经超声引导不同中心静脉置管方式的临床研究  

Application comparisonof different sites for inserted central catheter under guidance of ultrasonography

作　　者：孟玉兰[1] 单新强[1] 

机构地区：[1]塔城地区人民医院重症医学科,新疆塔城834700

出　　处：《影像研究与医学应用》2017年第2期128-130,共3页Journal of Imaging Research and Medical Applications

基　　金：塔城地区科学研究与技术开发(含攻关)计划;重要科研(技术推广示范)项目;项目编号:2016465

摘　　要：目的:探讨比较彩色超声引导经锁骨下静脉和颈内静脉置入中心静脉导管的临床应用价值。方法:入住ICU患者根据患者置管方式分为锁骨下静脉穿刺组、颈内静脉穿刺组,统计经超声引导下两组的一次置管成功率,穿刺时间,置管机械并发症,28天内导管相关性感染及死亡例数。采用独立样本t检验及χ~2检验进行数据分析。结果:两组患者一次置管成功率,穿刺时间、28天内导管相关性感染有统计学意义(P=0.021,P=0.000,P=0.035);机械并发症比较及死亡例数比较差异无统计学意义(P=0.920 P=0.602)。结论:经超声引导颈内静脉较锁骨下静脉置管易于掌握,可作为置管困难患者及初学者的首选。Objective： To compare the clinical application value of color ultrasound-guided peripherally inserted central catheter via subclavian vein and internal jugular vein. Methods： According to catheterization modes, patients in the ICU were divided into subclavian vein puncture group and internal jugular vein puncture group. Ultrasound-guided success rate of the first puncture, duration of puncture, mechanical complications of catheterization, catheter-related infections within 28 days and number of deaths were counted. Data were analyzed using the independent sample t test and the X2 test. Results： The success rate of the first puncture, duration of puncture and catheter-related infections within 28 days showed statistical significance between the 2 groups （P=0.021, P=0.000, P=0.035）; while no statistically significant differences were detected in mechanical complications of catheterization or number of deaths （P=0.920 P=0.602）. Conclusions： Compared with ultrasound-guided subclavian vein catheterization, ultrasound-guided internal jugular vein catheterization is easier to grasp and can be used as the first choice for patients with difficult catheterization and beginners; however, subclavian vein puncture can reduce the risk of catheter-related bloodstream infections than internal jugular vein puncture.

关 键 词：超声技术 导管置入 

分 类 号：R445.1[医药卫生—影像医学与核医学]