尿潴留）。

Objective To explore the effects of whole-course nursing intervention in children subject to lumbar puncture on children patient’s cooperating,success rate of one time puncture and postoperative complications.Methods One hundred and twenty eight children patients（4-14 years old,conscious and the first lumbar puncture of the older children） were randomly divided into intervention group（n=68） and control group（n=60）.The usual care was performed in the control group,while the whole-course nursing interventions were performed based on the usual case in the intervention group.Items including cooperating,success rate of one time puncture,postoperative headache,lumbago and urinary retention of both groups were observed.Results The differences in cooperating and success rate of one time puncture,postoperative headache,lumbago,urinary retention between the two groups were remarkable significant（P〈0.01）.Conclusion Whole-course nursing interventions can enhance the close cooperation of children and improve the success rate of a puncture,reduce postoperative complications（headache,lumbago,urinary retention）,make the lumbar puncture proceed easily.