Y型留置针单手置管法在桡动脉穿刺中的应用  

The Application of Y-shaped Detained Needle With One-Hand Catheterize in Radial Artery Puncturing

作　　者：屈惠[1] 魏揠琴[1] 

机构地区：[1]四川省医学科学院.四川省人民医院城东病区麻醉科,四川成都610100

出　　处：《实用医院临床杂志》2012年第5期137-138,共2页Practical Journal of Clinical Medicine

摘　　要：目的探讨Y型留置针单手置管法应用于桡动脉穿刺中的优势。方法选择150例需行有创动脉监测的危重疑难患者,分为三组各50例。试验组(T组)采用Y型留置针单手置管法,对照组(M组)采用Y型留置针传统操作法,对照组(N组)采用动脉留置针传统操作法。观察每组操作一次性成功率以及操作过程中是否有血液溢出造成血液污染。结果一次穿刺成功率T组明显高于M、N组,差异有统计学意义(P<0.05);血液污染例数T、M组明显少于N组(P<0.05)。结论 Y型留置针单手置管法用于桡动脉穿刺可以提高一次性穿刺成功率,并且可以减少由血液溢出管道造成的血液污染。Objective To Investigate the advantage of Y-shaped detained needle with one-hand catheterize in radial artery puncturing. Methods 150 patients with Critical incurable diseases, undergoing invasive arterial monitoring were enrolled and divided randomly into three groops：the study group （group T） using Y-shaped detained needle with one-hand catheterize, the first control group （group M）using Y-shaped detained needle in traditional way arid the second group（ group N）using arterial needle in traditional way. The one-time success rate and the blood contamination by blood spilling during operation in each group were observed. Results There was no significant difference in Age, gender,weight and blood pressure during puncture in the three groups （P 〉 0.05 ）. The one-time success rate was much lower in the study group than the conctrol （P 〈 0.05）, while the blood contamination were lower in study groop and the control groop M than group N （ P 〈 0.05 ）. Conclusion Using of Y-shaped Detained needle with one-hand catheterize in radial artery puncture can improve the one-time success rate, and reduce the blood contamination by blood spilling.

关 键 词：Y型留置针 单手置管法 桡动脉穿刺 动脉监测 

分 类 号：R446.8[医药卫生—诊断学] R322.121[医药卫生—临床医学]