七氟烷吸入麻醉与水合氯醛灌肠在儿童B超引导下置入PICC的效果对比分析  

Comparative analysis of the effects of sevoflurane inhalation anesthesia and chloral hydrate enema for placement of PICC under B-ultrasound guidance in children

作　　者：范菊红 谢珺 裘学 吴菲菲 杨洁 王芳[1] FAN Juhong;XIE Jun;QIU Xue;WU Feifei;YANG Jie;WANG Fang(Children's Hospital Affi liated to Jiangnan University,Wuxi,214000,China)

机构地区：[1]江南大学附属儿童医院(无锡市儿童医院),江苏省无锡市214000

出　　处：《护理实践与研究》2023年第16期2470-2475,共6页Nursing Practice and Research

基　　金：无锡市科学技术协会软科学研究课题(编号:KX-21-B57);无锡市“双百”中青年医疗卫生拔尖人才培养计划(编号:BJ2020090)。

摘　　要：目的对比分析七氟烷吸入麻醉与水合氯醛灌肠在儿童B超引导下置入中心静脉导管(PICC)术中的应用效果。方法选取2020年1月—2022年1月无锡市儿童医院采用B超引导下置入PICC管的患儿60例,按照组间资料均衡可比的原则分为对照组和观察组,每组30例。对照组采用水合氯醛灌肠后B超引导下PICC置管,观察组采用麻醉监测下七氟烷吸入麻醉后B超引导下PICC置管,对两组置管的效果进行比较。结果观察组一次置管穿刺成功率高于对照组,置管操作耗时短于对照组,差异均有统计学意义(P<0.05);T1、T2、T3时观察组SBP、DBP、HR均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组患儿舒适程度、家属满意程度高于对照组,差异有统计学意义(P<0.05)。结论临床采用麻醉监测下七氟烷吸入麻醉后在儿童B超引导下置入PICC管有助于提高儿童一次置管成功率、镇静效果,缩短置管耗时,减少置管相关并发症,提高患儿舒适程度、家属满意程度。Objective To compare and analyze the application eff ect of sevofl urane inhalation anesthesia and chloral hydrate enema for placement of peripherally inserted central venous catheters(PICC)under B-ultrasound guidance in children.Methods To select 60 children who underwent PICC tube placement under B-ultrasound guidance at Wuxi Children's Hospital from January 2020 to January 2022,they were divided into a control group and an observation group based on the principle of balanced and comparable data between groups,with 30 cases in each group.The control group was treated with PICC catheterization under the guidance of ultrasound after chloral hydrate enema,and the observation group was treated with PICC catheterization under the guidance of ultrasound after sevoflurane inhalation anesthesia under anesthesia monitoring.The effects of the two groups were compared.Results The success rate of one catheterization puncture in the observation group was higher than that in the control group,the catheterization operation time was shorter than that in the control group,and the diff erences were statistically signifi cant(P<0.05).At T1,T2,and T3,the SBP,DBP,and HR of the observation group were lower than those of the control group,and the diff erences were statistically signifi cant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the diff erence was statistically signifi cant(P<0.05).The comfort level of children and family satisfaction in the observation group were higher than those of the control group,and the diff erences were statistically signifi cant(P<0.05).Conclusion The PICC catheterization under the guidance of B-ultrasound after sevoflurane inhalation anesthesia under anesthesia monitoring in clinical practice can improve the success rate and sedative eff ect of PICC tube placement in children,shorten the time of tube placement,reduce complications related to tube placement,improve the comfort level of children and family satisfaction.

关 键 词：镇静 镇痛 B超引导 经外周静脉置入中心静脉导管 七氟烷吸入 水合氯醛灌肠 

分 类 号：R473.72[医药卫生—护理学]