超聲引導(dǎo)在肥胖患者腰椎穿刺中的臨床價(jià)值
發(fā)布時(shí)間:2018-04-20 23:02
本文選題:超聲引導(dǎo) + 腰椎穿刺 ; 參考:《中國(guó)超聲醫(yī)學(xué)雜志》2015年12期
【摘要】:目的評(píng)估超聲引導(dǎo)在肥胖患者腰椎穿刺的臨床價(jià)值。方法選取108例擬行腰椎穿刺的肥胖患者,隨機(jī)分為A組(超聲組)和B組(傳統(tǒng)組),每組54例。A組采用超聲引導(dǎo)下腰椎穿刺;B組采用傳統(tǒng)方法穿刺。觀察比較兩組的穿刺時(shí)間、穿刺成功率、術(shù)后腰痛等不良反應(yīng)。結(jié)果 (1)A組所用時(shí)間明顯少于B組[A組:(5.13±0.91)min;B組:(11.92±1.63)min,經(jīng)比較t≈35.04,P0.01]。(2)A組中54例患者在超聲引導(dǎo)下穿刺成功率為100%,B組中45例穿刺成功率為83.33%,經(jīng)比較χ2≈4.37,P0.05。結(jié)論超聲引導(dǎo)下腰椎穿刺成功率高,所用時(shí)間少,術(shù)后產(chǎn)生的不良反應(yīng)少,因此對(duì)于臨床上腰椎穿刺困難的肥胖患者,可以采取超聲引導(dǎo)下腰椎穿刺。
[Abstract]:Objective to evaluate the clinical value of ultrasound guided lumbar puncture in obese patients. Methods 108 obese patients were randomly divided into two groups: group A (ultrasound group) and group B (traditional group). The time of puncture, successful rate of puncture and postoperative low back pain were observed and compared between the two groups. Results the time used in group A was significantly shorter than that in group B [group A: 5.13 鹵0.91min, group B 11.92 鹵1.63min, compared with t 鈮,
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