经鼻烟壶区动脉穿刺置管在重症患者有创血压监测中的应用  

Application of Arterial Puncture Catheterization Through the Snuff Bottle Area in Invasive Blood Pressure Monitoring of Critically Ill Patients

作　　者：王颖琦 曾连开[1] 郑静勇 方浩标 Wang Yingqi;Zeng Liankai;Zheng Jingyong;Fang Haobiao(Guangzhou Panyu District Hospital of Traditional Chinese Medicine,Guangzhou Guangdong 511400,China)

机构地区：[1]广州市番禺区中医院,广东广州511400

出　　处：《生命科学仪器》2024年第5期158-160,共3页Life Science Instruments

摘　　要：目的 探讨经鼻烟壶区动脉穿刺置管在重症患者有创血压监测(IBPM)中的应用效果。方法 选择2023年12月至2024年5月广州市番禺区中医院收治的60例行IBPM治疗的重症患者,随机分为观察组和对照组,每组30例。对照组采用常规桡动脉穿刺置管,观察组采用经鼻烟壶区桡动脉穿刺置管。对比两组患者一次穿刺成功率、堵塞、渗血次数、压迫止血时间、留置时间、并发症。结果 两组行IBPM期间并发症发生率对比,P>0.05。观察组压迫止血时间短于对照组,留置时间长于对照组,P<0.05。观察组一次穿刺成功率66.67%,明显高于对照组的33.33%,P<0.05;观察组堵塞和渗血次数均明显少于对照组,P<0.05。结论 相比于传统桡动脉穿刺置管,在重症患者IBPM中采用经鼻烟壶区动脉穿刺置管具有一次穿刺成功率高、穿刺失误少、留置时长、压迫止血时间短等优势。Objective:To investigate the application effect of transnasal snus bottle area artery puncture catheterization in invasive blood pressure monitoring(IBPM)for critically ill patients.Methods:60 critically ill patients admitted to Guangzhou Panyu district traditional Chinese medicine hospital from December 2023 to May 2014 who underwent IBPM treatment were randomly divided into an observation group(n=30)and a control group(n=30).The control group was treated with conventional radial artery catheterization,while the observation group was treated with radial artery catheterization through snuff bottle area.The success rate、blocking、times of bleeding、compression hemostasis time、indwelling time and complications of the two groups were compared.Results:The incidence of complications between the two groups during IBPM was compared,P>0.05.The compression hemostasis time in the observation group was shorter than that in the control group,and the indwelling time was longer than that in the control group,P<0.05.The success rate of puncture in the observation group was 66.67%,which was significantly higher than that in the control group 33.33%,P<0.05.The times of blockage and bleeding in the observation group were significantly less than those in the control group,P<0.05.Conclusion:Compared with traditional radial artery catheterization,arterial catheterization through snuff bottle area in IBPM for critically ill patients has the advantages of high success rate,less puncture errors,shorter indwelling time and shorter compression hemostasis time.

关 键 词：重症患者 有创血压监测 经桡动脉穿刺 经鼻烟壶区动脉穿刺 

分 类 号：R472[医药卫生—护理学]