超声引导下双线定位技术在桡动脉穿刺中的应用  

Application of ultrasound-guided double-line localization in radial artery puncture

作　　者：郝帅[1] 池萍[1] 贺海丽[1] 权哲峰[1] HAO Shuai;CHI Ping;HE Haili;QUAN Zhefeng(Department of Anesthesiology,Beijing You′an Hospital,Capital Medical University,Beijing100069,China)

机构地区：[1]首都医科大学附属北京佑安医院麻醉科

出　　处：《中国医药导报》2020年第1期119-121,共3页China Medical Herald

基　　金：北京市科学技术委员会首都临床特色应用研究项目（Z171100001017036）

摘　　要：目的探讨超声引导下双线定位技术在桡动脉穿刺中的临床效果。方法选取2018年9月~2019年6月首都医科大学附属北京佑安医院拟行桡动脉穿刺的患者80例,依据随机数字表法将其分为对照组和观察组,每组40例。对照组采用常规超声引导下桡动脉穿刺,观察组采用双线隔离线定位技术,比较两组首次穿刺成功率、穿刺失败率、超声定位时间和并发症发生情况。结果观察组首次穿刺成功率高于对照组,超声定位时间短于对照组,差异均有统计学意义(均P <0.05);两组穿刺失败率比较,差异无统计学意义(P> 0.05)。观察组出血发生率低于对照组,差异有统计学意义(P <0.05)。结论双线隔离线定位技术能明显提高超声引导下桡动脉穿刺的首次穿刺成功率和超声定位时间。Objective To investigate the clinical effect of ultrasound-guided double-line localization in radial artery puncture. Methods From September 2018 to June 2019, a total of 80 patients who planned to undergo radial artery puncture in Beijing You′ an Hospital of Capital Medical University were selected. According to the random number table method, they were divided into control group and observation group, with 40 cases in each group. Control group received conventional ultrasound-guided radial artery puncture, and observation group received double-line localization technology. The success rate of the first puncture, the rate of puncture failure, ultrasonic positioning time and the incidence of complications were compared between two groups. Results The success rate of the first puncture in observation group was higher than those in control group, the ultrasonic positioning time of observation group was shorter than that of control group, and the differences were statistically significance(all P < 0.05). There was no significant difference in the rate of puncture failure between two groups(P > 0.05). The incidence of bleeding in observation group was lower than that in control group, and the difference was statistically significant(P < 0.05). Conclusion The first puncture success rate and ultrasonic positioning time of the radial artery puncture under the guidance of ultrasound can be improved significantly under the double-line localization technique.

关 键 词：双线定位 桡动脉 超声引导 

分 类 号：R45[医药卫生—治疗学]