CAJ | 학술논문

目的评价超声预先定位在颈内静脉穿刺置管中的临床应用.方法择期手术需要颈内静脉穿刺置管的患者100例,按随机数字表法分为穿刺前超声预先定位组(U组)和体表标志定位组(T组),每组50例.观察一次穿刺成功例数、一次置管成功例数、穿刺次数、操作时间和并发症发生情况.结果 U组的穿刺次数、操作时间、并发症发生率[(1.0±0.5)次、(4.5±1.2)min、0]均少于T组[(2.1±1.4)次、(6.8±1.6)min、12.0%(6/50)](P＜0.01);U组一次穿刺成功率和一次置管成功率[96.0%(48/50)和95.8%(46/48)]高于T组[72.0%(36/50)和77.8%(28/36)](P＜0.01).T组有2例穿刺失败.结论在保持体位不变的情况下,利用超声预先定位行颈内静脉穿刺置管是一种简便实用的穿刺方法.
목적 평개초성예선정위재경내정맥천자치관중적림상응용.방법 택기수술수요경내정맥천자치관적환자100례,안수궤수자표법분위천자전초성예선정위조(U조)화체표표지정위조(T조),매조50례.관찰일차천자성공례수、일차치관성공례수、천자차수、조작시간화병발증발생정황.결과 U조적천자차수、조작시간、병발증발생솔[(1.0±0.5)차、(4.5±1.2)min、0]균소우T조[(2.1±1.4)차、(6.8±1.6)min、12.0%(6/50)](P＜0.01);U조일차천자성공솔화일차치관성공솔[96.0%(48/50)화95.8%(46/48)]고우T조[72.0%(36/50)화77.8%(28/36)](P＜0.01).T조유2례천자실패.결론 재보지체위불변적정황하,이용초성예선정위행경내정맥천자치관시일충간편실용적천자방법.
Objective To evaluate the clinical value and safety of prelocalization with ultrasound during internal jugular vein cannulation. Methods One hundred patients scheduled for internal jugular vein cannulation from February 2009 to April 2010 were divided into two groups by random digits table with 50 cases in each group. Group U patients were performed by ultrasound-prelocalization method and group T patients were performed by traditional technique. The first successful punctures and the first successful catheterization,puncture times,operation time and complications were recorded. Results Compared with group T, puncture times,operation time and complications were lower in group U [(1.0±0.5) times vs.(2.1±1.4) times;(4.5±1.2) min vs.(6.8±1.6) min;0 vs. 12.0%(6/50)](P＜ 0.01 ). The first successful punctures and the first successful catheterization [96.0% (48/50) and 95.8% (46/48)] in group U were obviously higher than those in group T [ 72.0%(36/50) and 77.8% (28/36)] (P ＜ 0.01 ). Two cases were failed in group T. Conclusion Ultrasound-prelocalization technique is simply and practically method for internal jugular vein cannulation under the stable body position.