超声引导下不同桡动脉穿刺点的研究  

Study of different radial artery puncture spots under ultrasound guidance

作　　者：赵晓宝 邵新峰[1] 丁彦玲[1] 权哲峰[2] ZHAO Xiaobao;SHAO Xinfeng;DING Yanling;QUAN Zhefeng(Department of Anesthesiology,Baoding First Central Hospital,Hebei Province,Baoding 071000,China;Department of Anesthesiology,Beijing You’an Hospital,Capital Medical University,Beijing 100069,China)

机构地区：[1]河北省保定市第一中心医院麻醉科,河北保定071000 [2]首都医科大学附属北京佑安医院麻醉科,北京100069

出　　处：《中国医药导报》2021年第19期114-117,共4页China Medical Herald

基　　金：首都临床特色应用研究项目(Z171100001017036)。

摘　　要：目的探讨超声引导下进行桡动脉穿刺时理想穿刺点的选择。方法选择2019年6月至2021年1月河北省保定市第一中心医院和首都医科大学附属北京佑安医院行桡动脉穿刺的120例患者为研究对象。依据随机数字表法分为常规组(A组,60例)和特定深度组(B组,60例)。A组采用常规超声引导下桡动脉穿刺术,B组采用桡动脉深度为超声探头短轴一半距离的桡动脉体表投影点作为穿刺点进行穿刺,两组均采用超声探头短轴平面外法进行穿刺。主要观察指标是首次穿刺成功率,次要观察指标包括穿刺失败率和并发症发生率。结果 B组首次穿刺成功率高于A组,差异有统计学意义(P <0.05);两组穿刺失败率比较,差异无统计学意义(P> 0.05)。两组出血和血肿发生率比较,差异无统计学意义(P> 0.05);两组均未发生血栓和动脉闭塞等严重并发症。结论在超声探头短轴平面外法下进行桡动脉穿刺时选择超声探头短轴一半深度的桡动脉作为穿刺点是一个理想的选择。Objective To explore the choice of ideal puncture spot for radial artery puncture under ultrasound guidance.Methods A total of 120 patients with radial artery puncture under ultrasound guidance in Baoding First Central Hospital,Hebei Province,and Beijing You’an Hospital,Capital Medical University from June 2019 to January 2021 were selected as the study subjects.According to random number table method,they were divided into routine group(group A,60 cases)and specific depth group(group B,60 cases).In group A,conventional ultrasound guidance radial artery puncture was performed.In group B,the projection point on the surface of the radial artery with radius artery depth half the distance from the short axis of the ultrasonic probe was used as the puncture spot.Both groups were punctured by short axis plane method with ultrasonic probe.The primary outcome was the success rate of the first puncture,and the secondary outcome included puncture failure rate and complication rate.Results The success rate of first puncture in group B was higher than that in group A,and the difference was statistically significant(P<0.05);there was no significant difference in puncture failure rate between two groups(P>0.05).There were no significant differences in the incidence of hemorrhage and hematoma between two groups(P>0.05).No serious complications such as thrombus and arterial occlusion occurred in two groups.Conclusion It is an optimal choice to select the radial artery at half the depth of the short axis of the ultrasonic probe as the puncture spot when performing radial artery puncture under the short axis plane method with ultrasonic probe.

关 键 词：超声引导 桡动脉 理想穿刺点 穿刺成功率 

分 类 号：R445.1[医药卫生—影像医学与核医学]