双显影线超声定位技术在老年患者困难桡动脉穿刺置管中的应用  

Application of dual developing lines ultrasound location technique in elderly patients with radial artery puncture and cannulation difficulty

作　　者：程高 邬薇薇[1,2] 陈陈 廖法学 王纯辉 CHENG Gao;WU Weiwei;CHEN Chen;LIAO Faxue;WANG Chunhui(Department of Anesthesiology,The First Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230012,China;Anhui Public Health Clinical Center,Hefei,Anhui 230012,China;Department of Orthopedics,The First Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230012,China)

机构地区：[1]安徽医科大学第一附属医院麻醉科,安徽合肥230012 [2]安徽省公共卫生临床中心,安徽合肥230012 [3]安徽医科大学第一附属医院骨科,安徽合肥230012

出　　处：《医药前沿》2023年第12期22-25,共4页Journal of Frontiers of Medicine

基　　金：安徽省卫生健康委科研项目(AHWJ2021b112);安徽医科大学第四附属医院科研培育基金项目(2022YKY12)。

摘　　要：目的:探讨双显影线超声定位技术在老年患者困难桡动脉穿刺置管中的临床应用效果。方法:选取2020年1月—2021年7月于安徽医科大学第一附属医院北区骨科需行桡动脉穿刺且首次传统触摸法穿刺失败的老年择期手术患者88例,采用随机数字表法分成传统超声组(T组)和新型超声组(N组)各44例。T组采用常规超声引导下桡动脉穿刺置管,N组采用双显影线超声引导下桡动脉穿刺置管,所有桡动脉穿刺均采用短轴平面外入路。记录两组患者的一般资料,同时测量桡动脉的深度和桡动脉内径。比较两组患者首次穿刺成功率、首次置管成功率、穿刺失败率、超声定位时间、穿刺置管时间和相关并发症(血肿、动脉痉挛、动脉闭塞、血栓、局部感染)发生情况。结果:N组首次穿刺成功率和首次置管成功率高于T组,差异有统计学意义(P<0.05);N组定位时间、穿刺置管时间、血肿和动脉痉挛发生率上均低于T组,差异有统计学意义(P<0.05);两组患者穿刺失败发生率和局部感染发生率上比较,差异无统计学意义(P>0.05);两组患者均未发生动脉闭塞和血栓的并发症。结论:相较于传统超声引导方法,双显影线超声定位技术可以显著提高老年困难桡动脉穿刺患者的首次成功率,降低穿刺置管时间。Objective To explore the clinical application effect of dual developing lines ultrasound localization technology in difficult radial artery puncture catheterization in elderly patients.Methods From January 2020 to July 2021,88 elderly elective surgery patients who needed radial artery puncture in the North Department of Orthopaedics of the First Affiliated Hospital of Anhui Medical University and failed the first traditional touch puncture were selected.They were randomly divided into the traditional ultrasound group(group T)and the new ultrasound group(group N),44 cases each.Group T used conventional ultrasound guided radial artery puncture and catheterization,while Group N used dual imaging ultrasound guided radial artery puncture and catheterization.All radial artery punctures were performed through a short axis plane out of plane approach.The general information of two groups of patients were recorded,while the depth and diameter of the radial artery were measured.The first puncture success rate,first catheterization success rate,puncture failure rate,ultrasound localization time,puncture catheterization time,and related complications(hematoma,arterial spasm,arterial occlusion,thrombosis,local infection)were compared between two groups of patients.Results The success rate of the first puncture,the success rate of the first cannulation in group N were higher than those in group T,and the differences were statistically significance(P<0.05).The location time,the puncture and cannulation time and the incidence of hematoma and arterial spasm were lower than those in group T,and the differences were statistically significance(P<0.05).There were no statistically significant difference in the failure rate of puncture and the incidence of local infection between the two groups(P>0.05).No complications such as arterial occlusion and thrombosis occurred in two groups.Conclusion The dual developing lines ultrasound location technique is not only significantly improved the success rate of radial artery puncture at first a

关 键 词：超声引导 动脉穿刺 定位技术 双显影线 老年患者 

分 类 号：R445.1[医药卫生—影像医学与核医学]