超声引导下平面内与平面外技术对外周中心静脉置管效果的比较  

Comparison of the Effects of Ultrasound Guided in Plane and Out of Plane Techniques on Peripheral Central Venous Catheterization

作　　者：杨晋东[1] 廖玉麒 吴佳桥 逯焜 童玉娜 YANG Jindong;LIAO Yuqi;WU Jiaqiao;LU Kun;TONG Yu’na(Anesthesia Department,The Third People’s Hospital of Chengdu,Chengdu 610000,Sichuan,P.R.China;Nephrology Department,The Third People’s Hospital of Chengdu,Chengdu 610000,Sichuan,P.R.China)

机构地区：[1]成都市第三人民医院麻醉科,四川成都610000 [2]成都市第三人民医院肾内科,四川成都610000

出　　处：《影像科学与光化学》2024年第6期580-585,共6页Imaging Science and Photochemistry

基　　金：2021年四川省卫生健康委医学科技项目(21PJ145);2022年成都市医学科研课题(2022073)。

摘　　要：目的:分析比较超声引导下平面内与平面外技术在外周中心静脉置管中的应用效果。方法:选择成都市第三人民医院麻醉科进行超声引导穿刺的外周中心静脉置管患者68例,根据随机数字表法分成对照组(超声平面外技术)与观察组(超声斜轴平面内技术),每组34例。比较两组的一次性穿刺成功率、置管时间、穿刺时间、穿刺效果及并发症发生率。结果:观察组一次性穿刺成功率[97.05%(33/34)]显著高于对照组的[82.35%(28/34)](P<0.05)。观察组穿刺时间、置管时间[分别为(98.33±3.09)s、(5.32±1.36)min]均显著短于对照组的[(180.35±3.06)s、(12.69±1.48)min](P<0.05)。观察组穿刺优良率[94.12%(32/34)]显著高于对照组的[73.53%(25/34)](P<0.05)。观察组患者并发症总发生率[8.82%(3/34)]显著低于对照组的[32.35%(11/34)](P<0.05)。结论:相比于平面外技术用于外周中心静脉置管,超声引导下斜轴平面内技术显示出更高的效率和更低的并发症发生率,值得临床推广。Objective:To analyze and compare the effects of ultrasound guided in plane and out of plane techniques on peripheral central venous catheterization.Methods:68 patients with central venous catheterization who underwent ultrasound guided puncture at the Anesthesia Department of The Third People’s Hospital of Chengdu were randomly divided into a control group and an observation group using a random number table,with 34 patients in each group.The control group underwent out of plane ultrasound puncture,while the observation group underwent oblique axis in plane ultrasound puncture.Compare the success rate of one-time puncture,catheterization time,puncture time,puncture effect,and incidence of complications between two groups.Results:Observation group reported higher success rate of one-time puncture compared to control group[97.05%(33/34)vs.82.35%(28/34),P<0.05].The observation group reported shorter puncture time and catheterization time compared to control group[(98.33±3.09)s vs.(180.35±3.06)s,(5.32±1.36)min vs.(12.69±1.48)min,P<0.05].And observation group reported higher excellent and good puncture rate compared to control group[94.12%(32/34)vs.73.53%(25/34),P<0.05].The total incidence of complications in the observation group was 8.82%(3/34)lower than that in the control group,which was 32.35%(11/34),and the difference was statistically significant(P<0.05).Conclusion:Compared to the use of out of plane techniques for peripheral central vein catheterization,ultrasound guided oblique axis in plane technique shows higher efficiency and lower incidence of complications,which is worthy of clinical promotion.

关 键 词：超声引导 斜轴平面内技术 平面外技术 外周中心静脉置管 并发症 

分 类 号：R445.1[医药卫生—影像医学与核医学] R472[医药卫生—诊断学]