摘要
目的分析超声引导下深静脉置管术在重症患者中的应用价值。方法随机抽取我院2019年4月至2020年7月100例重症患者作为研究对象,按照随机数字表法予以分组进行研究,即对照组50例采用体表定位法进行盲探式深静脉置管,观察组50例采用超声引导下深静脉置管术,比较两种方法的临床应用价值。结果(1)观察组患者一次穿刺成功率以及穿刺成功率分别为96%和100%,对照组患者一次穿刺成功率以及穿刺成功率分别为80%和90%,对比以上数据,组间形成统计学意义;(2)观察组患者并发症发生率4%,对照组患者并发症发生率18%,且观察组置管时间少于对照组,以上数据进行对比形成统计学意义;(3)观察组需要更换穿刺位置比例低于对照组,同时穿刺次数少于对照组,以上数据进行对比组间差异显著,形成统计学意义。结论重症患者选择超声引导下深静脉置管术可提升成功率,同时降低并发症发生率,临床应用价值显著。
Objective To analyze the application value of ultrasound-guided deep vein catheterization in severe patients.Methods Randomly chosen from April 2019-July 2020,100 cases of severe patients as the research object,study shall be grouped according to random number table method,namely the control group of 50 cases of body surface location method is adopted to improve the blind type deep venipuncture,observation group of 50 cases with ultrasonic guided deep venipuncture,compare the value of clinical application of the two methods.Results(1)The first puncture success rate and the puncture success rate of patients in the observation group were 96%and 100%respectively,and the first puncture success rate and the puncture success rate of patients in the control group were 80%and 90%respectively.The statistical significance was formed by comparing the above data.(2)The incidence of complications was 4%in the observation group and 18%in the control group,and the duration of catheterization in the observation group was less than that in the control group.The above data were compared to form statistical significance.(3)The observation group needed to change the puncture position proportion was lower than the control group,and the puncture times were less than the control group,the above data were compared between the two groups,the difference was statistically significant.Conclusion Ultrasound-guided deep vein catheterization can improve the success rate and reduce the incidence of complications in severe patients,which has significant clinical application value.
作者
徐烁
罗琼湘
李健
XU Shuo;LUO Qiong-xiang;LI Jian(Heyuan People’s Hospital,Heyuan,Guangdong 517000)
出处
《智慧健康》
2021年第7期71-73,共3页
Smart Healthcare
关键词
超声引导
深静脉置管术
重症
盲探式深静脉置管
成功率
并发症
Ultrasonic guidance
Deep vein catheterization
Severe
Blind probe deep vein catheterization
The success rate
Complications
