超声动态引导留置针穿刺在心血管内科困难静脉通路患者中的应用效果

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摘要目的探讨超声动态引导留置针穿刺在心血管内科困难静脉通路患者中的应用效果。方法选取2021年1月至12月萍乡矿业集团有限责任公司总医院心血管内科收治的60 例患者作为研究对象，采用随机数字表法将其分为对照组和观察组，每组各30 例。对照组行传统静脉留置针穿刺，观察组实施超声动态引导下的留置针穿刺。观察两组患者穿刺次数、一次性穿刺成功率、留置针穿刺时间、留置针留置时间及穿刺部位疼痛程度，记录两组患者穿刺后不良反应发生情况。结果观察组患者穿刺次数少于对照组，一次性穿刺成功率高于对照组，视觉模拟评分法（VAS）评分低于对照组，留置针穿刺时间短于对照组，留置针留置时间长于对照组，差异有统计学意义（P＜0.05）。观察组术后不良反应发生率低于对照组，差异有统计学意义（P＜0.05）。结论超声动态引导下的留置针穿刺能够有效提高穿刺质量，降低穿刺后不良反应的发生。

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	黎殷
	蔡虹
	吴小凤

关键词 ：超声引导, 留置针穿刺, 心血管内科, 困难静脉通路

Abstract：Objective To explore the application effect of dynamic ultrasound guided indwelling needle puncture on patients with difficult intravenous access in department of cardiovascular medicine. Methods A total of 60 patients admitted to department of cardiovascular medicine of General Hospital of Pingxiang Mining Group Co., Ltd. between January and December 2021 were selected as the research subjects, and were divided into the control group and the observation group according to the random number table method, with 30 cases in each group. The control group underwent traditional venous indwelling needle puncture while the observation group was given indwelling needle puncture under dynamic ultrasound guidance. The number of punctures, success rate of one-time puncture, puncture time of indwelling needle, indwelling time of indwelling needle and degree of pain at puncture site were observed in the two groups of patients, and the occurrence of adverse reactions after puncture in the two groups were recorded. Results The number of punctures in the observation group was less than that in the control group, the success rate of one-time puncture was higher while the score of visual analogue scale (VAS) was lower compared to the control group, and the puncture time of indwelling needle was shorter than that in the control group while the indwelling time of indwelling needle was longer than that in the control group, the differences were statistically significant (P<0.05). The incidence rate of adverse reactions in the observation group after surgery was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion Indwelling needle puncture under dynamic ultrasound guidance can effectively enhance the puncture quality and reduce the occurrence of adverse reactions after puncture.

Key words： Ultrasound guidance Indwelling needle puncture Department of cardiovascular medicine Difficult intravenous access

基金资助:江西省萍乡市科技计划项目（2021PY176）

作者简介: 黎殷（1985-），副主任护师，研究方向：心血管内科。

引用本文:

黎殷；蔡虹；吴小凤. 超声动态引导留置针穿刺在心血管内科困难静脉通路患者中的应用效果[J]. 中国当代医药, 2022, 29(27): 52-55.
LI Yin； CAI Hong ；WU Xiaofeng. Application effect of dynamic ultrasound guided indwelling needle puncture on patients with difficult intravenous access in department of cardiovascular medicine. 中国当代医药, 2022, 29(27): 52-55.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I27/52

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