针尖斜面向下穿刺法在新生儿桡动脉置管中的运用  

Application of needle-tip bevel-down puncture in neonatal radial artery catheterization

作　　者：彭燕 张莉 赵龙德[1] PENG Yan;ZHANG Li;ZHAO Long-de(Department of Anesthesiology,Children s Hospital of Nanjing Medical University,Nanjing 210008,Jiangsu,China)

机构地区：[1]南京医科大学附属儿童医院麻醉科

出　　处：《川北医学院学报》2019年第4期483-485,共3页Journal of North Sichuan Medical College

摘　　要：目的:探讨一种新型穿刺法在新生儿桡动脉置管中的应用,观察其置管成功率。方法:将70例实施手术的患儿随机分为两组,每组35例。观察组患儿行针尖斜面向下穿刺法,对照组患儿行针尖斜面向上穿刺法。结果:首次穿刺成功率和多次穿刺成功率比较,观察组优于对照组( P<0.05);两组堵管、渗血并发症方面比较,差异无统计学意义(P>0.05),两组血肿对比,差异有统计学意义(P<0.05);观察组穿刺时间较对照组更短(P <0.05)。结论:运用针尖斜面向下穿刺技术可提高新生儿动脉置管成功率,降低血肿并发症,有一定临床价值。Objective: To explore the application of a new type of puncture technique in neonatal aortic artery puncture,and to observe the success rate of tube placement. Methods: 70 newborns were randomly divided into two groups,observation group (needle-tip bevel-down puncture, n =35) and control group (needle-tip bevel-up puncture, n =35). Results: Compared with the success rate of first puncture and multiple puncture,the observation group was better than the control group ( P <0.05).There was no significant difference between the observation group and the control group in complications of blockage and bleeding ( P >0.05).The puncture time of observation group was shorter than that of control group (P <0.05). Conclusion: The use of the needle-tip bevel-down technique can improve the success rate and reduce the complications of hematoma,which has clinical application value.

关 键 词：针尖向下 动脉穿刺 桡动脉 新生儿 

分 类 号：R726.5[医药卫生—儿科]