超声引导双显影线定位技术在小儿手术患者桡动脉穿刺置管中的应用  

Application of ultrasound-guided double development line localization technique in radial artery puncture and catheterization in pediatric surgery patients

作　　者：叶丽群[1] 潘洁琼[1] YE Li-qun;PAN Jie-qiong(Department of Anesthesiology,People's Hospital of Huaiji County,Guangdong Province,Huaiji526400,China)

机构地区：[1]广东省怀集县人民医院麻醉科,广东怀集526400

出　　处：《中国当代医药》2021年第19期137-140,共4页China Modern Medicine

基　　金：广东省肇庆市科技创新指导类项目(202004030833)。

摘　　要：目的探讨超声引导双显影线定位技术与盲探触摸技术在小儿手术患者行桡动脉穿刺置管中的效果。方法选取2018年10月—2020年9月广东省怀集县人民医院收治的60例行桡动脉穿刺置管患儿作为研究对象,按照随机数字表法将其分为对照组与观察组,每组各30例。在置管中,对照组采用盲探触摸技术,观察组采用超声引导双显影线定位技术。比较两组的首次穿刺成功率、穿刺失败率、穿刺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,差异有统计学意义(P<0.05);观察组穿刺置管失败率低于对照组,差异有统计学意义(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)。观察组穿刺时间短于对照组,差异有统计学意义(P<0.05)。两组均未发生桡动脉闭塞。结论超声引导双显影线定位技术可快速准确地确定穿刺点,缩短穿刺时间,提高了小儿手术患者桡动脉穿刺时第一次穿刺的成功率,降低了并发症发生率。Objective To investigate the effect of ultrasound-guided double development line localization technique and blind probe touch technique on radial artery puncture and catheterization in pediatric surgery patients.Methods A total of 60 children with radial artery puncture and catheterization admitted to People's Hospital of Huaiji County,Guangdong Province from October 2018 to September 2020 were selected as the study subjects.According to the random number table method,they were divided into the control group and the observation group,with 30 patients in each group.In the catheterization,blind probe and touch technology was used in the control group,and ultrasound-guided double development line positioning technology was used in the observation group.The first puncture success rate,puncture failure rate,puncture time and complications were compared between the two groups.Results The first puncture success rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The failure rate of puncture and catheterization in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of bleeding in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The puncture time in the observation group was shorter than that in the control group,with statistically significant difference(P<0.05).No radial artery occlusion occurred in either group.Conclusion Ultrasound-guided dual-development line localization technology can quickly and accurately determine the puncture point,shorten the puncture time,improve the success rate of the first puncture during radial artery puncture in children,and reduce the incidence of complications.

关 键 词：超声引导 双显影线 桡动脉穿刺 盲探触摸技术 儿科 

分 类 号：R614[医药卫生—麻醉学]