摘要
目的比较使用不同型号穿刺针穿刺测压对桡动脉的影响。方法连续选取行桡动脉穿刺测压的患者68例,随机分为两组(n=34):F组、T组,分别用20G或22G动脉穿刺针穿刺测压,记录一次穿刺成功率,测量穿刺前,穿刺后即刻,穿刺后10、30、60 min及拔管后30 min桡动脉直径,计算动脉闭塞发生率。结果F组一次穿刺成功率(82.35%)优于T组(55.88%)(F=5.58,P=0.03);在穿刺后即刻,T组桡动脉内径明显小于F组,其动脉痉挛发生率亦明显高于F组(χ2=4.12,P=0.08);10min后绝大部分桡动脉痉挛自行解除,且两组患者桡动脉内径在其后各时点差异均无统计学意义(P>0.05)。两组均未发现桡动脉闭塞病例。结论 20G穿刺针穿刺后动脉痉挛发生率高于使用22G针者,但10min后绝大部分桡动脉痉挛可自行解除。
Objective To compare the effects of different types of puncture needles on radial artery.Methods A total of68 patients were randomly divided into group F and group T（n=34）.The radial arteries of group F and group T were punctured with 20 Gor 22Garterial puncture needles,then the pressure was measured and the success rates of one time puncturing were recorded.On the same time,we measured radial artery diameters and the incidence of arterial occlusion before puncturing,puncturing instant and 10,30,60 minutes after puncturing and 30 minutes after drawing tubes.Results The rate of group F（82.35%）for puncturing successfully in one time was higher than that of group T（55.88%）（F=5.58,P=0.03）.On puncturing instant,radial artery diameters in group T was distinctively smaller than that in group F and the incidence of arterial spasm in group T was also distinctively higher than that in group F（χ2=4.12,P=0.08）;ten minutes later,most radial arterial spasms relieved automatically,and there were no distinctive differences in radial artery diameters between the two groups in the later every point of time（P〈0.05）.There was no case of arterial occlusion in both groups.Conclusion Incidence of arterial spasm by 20 Gpuncture needles puncturing is higher than that by 22 Gpuncture needles,but ten minutes later most radial artery spasms relieve automatically.
出处
《福建医药杂志》
CAS
2015年第2期21-23,共3页
Fujian Medical Journal
关键词
超声检查
桡动脉
动脉痉挛
动脉闭塞
supersonic inspection
radial artery
arterial spasm
arterial occlusion
