CAJ | 학술논문

目的：探讨B超定位下与传统解剖定位下行深静脉穿刺置管术在血液净化治疗中的优劣。方法选择100例行血液净化深静脉穿刺置管患者，随机分为两组，A组（50例）在B超定位下行颈内静脉穿刺置管术；B组（50例）在传统解剖定位下行颈内静脉穿刺置管术。观察：①穿刺及钢丝置入一次性成功率。②不良事件发生率。结果A组患者穿刺及钢丝置入一次性成功率均高于B组；损伤动脉发生率、维持性血液净化治疗过程中深静脉管路血流量不足发生率、深静脉管路感染及堵塞并发症的发生率均低于B组（P<0.05）。结论在超声引导下行深静脉穿刺置管术是一种快速准确、安全有效的方法，适用于需行血液净化治疗的患者。
목적：탐토B초정위하여전통해부정위하행심정맥천자치관술재혈액정화치료중적우렬。방법선택100례행혈액정화심정맥천자치관환자，수궤분위량조，A조（50례）재B초정위하행경내정맥천자치관술；B조（50례）재전통해부정위하행경내정맥천자치관술。관찰：①천자급강사치입일차성성공솔。②불량사건발생솔。결과A조환자천자급강사치입일차성성공솔균고우B조；손상동맥발생솔、유지성혈액정화치료과정중심정맥관로혈류량불족발생솔、심정맥관로감염급도새병발증적발생솔균저우B조（P<0.05）。결론재초성인도하행심정맥천자치관술시일충쾌속준학、안전유효적방법，괄용우수행혈액정화치료적환자。
Objective?To investigate the effect of B-ultrasound locations and traditional anatomical locations under deep vein catheterization in blood puriifcation treatment.?Methods?Choose?100?patients?with?Deep?vein?catheterization,randomly?divided?into?two?groups,?group?A(50?cases)in?B-ultrasonic?locations?under?jugular?vein?catheterization;?group?B(50?cases)in?the?traditional?anatomical?location?under?jugular?vein?catheterization.?Observation:①right-ifrst-time success rate of puncture?and?wire?placement.?②the?incidence?of?adverse?events.?Result?The right-ifrst-time success rate of puncture and wire placement in group A was higher than that in group B;the incidence of Arterial injury, the incidence of deep vein pipe insufifcient blood lfow and deep vein pipe infection and blocking complications in the process of blood puriifcation treatment in group A were lower than that in group B(P<0.05).?Conclusion?The?ultrasound-guided?catheterization??was?a?quickly?and accurately, safe and effective method, which is suitable for the need of blood puriifcation therapy patients.