超声引导下深静脉穿刺术在心脏外科ICU临床教学中的应用  

Application of Ultrasound-guided Deep Vein Puncture in Clinical Teaching of Cardiac Surgery ICU

作　　者：戚晓通 马路遥 QI Xiao-tong;MA Lu-yao(Department of Cardiovascular Surgery,the First Affiliated Hospital of Nanjing Medical University,Nanjing Jiangsu 210029,China)

机构地区：[1]南京医科大学第一附属医院心脏大血管外科,江苏南京210029

出　　处：《科技视界》2018年第22期188-189,共2页Science & Technology Vision

摘　　要：目的:本文主要为评价超声引导在心脏外科ICU规培医生深静脉穿刺临床教学中的效果。方法:选取心脏外科ICU规培医生40名,采用随机数字法分为实验组和对照组,每组20人,实验组采用超声引导、对照组采用解剖盲探法进行深静脉穿刺置管的示教,然后分别采用以上两种方法对两组规培医师进行考核。结果:实验组与对照组相比较,平均穿刺置管时间明显缩短(12.2±2.5min vs 26.4±3.2 min),首次穿刺成功率明显提高(71.3%vs 43.5%),穿刺并发症明显减少(2.5%vs 8.6%),且均有明显统计学差异(P<0.05)。结论:超声引导在心脏外科ICU深静脉穿刺临床教学中效果明显。Objective ： This article is mainly to evaluate the effect of ultrasound guidance in the clinical teaching of deep vein puncture in the ICU of the cardiac surgery. Methods ： Forty standardized training physicians in the cardiac surgery ICU were selected and divided into experimental group and control group by random number method. Each group consisted of 20 physicians. The experimental group was guided by ultrasound and the control group was taught by anatomical blind exploration for deep venous catheterization. Then use the above two methods to evaluate the learning results of the two groups of physicians. Results ： Compared with the control group, the average puncture catheterization time was significantly shorter（ 12. 2 ± 2. 5 min vs. 26. 4 ± 3. 2 min）, the first puncture success rate was significantly improved（ 71. 3 % vs. 43. 5 %）, and the puncture complications were significantly reduced（ 2. 5 % vs. 8. 6 %） in the experimental group（ P 0. 05）. Conclusions ： Ultrasound guidance is effective in the clinical teaching of deep venipuncture in cardiac surgery ICU.

关 键 词：超声引导 深静脉穿刺置管术 临床教学 

分 类 号：R71[医药卫生—妇产科学]