在新生儿的腰部穿刺的定位
Sara Pessano1, Matteo Bruschettini2,3, Marcus Glenton Prescott4
1Neonatal Intensive Care Unit, Department Mother and Child, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
The Cochrane database of systematic reviews
|December 14, 2023
概括
与坐姿相比,新生儿的腰部穿刺侧侧位在成功率上几乎没有差异,但可能会增加胸和氧气脱. 倾斜的位置可能不那么成功.
科学领域:
- 新生儿医学 新生儿医学
- 儿科手术 儿科手术
- 临床有效性研究研究 临床有效性研究
背景情况:
- 腰部穿刺 (LP) 是新生儿的常见手术,但大约50%的手术失败,导致不良后果.
- 横侧和坐姿通常用于LP,但它们的比较有效性尚不清楚.
- 本综述评估了新生儿LP不同位置的益处和危害.
结论:
- 在新生儿中,坐着的姿势可能比侧卧卧的姿势更好,因为可能会减少胸肌梗塞和氧气脱的发作.
- 侧面腰位置可能不如倾斜的位置在第一次尝试LP成功时有效.
- 需要对经过验证的疼痛量表进行进一步的研究,以充分了解不同位置对新生儿LP结果的影响.
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