股静脉置管与动静脉穿刺在血浆置换治疗中的效果比较  

Effects of femoral vein catheterization and arteriovenous puncture on plasma exchange treatment

作　　者：易燕春[1] 

机构地区：[1]广西壮族自治区南溪山医院,广西桂林541002

出　　处：《华夏医学》2015年第1期89-91,共3页Acta Medicinae Sinica

摘　　要：目的:比较股静脉置管与动静脉穿刺在血浆置换治疗中的效果,确定适合患者的血浆置换血管通路。方法:拟行血浆置换的患者56例,随机分为动静脉直接穿刺组和股静脉置管组,每组28例。比较两组患者疼痛、感染、出血、置管阻塞情况。结果:直接穿刺组患者疼痛程度(3.5±1.5)高于股静脉置管组(2.2±1.3),差异有统计学意义(P<0.05)。直接穿刺组穿刺部位出血和导管堵塞高于股静脉置管组,差异有统计学意义(P<0.05)。股静脉置管组感染高于直接穿刺组,但差异无统计学意义(P>0.05)。结论:股静脉置管在血浆置换治疗中的效果更好。Objective： To compare the effects of femoral vein catheterization and arteriovenous puncture on plasma exchange therapy, and to determine the appropriate vascular access in patients with plasmapheresis. Methods： 56 patients undergoing plasma exchange therapy were randomly divided into arteriovenous direct puncture group and femoral vein catheter group, 28 cases in each. Pain, infection, bleeding, catheter obstruction were compared between two groups. Results： The degree of pain in patients of direct puncture group （3.5±1.5） was higher than that of femoral vein catheterization group （2.2 ±1.3）, the difference was statistically significant （P〈0.05）. The puncture site bleeding and catheter blockage was more in patients of direct puncture group than in patients of femoral vein catheter group, the difference was statistically significant （P〈0. 05）. More infection was found in femoral vein group than in direct puncture group, but the difference was not statistically significant（P〈0.05）. Conclusion： The femoral vein catheterization has better efficacy in plasma exchange therapy.

关 键 词：股静脉置管 动静脉直接穿刺 效果 

分 类 号：R457.2[医药卫生—治疗学]