CAJ | 학술논문

目的比较经颞浅动脉、桡动脉行有创血压监测在婴幼儿中的应用效果.方法随机抽取40例病重婴幼儿,每例分别行同侧颞浅动脉与桡动脉穿刺置管监测血压,比较2条动脉一次穿刺成功率、动脉置管成功的平均耗时、拨管后按压时间及置管期间的并发症.结果颞浅动脉一次穿刺置管成功率显著高于桡动脉,两组比较差异有统计学意义(x2=12.17,P＜0.01);颞浅动脉置管成功平均耗时(7.05±1.50)min,桡动脉置管成功平均耗时(11.18±2.51)min,两组比较差异有统计学意义(t=11.69,P＜0.01);拨管后颞浅动脉按压时间为(9.45±1.72)min,桡动脉为(8.00±1.63)min,两组比较差异有统计学意义(t=10.84,P＜0.01);桡动脉置管并发留置针移位或脱出的发生率高于颞浅动脉,两组比较差异有统计学意义(x2=4.501,P＜0.05),2条动脉穿刺部位并发出血及血肿的发生率,两组比较差异无统计学意义(x2分别为0.353,0.215;P＞0.05).结论选择颞浅动脉行有创血压监测安全、可行、可靠,可提高穿刺成功率、易固定、能节省穿刺时间,既可为抢救赢得时间,又可减少护士工作量.
목적 비교경섭천동맥、뇨동맥행유창혈압감측재영유인중적응용효과.방법 수궤추취40례병중영유인,매례분별행동측섭천동맥여뇨동맥천자치관감측혈압,비교2조동맥일차천자성공솔、동맥치관성공적평균모시、발관후안압시간급치관기간적병발증.결과 섭천동맥일차천자치관성공솔현저고우뇨동맥,량조비교차이유통계학의의(x2=12.17,P＜0.01);섭천동맥치관성공평균모시(7.05±1.50)min,뇨동맥치관성공평균모시(11.18±2.51)min,량조비교차이유통계학의의(t=11.69,P＜0.01);발관후섭천동맥안압시간위(9.45±1.72)min,뇨동맥위(8.00±1.63)min,량조비교차이유통계학의의(t=10.84,P＜0.01);뇨동맥치관병발류치침이위혹탈출적발생솔고우섭천동맥,량조비교차이유통계학의의(x2=4.501,P＜0.05),2조동맥천자부위병발출혈급혈종적발생솔,량조비교차이무통계학의의(x2분별위0.353,0.215;P＞0.05).결론 선택섭천동맥행유창혈압감측안전、가행、가고,가제고천자성공솔、역고정、능절성천자시간,기가위창구영득시간,우가감소호사공작량.
Objective To compare the effects of invasive blood pressure monitoring of the shallow temporal artery and radial artery in infants. Methods 40 infants with serious illness were randomly selected to monitor their blood pressure by puncturing the shallow temporal artery and radial artery on the same side. The success rate of puncture at a time, average puncture time, press time after extubation and complications during cannulation were compared. Results The success rate of puncture at a time in the shallow temporal artery was higher than that in the radial artery ( x2 = 12.17 ,P ＜0. 01 ). The average puncture time for the shallow temporal artery and the radial artery were ( 7.05 ± 1.50) min and ( 11.18 ± 2.51 ) min, respectively, and the differences were statistically significant( t = 11.69, P ＜ 0. 01 ). The press time of the shallow temporal artery after extubation [(9.45 ± 1.72) min]was longer than that of the radial artery[( 8.00 ± 1.63 ) min]( t = 10. 84, P ＜ 0. 01 ),the occurrence of needle displacement and dislocation during cannulation were significantly higher in the shallow temporal artery ( x2 = 4.501, P ＜ 0. 05 ) and the occurrence of hemorrhage and hematoma at the puncture site was not significantly different (x2 = 0. 353,0. 215;P ＞ 0. 05 ). Conclusions It is safe and feasible to choose the shallow temporal artery for invasive blood pressure monitoring in infants with serious illness, and it could improve the success rate of puncture, save puncture time, not only gain time for rescue, but also reduce nurses' workload.