超声引导下短轴与长轴方法在锁骨下静脉穿刺中应用效果的比较  

Application effects of ultrasound guidance using short-axis versus long-axis approach in subclavian venipuncture:a comparative study

作　　者：韩书勤 徐家济[1] 刘楠 宋桂霞[1] 权哲峰[2] HAN Shu-qin;XU Jia-ji;LIU Nan;SONG Gui-xia;QUAN Zhe-feng(Department of Anesthesiology,Fengtai Youanmen Hospital,Beijing 100069,China;Department of Anesthesiology,Beijing You′an Hospital,Capital Medical University,Beijing 100069,China)

机构地区：[1]北京丰台右安门医院麻醉科,北京市100069 [2]首都医科大学附属北京佑安医院麻醉科,北京市100069

出　　处：《广西医学》2021年第21期2527-2529,共3页Guangxi Medical Journal

基　　金：北京市卫生与健康科技成果和适宜技术推广项目(2018-TG-46)。

摘　　要：目的比较超声引导下短轴与长轴方法在锁骨下静脉穿刺中的应用效果。方法将拟接受锁骨下静脉穿刺的127例患者随机分为短轴组(n=64)和长轴组(n=63)。短轴组在超声探头短轴下行锁骨下静脉穿刺,长轴组在超声探头长轴下进行锁骨下静脉穿刺。比较两组患者第一次穿刺成功率、穿刺失败率、超声定位时间和穿刺相关并发症的发生率。结果短轴组第一次穿刺成功率高于长轴组,超声定位时间短于长轴组(均P<0.05),但两组穿刺失败率、穿刺相关并发症发生率差异均无统计学意义(均P>0.05)。结论与采用长轴相比,在超声引导下进行锁骨下静脉穿刺时采用短轴方法可以更快、更准确地找到目标血管,第一次穿刺成功率更高,穿刺定位时间更短。Objective To compare the application effects of ultrasound guidance using short-axis versus long-axis approach in subclavian venipuncture.Methods A total of 127 patients who were scheduled for subclavian venipuncture were randomly divided into short-axis group(n=64)and long-axis group(n=63).The short-axis group received subclavian venipuncture under ultrasonic probe via the short-axis approach,whereas the long-axis group received subclavian venipuncture under ultrasonic probe via the long-axis approach.The success rate of the first puncture,the puncture failure rate,ultrasound positioning time,and the incidence rate of puncture-related complications were compared between the two groups.Results The short-axis group yielded a higher success rate of the first puncture and shorter ultrasound positioning time as compared with the long-axis group(all P<0.05),whereas there was no statistically significant difference between the two groups in the puncture failure rate or incidence rate of puncture-related complications(all P>0.05).Conclusion Compared with the use of long-axis approach,subclavian venipuncture under ultrasound guidance using short-axis approach can identify the targeted vessels more rapidly and more accurately,and achieve a higher success rate of the first puncture and shorter positioning duration for the puncture.

关 键 词：超声引导 锁骨下静脉 短轴 长轴 穿刺成功率 

分 类 号：R445.12[医药卫生—影像医学与核医学]