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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 To systematically evaluate the effect of 30-minute bed rest after diagnostic lumbar puncture in China. Methods The Cochrane systematic review was used to search CNKI, CBM and VIP databases for the purpose of finding a randomized trial of 30-minute bed rest after diagnostic lumbar puncture Control study (RCT), RCTs included in the quality evaluation and extraction of valid data, using Rev Man5.1 software for meta-analysis. Results A total of 5 RCTs were included, totaling 2 626 patients. After diagnosis of lumbar puncture, bed rest for 30 min did not increase the incidence of headache. Statistical analysis was performed with 2 h, 4 h and 6 h respectively. The results were 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]. Conclusion After diagnosis of lumbar puncture, bed ambulation 30min after bed activity, will not increase the incidence of headaches, patients can improve comfort and shorten the advantages of nursing time.