CAJ | 학술논문

目的：探讨颈内中心静脉导管原位置换的临床应用效果。方法将155例需要更换颈内静脉导管患者随机分为观察组和对照组，观察组77例，采用颈内静脉导管原位置换法；对照组78例，采用颈内静脉重新穿刺置管法。观察两组的一次穿刺成功率、出血量的差别。结果两组一次穿刺成功率差异无统计学意义(P>0.05)，观察组出血量比对照组少，两组差异有统计学意义(P<0.05)。结论颈内静脉导管原位置换操作安全简便，经济有效，既可使通道重建，又减轻患者重新穿刺的痛苦，利于临床推广。
목적：탐토경내중심정맥도관원위치환적림상응용효과。방법장155례수요경환경내정맥도관환자수궤분위관찰조화대조조，관찰조77례，채용경내정맥도관원위치환법；대조조78례，채용경내정맥중신천자치관법。관찰량조적일차천자성공솔、출혈량적차별。결과량조일차천자성공솔차이무통계학의의(P>0.05)，관찰조출혈량비대조조소，량조차이유통계학의의(P<0.05)。결론경내정맥도관원위치환조작안전간편，경제유효，기가사통도중건，우감경환자중신천자적통고，리우림상추엄。
Objective To explore the clinical application of internal jugular central venous catheter in situ replacement. Methods 155 patients who need to change the internal jugular vein catheter were randomly divided into observation group ( 77 cases)and control group (78 cases). The observation group adopted the central venous catheter in situ replacement method, and the control group used to puncture catheter method. The puncture success rate and the difference of bleeding were observed in the two groups. Results The success rate difference between two groups showed no significant (P>0. 05), but the difference that a-mount of bleeding comparison was statistically significant (P<0. 05). Conclusion The internal jugular central venous catheter in situ replacement relieve the pain of puncture,and the procedure is safe and easy, at the same time the cost is economic and effec-tive.