B超引导行颈静脉置管在预防导管相关性血液感染中的作用  

The effect of type-B ultrasonic guiding indwelling catheter on the prevention of catheter-related infection

作　　者：江婷[1] 吴昊[2] 蒋颖[1] 邹英[1] 张波[1] 

机构地区：[1]第三军医大学西南医院医院感染管理科,重庆400038 [2]第三军医大学西南医院医教部,重庆400038

出　　处：《国际检验医学杂志》2013年第24期3279-3280,共2页International Journal of Laboratory Medicine

基　　金：国家自然科学基金资助项目(71373280)

摘　　要：目的探讨B超引导在肿瘤患者颈静脉穿刺置管中减少漏液发生,降低导管相关性感染的作用。方法将非首次颈静脉穿刺置管输液化疗的79例肿瘤患者分为普通穿刺组(对照组,n=39)和B超引导穿刺组(引导组,n=40),所有病例固定同一麻醉医师进行静脉穿刺,比较两组完成穿刺时间、首次穿刺成功率、导管漏夜及导管相关性血液感染发生率。结果 B超引导组和对照组患者颈内静脉穿刺置管时间分别为(45.5±2.32)s和(90.6±3.18)s,首次穿刺成功率分别为100.0%和84.6%,置管后发生漏液分别为1例和9例,导管相关性感染发生率分别为15.4%和2.5%,两组相比差异均有统计学意义(P<0.05)。结论 B超引导行颈静脉穿刺置管不仅可明显减少非首次静脉穿刺肿瘤患者的置管时间,提高穿刺成功率,还能显著减少置管后漏液和导管相关性血液感染的发生,值得在临床中推广使用。Objective To discuss the effects of type-B ultrasonic on reducing the incidence of weeping and catheter related infec- tion in the group of cancer patients with jugular vein puncture. Methods Patients were devided into two groups,including Regular Group（Control Group, n = 39） and Type B-Ultrasonic group（Guide Group, n = 40）. All the patients were treated by the same anes- thetist. The time a puncture taken,one-time success rate of puncture, the incidence of weeping and catheter related infection were compared between the two groups. Results In Control Group and Guide Group,the time a puncture taken were（45.5±2.32）s and （90.6±3.18）s respectively,which were statistically different（P〈0.05） ,and one-time success rate of puncture were 100.0% and 84.6%, which were also statistically different（P〈0. 05）. Meanwhile, 9 patientsr cahtheters appared weeping after jugular vein puncture in the Control Group while only one in the Guide Group（P〈0.05）. The rate of catheter related infection were 15.4%and 2.5% ,respectively（P〈0.05）. Conclusion The jugular vein puncture under type-B ultrasonic is able to reduce the time a puncture taken, improve one-time success rate of puncture, and reduce the incidence of weeping and catheter related infection in cancer pa- tients. It is worth to be widely applied in clinical teatment.

关 键 词：超声检查 颈静脉 导管 留置 感染 

分 类 号：R445.1[医药卫生—影像医学与核医学]