CAJ | 학술논문

目的：比较两种颈外静脉穿刺置管法在急诊危重病人抢救中的应用效果，探求一种更有效、更快捷、更安全的静脉输液途径。方法：随机抽取2010~2014年急诊抢救室行颈外静脉穿刺置管的患者，将2010年1月~2012年1月采用常规颈外静脉穿刺法的45例患者设为常规组，将2012年2月~2014年2月采用负压逆向颈外静脉穿刺法的50例患者设为改良组，回顾性比较两组颈外静脉穿刺法的穿刺成功率。结果：改良组的穿刺成功率（94%）远远超过常规组穿刺成功率(71.11%)。两组比较差异有显著统计学意义（P<0.05）。结论：改良后的颈外静脉穿刺法穿刺成功率较高，值得在临床推广。
목적：비교량충경외정맥천자치관법재급진위중병인창구중적응용효과，탐구일충경유효、경쾌첩、경안전적정맥수액도경。방법：수궤추취2010~2014년급진창구실행경외정맥천자치관적환자，장2010년1월~2012년1월채용상규경외정맥천자법적45례환자설위상규조，장2012년2월~2014년2월채용부압역향경외정맥천자법적50례환자설위개량조，회고성비교량조경외정맥천자법적천자성공솔。결과：개량조적천자성공솔（94%）원원초과상규조천자성공솔(71.11%)。량조비교차이유현저통계학의의（P<0.05）。결론：개량후적경외정맥천자법천자성공솔교고，치득재림상추엄。
Objective:To compare the applicated effect by two ways of external jugular vein puncture in rescuing critical patients in emergency department, we can explore a more effective and safer means of intravenous infusion. Methods:This study contrasted the success rate between conventional group including 45 patients who recept external jugular vein puncture from 2010 January to 2012 January and improved group including 50 case from 2012 February to 2014 February.Results:The success rate of puncture in improved group was 94%,and much more than that in the conventional group, which was 71.11%.There was significant difference between two groups ( P<0.05).Conclusion:The success rate of external jugular vein puncture in improved group was higher,it was worth in clinical promotion.