颞浅动脉与桡动脉有创血压监测在婴幼儿中的应用效果比较  

Comparison of invasive blood pressure monitoring of shallow temporal artery and radial artery in^ts

作　　者：郭建军[1] 李文英 游贵方[1] 梁履华[1] 吴贵玲[1] 利金彩[1] 

机构地区：[1]广东省韶关市粤北人民医院烧伤整形科,512026 [2]CCU二区

出　　处：《中华现代护理杂志》2011年第19期2328-2330,共3页Chinese Journal of Modern Nursing

基　　金：广东省韶关市科技计划项目[韶科（卫）2007-19]

摘　　要：目的比较经颞浅动脉、桡动脉行有创血压监测在婴幼儿中的应用效果。方法随机抽取40例病重婴幼儿，每例分别行同侧颞浅动脉与桡动脉穿刺置管监测血压，比较2条动脉一次穿刺成功率、动脉置管成功的平均耗时、拨管后按压时间及置管期间的并发症。结果颞浅动脉一次穿刺置管成功率显著高于桡动脉，两组比较差异有统计学意义（x^2=12．17，P〈0．01）；颞浅动脉置管成功平均耗时（7．05±1．50）min，桡动脉置管成功平均耗时（11．18士2．51）rain，两组比较差异有统计学意义（t=11．69，P〈0．01）；拨管后颞浅动脉按压时间为（9．45±1．72）rain，桡动脉为（8．00±1．63）min，两组比较差异有统计学意义（t=lO．84，P〈0．01）；桡动脉置管并发留置针移位或脱出的发生率高于颞浅动脉，两组比较差异有统计学意义（×^2=4．501，P〈0．05），2条动脉穿刺部位并发出血及血肿的发生率，两组比较差异无统计学意义（x^2分别为0．353，0．215；P〉0．05）。结论选择颞浅动脉行有创血压监测安全、可行、可靠，可提高穿刺成功率、易固定、能节省穿刺时问，既可为抢救赢得时间，又可减少护士工作量。Objective To compare the effects of invasive blood pressure monitoring of the shallow temporal artery and radial artery in infants. Methods 40 infants with serious illness were randomly selected to monitor their blood pressure by puncturing the shallow temporal artery and radial artery on the same side. The success rate of puncture at a time, average puncture time, press time after extubation and complications during cannulation were compared. Results The success rate of puncture at a time in the shallow temporal artery was higher than that in the radial artery （ x^2 = 12.17 ,P 〈 0. 01 ）. The average puncture time for the shallow temporal artery and the radial artery were（7.05 ＋ 1.50）min and （11.18 ±2.51 ）min, respectively, and the differences were statistically significant （t = 11.69, P 〈 O. O1 ）. The press time of the shallow temporal artery after extubation [ （9.45 ±1.72） min] was longer than that of the radial artery [ （ 8.00 ±1.63 ） min] （ t = 10. 84, P 〈 O. 01 ）, the occurrence of needle displacement and dislocation during cannulatian were significantly higher in the shallow temporal artery （X^2 =4. 501, P 〈 O. 05） and the occurrence of hemorrhage and hematoma at the puncture site was not significantly different （ X^2 = 0. 353,0. 215 ; P 〉 0. 05 ）. Conclusions It is safe and feasible to choose the shallow temporal artery for invasive bt6od pressure monitoring in infants with serious illness, and it could improve the success rate of puncture, save puncture time, not only gain time for rescue, but also reduce nurses＇ workload.

关 键 词：颞浅动脉 桡动脉 有创测压 婴幼儿 

分 类 号：R472[医药卫生—护理学]