ICU应用桡动脉置管进行有创血压监测的护理  

Radial Artery Catheterization in ICU for Nursing of Invasive Blood Pressure Monitoring

作　　者：沈咏芳 王琦 SHEN Yongfang;WA NG Qi(ICU,Yancheng First People＇s Hospital,Yancheng,Jiangsu Province,224000 China)

机构地区：[1]盐城市第一人民医院重症医学科,江苏盐城224000

出　　处：《系统医学》2018年第21期166-168,共3页Systems Medicine

摘　　要：目的探析ICU应用桡动脉置管进行有创血压监测的护理效果。方法选取该院在2016年1月—2018年4月期间收治的80例应用桡动脉置管进行有创血压监测的的ICU重症患者,将患者分为对照组40例和观察组40例,其中对照组行常规护理,观察组在对照组的基础上实施护理干预措施,比较两组患者的动脉套管留置时间、一次性穿刺成功率、置管并发症发生几率。结果观察组患者动脉套管留置时间明显高于对照组,差异有统计学意义(χ~2=10.305,P<0.05);对照组患者一次性穿刺成功率77.5%显著低于观察组97.5%,差异有统计学意义(χ~2=14.168,P<0.05);对照组患者置管并发症发生几率67.5%显著高于观察组5.0%,差异有统计学意义(χ~2=18.417,P<0.05)。结论 ICU应用桡动脉置管进行有创血压监测的护理效果显著,提高一次性穿刺成功率,降低置管并发症发生风险,值得临床推广应用。Objective To study the effect of radial artery catheterization in ICU for nursing of invasive blood pressure monitoring. Methods 80 cases of severe patients in ICU for invasive blood pressure monitoring by the radial artery catheterization admitted and treated in our hospital from January 2016 to April 2018 were selected and divided into two groups with 40 cases in each, the control group used the routine nursing, while the observation group used the nursing intervention measures on the basis of the control group, and the arterial cannula indwelling time, success rate of one- time puncture, and occurrence probability of catheterization complications were compared between the two groups. Results The arterial cannula indwelling time in the observation group was obviously higher than that in the control group, and the difference was statistical significance （χ^2=10.305,P〈0.05）, and the success rate of one-time puncture in the control group was obviously lower than that in the observation group （77.5% vs 97.5%）, and the difference was obvious, and the difference was statistically significant （χ^2 =14.168,P 〈0.05）, and the occurrence probability of catheterization complications in the control group was obviously higher than that in the observation group （67.5% vs 5.0%）, and the difference was obvious, with statistical significance （χ^2=18.417,P〈0.05）. Conclusion The application effect of radial artery catheterization in ICU for nursing of invasive blood pressure monitoring is obvious, which can improve the one-time puncture success rate, and reduce the occurrence risk of complications, and it is worth clinical promotion and application.

关 键 词：桡动脉置管 有创血压监测 护理效果 

分 类 号：R515[医药卫生—内科学]