诊断性腰椎穿刺术后卧床30分钟应用效果的Meta分析

Meta analysis on the application effect of 30 minutes after diagnosis of lumbar puncture

目的系统评价中国目前诊断性腰椎穿刺术后卧床30min应用效果的情况。方法采用Cochrane系统评价的方法,计算机检索中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、中文科技期刊数据库(VIP),查找比较诊断性腰椎穿刺术后卧床30 min应用效果的随机对照研究(RCT),对纳入的RCT进行质量评价并提取有效数据,采用Rev Man5.1软件进行Meta分析。结果共纳入5个RCT,合计2 626例患者。诊断性腰椎穿刺术后,卧床30 min并不会增加其头痛发生率,分别与2 h、4 h、6 h行统计分析,无统计学差异,其结果分别为2 h[OR=0.76,95%CI:0.41-1.42,P=0.40],4h[OR=0.86,95%CI:0.46-1.60,P=0.63],6h[OR=1.06,95%CI:0.54-2.05,P=0.87]。结论诊断性腰椎性穿刺术后,卧床30min后便下床活动,不会增加头痛发生率,可提高患者舒适度,缩短护理时间的优势。

Objective System evaluation of the application effect of 30 minutes after the diagnosis of lumbar puncture in china. Methods Using the Cochrane system evaluation method, computer search of China journal full text database （CNKI）, Chinese biomedical literature database （CBM）, Chinese science and technology periodical database （VIP） identify diagnosis of post lumbar puncture bed 30 minutes the application effect of random studied （ RCT）, included RCT for quality evaluation and extract effective data, meta analysis was performed by Revman 5.1 software. Results a total of 5 RCT, a total of 2626 patients. Diagnostic lumbar puncture, bed 30 minutes and does not increase the incidence of headache, re- spectively and 2 hours, 4 hours, 6 hours, statistical analysis, no significant differences, the results for 2 hours [ OR = 0. 76, 95%CI：0.41 -1.42, P=0.40）, 4 hours [OR=0. 86, 95%CI：0.46- 1.60, P=0.63）, 6 hours [OR =1.06, 95%CI： 0. 54 - 2. 05, P = 0. 87）. Conclusion 30 minutes after the diagnosis of lumbar puncture, bed activities will not increase the incidence of headache, can improve the comfort of patients, shorten the advantages of nursing time.