CAJ | 학술논문

目的：探讨超声定位在婴儿桡动脉穿刺置管中的应用效果。方法选择1月至1岁需要行动脉测压的择期手术患儿60例,随机数字表法分为两组：超声定位组(B 组),使用便携式 B超机在腕部以二维超声图像确定桡动脉位置进行穿刺；触摸组(C 组),以传统触摸法确定桡动脉位置进行穿刺。记录一次穿刺成功率、总成功率、穿刺次数、穿刺时间和并发症发生率；监测穿刺时MAP；测量并记录桡动脉内径及超声探头到皮肤垂直距离,计算穿刺针刺破动脉时进针长度。结果与C 组比较,B 组一次穿刺成功率、总成功率明显升高,穿刺次数明显减少,穿刺时间明显缩短(P <0.05)；B 组血肿发生率明显降低(P <0.05)。结论婴儿桡动脉穿刺置管应用超声定位准确,一次穿刺成功率高,并发症发生率低,穿刺时间短,安全可靠。
목적：탐토초성정위재영인뇨동맥천자치관중적응용효과。방법선택1월지1세수요행동맥측압적택기수술환인60례,수궤수자표법분위량조：초성정위조(B 조),사용편휴식 B초궤재완부이이유초성도상학정뇨동맥위치진행천자；촉모조(C 조),이전통촉모법학정뇨동맥위치진행천자。기록일차천자성공솔、총성공솔、천자차수、천자시간화병발증발생솔；감측천자시MAP；측량병기록뇨동맥내경급초성탐두도피부수직거리,계산천자침자파동맥시진침장도。결과여C 조비교,B 조일차천자성공솔、총성공솔명현승고,천자차수명현감소,천자시간명현축단(P <0.05)；B 조혈종발생솔명현강저(P <0.05)。결론영인뇨동맥천자치관응용초성정위준학,일차천자성공솔고,병발증발생솔저,천자시간단,안전가고。
Objective To explore the effect on ultrasound localization method with radial artery cannulation in infants.Methods Sixty infants (1 month-1year old)undergoing elective surgical proce-dures required artery pressure,were randomly divided into two groups:ultrasound localization group (group B):the infants were used of portable B ultrasound probe in the wrist with two dimensional ul-trasound image to determine the body position of the radial artery;control group (group C):tradi-tional palpation determine the radial artery puncture position.One puncture success rate,total punc-ture success rate,the period of puncture time and incidence of complications were recorded;MAP, the radial artery diameter,the vertical distance from the ultrasound probe to the skin and the length from the puncture spot to the radial artery were also measured.Results The success rate of first puncture in group B was higher than that of group C (P <0.05),the times of puncture and procedure time were significantly less than those of group C (P <0.05),the incidence of hematoma was lower than that in group C (P <0.05).Conclusion The application of ultrasound-guided method for radial artery cannulation is safe and reliable with accurate localization,highly successful rate of puncture at first time,lower complication and shorter time for placement.