颅内动脉瘤夹闭手术吲哚菁绿不同静脉注射部位显影时间研究  

Visualization time after injection of indocyanine green via different veins in cerebral aneurysm clipping surgery

作　　者：张茜 李晶[1] 陈晓霖[1] 刘晓楠[1] Zhang Qian;Li Jing;Chen Xiaolin;Liu Xiaonan(Operating Room of Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院手术室,北京100070

出　　处：《护理学杂志》2023年第20期61-63,共3页Journal of Nursing Science

基　　金：科技部“十四五”国家重点研发计划支持项目(2021YFC2501101)。

摘　　要：目的 比较颅内动脉瘤夹闭手术中吲哚菁绿不同静脉注射部位与显影时间的关系,以精准配合手术。方法 将112例颅内动脉瘤行开颅夹闭手术患者按吲哚菁绿不同静脉注射部位分为下肢浅静脉(足背静脉)组64例、下肢深静脉(股静脉)组48例;记录两组注射吲哚菁绿过程中的血压、吲哚菁绿显影时间。结果 下肢深静脉组吲哚菁绿显影时间显著短于下肢浅静脉组(P<0.05),两组血压比较差异无统计学意义(均P>0.05)。结论 下肢深静脉注射吲哚菁绿显影时间显著短于下肢浅静脉注射吲哚菁绿,两种注射部位均相对安全;护理人员可根据术者偏好选择静脉注射部位,以提高手术效率。Objective To compare visualization time after injection of indocyanine green(ICG)via different veins in cerebral aneurysm clipping surgery,and to accurately cooperate with the surgery.Methods A total of 112 patients undergoing open craniotomy for intracranial aneurysms were categorized into two groups based on different veins for ICG injection:superficial veins of the lower limb(dorsal foot vein)group with 64 cases,and deep veins of the lower limb(femoral vein)group with 48 cases.Blood pressure and ICG visualization time were recorded for both groups.Results The deep vein group had shorter ICG visualization time than superficial vein group(P<0.05).There was no significant difference in blood pressure between the two groups(P>0.05).Conclusion Injection of ICG into deep veins of the lower limb results in a significantly shorter visualization time compared with injection into superficial veins of the lower limb.Both injection sites are relatively safe.Nurses can choose injection site according to the surgeon′s preference to enhance surgical efficiency.

关 键 词：颅内动脉瘤 吲哚菁绿 深静脉 浅静脉 造影 显影时间 手术护理 

分 类 号：R472.3[医药卫生—护理学]