Om viktigheten av holdning: den optimale sittestillingen for lumbalpunktur

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.

Lumbalpunktur i lateral decubitusstilling og sittestilling er sjeldne eller ukjente i Kina. Problemene vi er mest bekymret for er trykkmåling, muligheten for hjerneprolaps og postoperativ hodepine.

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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