CAJ | 학술논문

目的评价压力囊泡指示器指导硬膜外穿刺的效果.方法试验Ⅰ:拟行硬膜外穿刺的患者32例,常规硬膜外穿刺成功后,穿刺针针尾连接压力传感器,测定硬膜外间隙压力.试验Ⅱ:拟行硬膜外穿刺的患者70例,应用压力囊泡指示器指导硬膜外穿刺.囊泡瘪掉后暂停穿刺,依据传统临床指征判断穿刺针是否到达硬膜外腔.记录压力囊泡指示器指导硬膜外穿刺成功情况.结果硬膜外间隙压力为(10±4)cm H2O;完成压力囊泡指示器指导硬膜外穿刺患者70例,均符合操作要求,并经临床证实穿刺成功,成功率100%.结论压力囊泡指示器可辅助硬膜外穿刺,准确判断穿刺针尖到达硬膜外间隙,具有临床应用价值.
목적 평개압력낭포지시기지도경막외천자적효과.방법 시험Ⅰ:의행경막외천자적환자32례,상규경막외천자성공후,천자침침미련접압력전감기,측정경막외간극압력.시험Ⅱ:의행경막외천자적환자70례,응용압력낭포지시기지도경막외천자.낭포별도후잠정천자,의거전통림상지정판단천자침시부도체경막외강.기록압력낭포지시기지도경막외천자성공정황.결과 경막외간극압력위(10±4)cm H2O;완성압력낭포지시기지도경막외천자환자70례,균부합조작요구,병경림상증실천자성공,성공솔100%.결론 압력낭포지시기가보조경막외천자,준학판단천자침첨도체경막외간극,구유림상응용개치.
Objective To evaluate the efficacy of pressure bladder indicator in guiding epidural puncture.Methods Test Ⅰ Thirty-two patients scheduled for epidural puncture were studied. After successful epidural puncture, the end of the epidural needle was connected to a pressure sensor to measure the epidural space pressure. Test Ⅱ Seventy patients scheduled for epidural puncture were studied. The epidural puncture was performed using the pressure bladder indicator. The successful condition of the pressure bladder indicator in guiding epidural puncture was recorded. Results The epidural space pressure was ( 10 ± 4) cm H2O. Seventy patients completed epidural pucture under the guidance of the pressure bladder indicator. The success rate was 100%.Conclusion The pressure bladder indicator can serve as an assistance for epidural puncture and has clinical application value.