颈外静脉留置针测压在骨科手术中的效果分析  

Analysis of the effect of external jugular vein indwelling needle manometry in orthopedic surgery

作　　者：苏宏高 覃年 罗利珍[1] 覃洁洁 Su Honggao;Qin nian;Luo Lizhen;Qin Jiejie(Guangxi Hechi Third People's Hospital,Hechi,Guangxi 547000,China)

机构地区：[1]广西河池市第三人民医院,广西河池547000

出　　处：《医药前沿》2020年第35期29-31,共3页Journal of Frontiers of Medicine

摘　　要：目的:探讨颈外静脉留置针测压在骨科手术中的效果。方法:选取我院2018年1月—2020年2月骨科行手术治疗患者60例,按随机投掷法分为参照组和研究组。参照组采用四肢静脉留置针,研究组采用颈外静脉留置针,对比两组平均穿刺时间、静脉压力平均值及术中出血量、两组手术不同时刻M A P监测结果,统计两组一次穿刺成功率、液体外渗率、静脉炎发生率、保留≥4d成功率。结果:研究组平均穿刺时间短于参照组,差异明显(P<0.05);两组静脉压力平均值及术中出血量对比,无较大差异(P>0.05);两组T0、T1、T2、T3时刻E J V P监测结果对比,差异明显(P<0.05);研究组一次穿刺成功率、保留≥4d成功率高于参照组,液体外渗率、静脉炎发生率低于参照组,差异明显(P<0.05)。结论:颈外静脉留置针测压进行术中低血压监测的准确性更高,且一次穿刺成功率及安全性高,更具推广价值。Objective To investigate the effect of external jugular vein indwelling needle manometry in orthopedic surgery.Methods 60 patients who underwent orthopaedic surgery in our hospital from January 2018 to February 2020 were selected and divided into reference group and research group according to random throwing method.Four limbs vein indwelling needle was used in the reference group,and external jugular vein indwelling needle was used in the study group.The average puncture time,mean venous pressure and intraoperative blood loss,MAP monitoring results at different times of operation in the two groups were compared,and the success rate of one puncture,fluid extravasation rate,phlebitis rate,and the success rate of retaining for<4 days in the two groups were counted.Results The average puncture time in the study group was shorter than that in the reference group,and the difference was obvious(P<0.05);there was no significant difference in the mean venous pressure and intraoperative bleeding volume between the two groups(P>0.05);the EJVP monitoring results at T0,T1,T2 and T3 were significantly different between the two groups(P<0.05);the success rate of one puncture and the success rate of retaining 4D in the study group was higher than that in the reference group,and the rate of fluid extravasation and venous bleeding was higher thanThe incidence of inflammation was lower than that of the reference group,and the difference was significant(P<0.05).Conclusion Intraoperative hypotension monitoring by external jugular vein indwelling needle manometry is more accurate,and the success rate and safety of one puncture are high,which has more promotional value.

关 键 词：静脉静脉留置针 四肢静脉留置针 骨科 成功率 安全性 

分 类 号：R687.3[医药卫生—骨科学]