中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
20期
96-98
,共3页
全身麻醉%右颈内静脉置管术%临床效果%颈动脉%胸锁乳突肌三角
全身痳醉%右頸內靜脈置管術%臨床效果%頸動脈%胸鎖乳突肌三角
전신마취%우경내정맥치관술%림상효과%경동맥%흉쇄유돌기삼각
General anesthesia%Right internal jugular vein catheterization%Clinical effect%Carotid artery%Triangle of sternocleidomastoid
目的：探讨基于全麻下经胸锁乳突肌三角中路与颈动脉旁前路行右颈内静脉穿刺术的临床效果。方法随机选取2004年9月~2014年9月本院收治的全身麻醉患者100例，均行基于全麻下右颈内静脉穿刺置管术，分为经颈动脉旁前路穿刺置管组50例，经胸锁乳突肌三角中路穿刺置管组50例，对比分析两组患者的成功率和不良反应发生率。结果经颈动脉旁前路穿刺置管组成功48例(96%)，失败2例(4%)，经胸锁乳突肌三角中路穿刺置管组成功40例(80%)，失败10例(20%)，差异有统计学意义(P<0.05)；误穿动脉2例(4%)，明显少于经胸锁乳突肌三角中路穿刺置管组12例(24%)，差异有统计学意义(P<0.05)。结论基于全麻下右颈内静脉穿刺置管术，经颈动脉旁前路置管的效果更为显著，安全性更高，值得临床推广应用。
目的：探討基于全痳下經胸鎖乳突肌三角中路與頸動脈徬前路行右頸內靜脈穿刺術的臨床效果。方法隨機選取2004年9月~2014年9月本院收治的全身痳醉患者100例，均行基于全痳下右頸內靜脈穿刺置管術，分為經頸動脈徬前路穿刺置管組50例，經胸鎖乳突肌三角中路穿刺置管組50例，對比分析兩組患者的成功率和不良反應髮生率。結果經頸動脈徬前路穿刺置管組成功48例(96%)，失敗2例(4%)，經胸鎖乳突肌三角中路穿刺置管組成功40例(80%)，失敗10例(20%)，差異有統計學意義(P<0.05)；誤穿動脈2例(4%)，明顯少于經胸鎖乳突肌三角中路穿刺置管組12例(24%)，差異有統計學意義(P<0.05)。結論基于全痳下右頸內靜脈穿刺置管術，經頸動脈徬前路置管的效果更為顯著，安全性更高，值得臨床推廣應用。
목적：탐토기우전마하경흉쇄유돌기삼각중로여경동맥방전로행우경내정맥천자술적림상효과。방법수궤선취2004년9월~2014년9월본원수치적전신마취환자100례，균행기우전마하우경내정맥천자치관술，분위경경동맥방전로천자치관조50례，경흉쇄유돌기삼각중로천자치관조50례，대비분석량조환자적성공솔화불량반응발생솔。결과경경동맥방전로천자치관조성공48례(96%)，실패2례(4%)，경흉쇄유돌기삼각중로천자치관조성공40례(80%)，실패10례(20%)，차이유통계학의의(P<0.05)；오천동맥2례(4%)，명현소우경흉쇄유돌기삼각중로천자치관조12례(24%)，차이유통계학의의(P<0.05)。결론기우전마하우경내정맥천자치관술，경경동맥방전로치관적효과경위현저，안전성경고，치득림상추엄응용。
Objective To explore the different clinical effects of right internal jugular vein catheterization by medium pathway of triangle in sternocleidomastoid and anterior side of carotid artery under general anesthesia. Methods From September 2004 to September 2014,100 patients accepted general anesthesia in our hospital were randomly selected. They were provided with right internal jugular vein catheterization,and evenly divided into anterior side of carotid artery catheterization group(n=50) and medium pathway catheterization of triangle in sternocleidomastoid group(n=50).The suc-cess rate and incidence of adverse reaction between two groups were comparatively analyzed. Results There were 48 cases in success anterior side of carotid artery catheterization group, accounting for 96%.Only 2 cases were in failure.In the medium pathway catheterization of triangle in sternocleidomastoid group,40 cases were successful,accounting for 80%,10 cases were failure,accounting for 20% with statistical difference (P<0.05).There were two cases puncturing into artery mistakenly in 4%,greatly lower than that in the medium pathway catheterization of triangle in sternocleidomastoid group,accounting for 24%(n=12),with statistical difference (P<0.05). Conclusion Right internal jugular vein catheteriza-tion under general anesthesia can obtain a more remarkable effect and higher safety by anterior side of carotid artery catheterization,which is worthy of application and expansion in clinical.
