摘要
目的评价平面内和平面外超声技术在不同桡动脉深度实施桡动脉穿刺置管的效果。方法选取需行桡动脉穿刺手术的患者120例,根据桡动脉的皮下距离分为皮下距离≥2.8mm平面内组(≥2.8mm平面内组)、皮下距离≥2.8mm平面外组(≥2.8mm平面外组)、皮下距离<2.8mm平面内组(<2.8mm平面内组)、皮下距离<2.8mm平面外组(<2.8mm平面外组),每组30例。每组采用相应的方法完成桡动脉穿刺置管。记录各组总穿刺时间、穿刺次数、一次穿刺成功率和一次穿刺成功时间。结果≥2.8mm平面内组和≥2.8mm平面外组的桡动脉皮下距离和管径分别显著大于<2.8mm平面内组和<2.8mm平面外组(P值均<0.01)。≥2.8mm平面外组、<2.8 mm平面外组的一次穿刺成功率分别显著高于≥2.8 mm平面内组、<2.8mm平面内组(P值均<0.05),一次穿刺成功时间分别显著短于≥2.8mm平面内组、<2.8mm平面内组(P值均<0.05)。≥2.8mm平面内组、≥2.8mm平面外组的一次穿刺成功率分别显著高于<2.8mm平面内组和<2.8mm平面外组(P值均<0.05),一次穿刺成功时间分别显著短于<2.8mm平面内组和<2.8mm平面外组(P值均<0.05)。各组间总穿刺时间和穿刺次数的差异均无统计学意义(P值均>0.05)。结论桡动脉皮下距离≥2.8mm时平面内和平面外超声引导下的穿刺效果更好;与平面内超声技术相比,平面外超声引导下桡动脉穿刺的一次成功率更高,一次穿刺成功的时间更短。
Objective To compare the effect of in-plane and out-of-plane technology on the arterial catheterization in different subcutaneous distances. Methods A total of 120 patients scheduled for radial artery catheterization were divided into four groups （n = 30）： group A （in-plane performance with subcutaneous distance ≥2. 8 mm）, group B （out-of-plane performance with subcutaneous distance≥ 2. 8 mm）, group C （in-plane performance with subcutaneous distance〈2.8 mm）, and group D （out-of-plane performance with subcutaneous distance,〈2. 8 mm）. The total times of puncture, puncture attempts, the first successful cases and the first successful puncture time were recorded. Results The subcutaneous distance and radial artery diameter of groups A and B were significantly longer than those of groups C and D （all P〈0.01 ）. Compared with those in groups A and C, the first puncture success rate were significantly increased in groups B and D （both P〈0.05）, while the first successful puncture time were significantly decreased （both P〈0.05）. Compared with those in groups A and B, the first puncture success rates were significantly increased in groups C and D （both P〈0.05）, while the first successful puncture times were significantly decreased （both P〈0.05）. There were no significant difference in puncture time or attempts between the groups （all P 〉0. 05）. Conclusion Ultrasound-guided radial artery cannulation can be performed easily when subcutaneous distance is greater than 2.8 mm. Compared with in-plane technology, radial artery cannulation guided by out-of-plane technology needs less time, and with higher first success rate. （Shanghai Med J, 2016, 39= 715-718）
出处
《上海医学》
CAS
CSCD
北大核心
2016年第12期715-718,共4页
Shanghai Medical Journal
关键词
桡动脉穿刺置管
超声引导
平面内
平面外
Radial artery cannulatien
UItrasound-guided
In-plane
Out-of-plane
