Mengenai kepentingan postur: kedudukan duduk yang optimum untuk tusukan lumbar

It is well known that the most common complications of lumbar puncture (LP) are post-puncture low back pain and post-puncture headache (PLPH). According to related reports 2, low back pain, headache and typical PLPH after LP account for 17 percent , 19 percent , and 9 percent , respectively. Complications after LP are mostly related to the patient's history of headache, fear, type of puncture needle, patient's position before and after puncture, and the number of punctures.

Tusukan lumbar dalam kedudukan dekubitus sisi dan posisi duduk jarang berlaku atau tidak diketahui di China. Isu yang paling kami bimbangkan ialah pengukuran tekanan, kemungkinan herniasi otak dan sakit kepala selepas pembedahan.

Let's take a look at the consensus guidelines for lumbar puncture in neurological diseases formulated by a foreign expert group of neurology experts in May 2017 2: in the sitting position, the patient should fully bend the neck and back to expand the adjacent lumbar intervertebral space to facilitate needle insertion. The optimal puncture position depends on the clinical situation of the physician and the patient

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