超声技术在颈内静脉穿刺置管中的应用  

Application of Ultrasonic Technique in Internal Jugular Vein Puncture Tube

作　　者：黄鑫 黎艳华 王月玲 黄翠玲 高启俊 

机构地区：[1]广东省江门市新会区妇女儿童医院,广东江门529100

出　　处：《中国医学创新》2015年第9期134-136,共3页Medical Innovation of China

基　　金：江门市科技计划项目(2013019)

摘　　要：目的：观察超声技术在颈内静脉穿刺置管中的应用。方法：选择ASAⅠ-Ⅱ级患者75例,随机分为三组,传统组（Ⅰ组）、超声定位组（Ⅱ组）、超声引导组（Ⅲ组）,每组均为25例。观察各组穿刺操作的时间、患者穿刺一次成功的例数、穿刺次数及并发症发生例数。结果：一次穿刺成功率超声引导组为92.0%、超声定位组84.0%,明显高于传统组的60.0%,而且超声两组操作时间亦明显小于传统组,差异有统计学意义（P〈0.05）。超声引导组患者穿刺相关并发症发生率为8.0%、超声定位组16.0%,显著低于传统组的44.0%,差异统计学意义（P〈0.05）。结论：超声技术在颈内静脉穿刺是安全可行的技术,可极大提高穿刺成功率、缩短穿刺时间及减少并发症的发生,值得临床推广应用。Objective：To observe the application of ultrasonic technique in internal jugular vein puncture tube. Method：75 cases of ASAⅠ-Ⅱpatient were selected randomly and divided into three groups（25 cases a group）：conventional group（group I）,group of B-ultrasound localization（groupⅡ）,group of B-ultrasound guidance（groupⅢ）. The time of puncture in the two groups,one-time successful puncture rates,puncture times and the complication rates were observed. Result：One-time successful puncture rates in groupⅢwas 92.0%,and the rates in groupⅡwas 84.0%. The rates in groupⅡandⅢwere significantly higher than 60.0%in convention group. And the time of puncture in groupⅡandⅢwere significantly less than group I. The comparison result had statistical significance（P〈0.05）. The complication rates in groupⅢwere 8.0%and 16.0%in groupⅡwhich were significantly less than 44.0%in group I. The comparison result had statistical significance（P〈0.05）. Conclusion：The ultrasonic technique in internal jugular vein puncture tube is a highly-effective and safe technique to greatly improve the success rate of puncture,shorten the puncture time and reduce the complications which is worthy for extending in clinic.

关 键 词：超声 颈内静脉 穿刺置管 应用 

分 类 号：R472[医药卫生—护理学] R445.1[医药卫生—临床医学]