Nursing care of low back pain after one-time lumbar puncture

Some studies have shown that parents' bad suggestion is the main cause of low back pain in children, and children's nervousness and fear are an important factor causing low back pain, and improper puncture posture damages ligaments and sarcolemma is another important reason. . Therefore, posture and body position during the entire lumbar puncture process, as well as psychological care before puncture, are important measures to reduce back pain after lumbar puncture. Before lumbar puncture, explain to parents or older children that lumbar puncture is one of the indispensable means of diagnosing diseases, and the diagnosis and treatment of diseases should not be delayed because of worries, and explain to them the generation process of cerebrospinal fluid, and 500 mL of cerebrospinal fluid is generated every day. , that is, about 20 mL of cerebrospinal fluid can be produced per hour, and 2 mL of cerebrospinal fluid can be produced in about 10 minutes, which will not affect normal physiological functions. The purpose is to explain that the damage of lumbar puncture to the body is not large, so as to eliminate the ideological concerns of parents and older children, so that lumbar puncture can be checked in time, and early diagnosis, early treatment and early recovery can be achieved. Explain the whole process of lumbar puncture, and demonstrate the position of lumbar puncture, so that the patient can be placed in the correct position, and parents can be allowed to accompany the lumbar puncture during the operation, so as to reduce the tension and strangeness of the child. After the puncture, the patient should be placed in the supine position, and whether to lie down on the pillow for 4 to 6 hours depends on the patient's condition. For those who are used to pillows, put a thin pillow (3 cm to 5 cm thick) behind their head when lying down to relax the neck muscles, and also put a thin pillow on the back. This is the main measure to prevent low back pain after puncture.

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