儿童腰椎穿刺术前不同固定方法效果比较

Application Effect of Different Fixations of Lumbar Puncture in Children

目的观察背带裤固定法应用于小儿腰椎穿刺时的效果。方法将我院74例需进行腰椎穿刺术的患儿随机分成试验组和对照组两组,试验组36例,对照组38例。试验组采用我科自行设计的背带裤固定法进行固定,对照组采用旧床单固定法进行固定,观察并比较两组腰椎穿刺固定效果及穿刺时间、次数。结果试验组穿刺成功率、舒适度及患儿、家长、医师满意度均高于对照组,差异有统计学意义(P<0.05);试验组腰椎穿刺时间和次数均少于对照组,差异亦有统计学意义(P<0.05)。结论儿童行腰椎穿刺术时采用背带裤固定法能提高腰椎穿刺成功率,且操作简单、方便,可代替传统旧床单固定法。

Objective To observe the effect of suspender-trouser fixation for lumbar puncture in children.Methods 74 children undergoing lumbar puncture were randomly divided into experiment group(n=36) and control group(n=38).The experiment group received suspender-trouser fixation designed by our department,but the control group received fixation with bed sheet.The effect of fixation,lumbar puncture time and frequency were observed. Results The successful puncture rate,comfort degree,and satisfaction rate from the patients,their families and physicians in experiment group were all higher than those in the control group,and the differences were significant(P<0.05);puncture time in experiment group was shorter than that in the control group,and the puncture frequency was lower than that in the control group(P<0.05).Conclusion Suspender-trouser fixation for lumbar puncture in children can increase the puncture success rate,and as an alternative approach of bed sheet fixation,it is easy to perform.