Effect of Patient Positioning on Cerebrospinal Fluid Opening Pressure
Effect of Patient Positioning on Cerebrospinal Fluid Opening Pressure
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DOI：
10.1097/wno.0000000000000074
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发表时间：
2014-09-01
影响因子：
2.9
通讯作者：
Lee, Michael S.
中科院分区：
文献类型：
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作者：
Abel, Anne S.;Brace, Jeffrey R.;Lee, Michael S.
背景：俯卧是荧光镜引导下腰椎穿刺 (LP) 的首选患者体位。脑脊液 (CSF) 开放压 (OP) 的规范数据仅适用于侧卧位 (LD)，尚未针对俯卧位进行定义。本研究比较了俯卧位和 LD 位置的 CSF OP 值，并检查了体重指数 (BMI) 对 OP 的影响。方法：2009 年至 2012 年在 2 个三级护理中心前瞻性招募接受诊断或治疗性荧光镜引导 LP 的患者。在俯卧位荧光镜引导 LP 后，将患者滚至 LD 位置以重复 CSF OP 测量。除了比较每个体位的平均 OP 之外，还探讨了 OP、体位和 BMI 之间的关系。 结果：纳入 52 名患者。观察到平均 OP 差异为 1.2 cm H2O（俯卧：26.5 cm H2O；LD：27.7 cm H2O；P = 0.07）。任一位置的 CSF OP 和 BMI 之间均未发现相关性。结论：俯卧位 OP 和 LD OP 之间没有统计学或临床显着差异。 BMI 似乎不会影响任一位置的 CSF OP 测量。 (C) 2014 年北美神经眼科协会
Background: Prone is the preferred patient position for fluoroscopic-guided lumbar puncture (LP). Normative data for cerebrospinal fluid (CSF) opening pressure (OP) exist for lateral decubitus (LD) positioning only and have not been defined for the prone position. This study compares CSF OP values in the prone and LD positions and examines the effect of body mass index (BMI) on OP.Methods: Patients undergoing diagnostic or therapeutic fluoroscopic-guided LP were recruited prospectively at 2 tertiary care centers from 2009 to 2012. Following prone fluoroscopic-guided LP, patients were rolled to the LD position for repeat CSF OP measurement. In addition to comparing the mean OP in each position, the relationships between OP, body position, and BMI were also explored.Results: Fifty-two patients were enrolled. A mean OP difference of 1.2 cm H2O was observed (prone: 26.5 cm H2O; LD: 27.7 cm H2O; P = 0.07). No correlation between CSF OP and BMI was seen in either position.Conclusions: No statistically or clinically significant difference between prone and LD OP was identified. BMI does not appear to affect CSF OP measurement in either position. (C) 2014 by North American Neuro-Ophthalmology Society