心脏瓣膜病变体外循环术后行有创动脉血压监测最佳穿刺部位选择及获益效果  

Selection of the best puncture site and benefit effect of invasive arterial blood pressure monitoring after cardiopulmonary bypass for heart valve disease

作　　者：何京蔚 He Jingwei(Mianyang Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Mianyang,Sichuan 621000,China)

机构地区：[1]电子科技大学医学院附属绵阳医院,绵阳市中心医院,四川绵阳621000

出　　处：《首都食品与医药》2025年第6期148-150,共3页Capital Food Medicine

摘　　要：目的探究心脏瓣膜病变体外循环术后患者行有创动脉血压监测最佳穿刺部位选择及获益效果情况。方法选取2022年5月-2024年5月150例绵阳市中心医院心外科收治的心脏瓣膜病变体外循环术后患者,随机数表法分为A组、B组、C组,每组各50例。A组以桡动脉作为穿刺部位行有创动脉血压监测,B组以肱动脉作为穿刺部位行有创动脉血压监测,C组以足背动脉作为穿刺部位行有创动脉血压监测,比较三组一次性穿刺成功率、血压波形不稳定发生率、动脉置管针留置时长及血压监测期间并发症发生率。结果A、B、C组一次性穿刺成功率分别为66.00%、76.00%、94.00%,其中C组一次性穿刺成功率高于其他两组(P<0.05)。A、B、C组血压波形不稳定发生率分别为14.00%、12.00%、4.00%,其中C组血压波形不稳定发生率均低于其他两组(P<0.05)。三组动脉置管针留置时间比较,C组动脉置管针留置时间长于其他两组(P<0.05)。血压监测期间,A、B、C组并发症发生率分别为32.00%、22.00%、10.00%,其中C组并发症发生率低于其他两组(P<0.05)。结论心脏瓣膜病变体外循环术后行有创动脉血压监测最佳穿刺部位的选择中,选择以足背动脉作为穿刺部位能够有效提高该类患者的一次性穿刺成功率、降低血压波形不稳定发生率、延长动脉置管针留置时长,且血压监测期间患者并发症发生率较低,值得借鉴。Objective To explore the best puncture site selection and benefit effect of invasive arterial blood pressure monitoring in patients with heart valve disease after cardiopulmonary bypass.Methods A total of 150 patients with heart valve disease who were admitted to the Department of Cardiac Surgery of Mianyang Central Hospital from May 2022 to May 2024 were selected and divided into group A,group B and group C by the random number table method,with 50 cases in each group.The radial artery was used as the puncture site for invasive arterial blood pressure monitoring in group A,the brachial artery was used as the puncture site for invasive arterial blood pressure monitoring in group B,and the dorsalis pedis artery was used as the puncture site for invasive arterial blood pressure monitoring in group C.The success rate of one-time puncture,the incidence of unstable blood pressure waveform,the indwelling time of arterial catheter and the incidence of complications during blood pressure monitoring were compared among the three groups.Results The onetime success rate of puncture in groups A,B and C was 66.00%,76.00%and 94.00%,respectively.The one-time success rate of puncture in group C was higher than that in the other two groups(P<0.05).The incidence of unstable blood pressure waveform in groups A,B,and C was 14.00%,12.00%,and 4.00%,respectively.The incidence of unstable blood pressure waveform in group C was lower than that in the other two groups(P<0.05).The indwelling time of arterial catheter in group C was longer than that in the other two groups(P<0.05).During blood pressure monitoring,the incidence of complications in groups A,B,and C was 32.00%,22.00%,and 10.00%,respectively.The incidence of complications in group C was lower than that in the other two groups(P<0.05).Conclusion In the selection of the best puncture site for invasive arterial blood pressure monitoring after cardiopulmonary bypass for heart valve disease,choosing the dorsalis pedis artery as the puncture site can effectively improve the one-time

关 键 词：心脏瓣膜病变体外循环术后患者 有创动脉血压监测 穿刺部位 

分 类 号：R473.6[医药卫生—护理学]