摘要
目的探讨两种颈内静脉穿刺法行静脉置管术的临床效果。方法将100例行静脉置管术的病人,按住院的先后顺序随机分为高位颈内静脉置管组50例和股静脉置管组50例,比较两组病人置管的临床效果。结果高位颈内静脉置管组和股静脉置管组置管一次成功率分别为96.0%,84.0%;操作时间分别为18.8min,21.6min;导管平均留置时间为90d,63d;静脉炎发生率分别为0,16.0%,两组效果比较,均P<0.01,差异有统计学意义。结论高位颈内静脉置管术具有操作简便,成功率高,并发症少的特点;做好置管后的观察与护理对保证静脉置管术的成功具有重要的意义。
Objective To explore the clinical effectiveness of two types of catheterization through internal jugular venepuncture. Methods One hundred patients to undergo venepuncture catheterization were randomly divided into two groups, 50 catheterized through internal jugular venepuncture and the other 50 through femoral venepuncture. The clinical effectiveness in the two groups was compared. Results Significant differences were found in internal jugular venepuncture group and femoral venepuncture group, with their success rates being 96% and 84%, operation time 18.8min and 21.6min, stay of catheters 90d and 63d, and incidence of phlebitis 0 and 16%, respectively （P 〈 0.01 ）. Conclusion Catheterization through internal jugular venepuncture can be easily manipulated with high success rate and few complications. Careful observation and nursing after catherization is of vital significance to ensure the success of catherization.
出处
《现代临床护理》
2006年第2期49-50,共2页
Modern Clinical Nursing
