心理因素对腰椎穿刺后头痛的影响  

The impact of psychological factors on the headache of lumbar puncture

作　　者：刘运宝[1] 莫晔[1] 吕鹏杰 王霞[1] 李应宏[1] Liu Yunbao;Mo Ye;Lv Pengjie;Wang Xia;Li Yinghong(Department of Clinical Laboratory or Neurology,Pangang Group General Hospital,Panzhihua,Sichuan,617000,China)

机构地区：[1]攀钢集团总医院神经内科,四川攀枝花617000

出　　处：《当代医学》2018年第33期113-115,共3页Contemporary Medicine

摘　　要：目的评价心理因素对腰椎穿刺后头痛的影响,为临床腰穿前沟通提供依据。方法将符合条件的162例患者随机分成两组,每组81例。对照组术前常规告知患者及其家属术后可能出现头痛,观察组术前常规告知患者家属术后可能出现头痛,但患者本人不知,比较两组术后头痛发生率。结果观察组头痛发生率明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论腰穿前可能出现头痛并发症需告知患者家属,而非本人。Objective To evaluate psychological factors on the effect of post lumbar puncture headache, provide the basis for clinical communication before lumbar puncture. Methods 162 cases of eligible patients were randomly divided into two groups, with 81 cases in each group. The control group routinely informed of possible headache after operation. The observation group routinely informed their families of possible headache after operation, but the patients didn＇ t know. Compare the incidence of headache after operation in two groups. Results The incidence of headache in the observation group was significantly lower than that of the control group, and the two groups were statistically significant （P〈0.05）. Conclusion Families of patients should be told the possible complications of headache before lumbar puncture, rather than patients themselves.

关 键 词：腰椎穿刺 头痛 心理因素 

分 类 号：R741.04[医药卫生—神经病学与精神病学]