口服液体补充剂用于预防持续性刺痛后头痛:一个非劣质性随机对照试验
Emmanuelle Cartron1,2, Christelle Volteau3, Maxime Leroy4
1Department of Nursing, Université Paris Cité, Paris, France.
PloS one
|March 12, 2025
概括
关于口服液体摄入的任何具体建议都不低于鼓励饮用水来预防持续性刺伤后头痛. 这一发现质疑腰部穿刺后的常规非基于证据的护理护理.
科学领域:
- 神经学 神经学
- 麻醉学 麻醉学
- 护理 护理 护理 护理
背景情况:
- 持续性刺穿后头痛 (PDPH) 是腰部刺穿后的一个常见并发症.
- 目前的护理往往包括建议增加口服液体摄入量,尽管证据有限.
研究的目的:
- 为了比较没有接受特定液体建议的患者和那些建议在腰椎穿刺后增加水摄入量的患者之间PDPH的发病率.
主要方法:
- 一个前性的,开放的标签,非劣势,多中心试验.
- 554名接受腰椎穿刺的住院患者被随机分配 (1:1) 给自由流体 (没有建议) 或控制 (2L水建议).
- 主要结局:5天内PDPH率;非劣势率为10%.
主要成果:
- 在自由流体组中,PDPH发生在33.1%的患者中,而在控制组中为38.0%.
- 调整后的差异为3.7%,表明非劣势.
- 还收集了关于发病时间的二次结果数据.
结论:
- 没有具体的口服液体摄入建议,不逊于鼓励增加水摄入量来预防PDPH.
- 这挑战了非基于证据的护理干预的必要性,可能为其他患者护理方面释放资源.
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