超声引导在肥胖患者腰椎穿刺中的临床价值

发布时间：2018-04-20 23:02

  本文选题：超声引导 + 腰椎穿刺　； 参考：《中国超声医学杂志》2015年12期

【摘要】：目的评估超声引导在肥胖患者腰椎穿刺的临床价值。方法选取108例拟行腰椎穿刺的肥胖患者,随机分为A组(超声组)和B组(传统组),每组54例。A组采用超声引导下腰椎穿刺;B组采用传统方法穿刺。观察比较两组的穿刺时间、穿刺成功率、术后腰痛等不良反应。结果 (1)A组所用时间明显少于B组[A组:(5.13±0.91)min;B组:(11.92±1.63)min,经比较t≈35.04,P0.01]。(2)A组中54例患者在超声引导下穿刺成功率为100%,B组中45例穿刺成功率为83.33%,经比较χ2≈4.37,P0.05。结论超声引导下腰椎穿刺成功率高,所用时间少,术后产生的不良反应少,因此对于临床上腰椎穿刺困难的肥胖患者,可以采取超声引导下腰椎穿刺。
[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 卤0.91min, group B 11.92 卤1.63min, compared with t 鈮，

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