摘要
目的探讨超声引导下经腋静脉穿刺置管对颅内肿瘤围术期舒适度及并发症的影响。方法选取2018年2月-2019年2月于我院行颅内肿瘤手术患者110例,按入院顺序不同分为对照组和观察组,每组各55例。对照组采用超声引导下经颈内静脉穿刺置管,观察组采用超声引导下经腋静脉穿刺置管。观察比较两组患者置管后舒适度,住院时间及并发症发生情况。结果观察组舒适度高于对照组(P<0.05)。观察组住院时间短于对照组(P<0.05)。察组脱管、导管堵塞发生率低于对照组(P<0.05);两组皮肤损伤和穿刺感染发生率无统计学意义(P>0.05)。结论超声引导下经腋静脉穿刺置管可提高颅内肿瘤围术期患者舒适度,缩短住院时间且置管后并发症发生率可有效降低,值得推荐使用。
Objective To investigate effect of ultrasound-guided transthoracic axillary vein catheterization on the perioperative comfort and complications for patients with intracranial tumor.Methods 110 patients who underwent intracranial tumor surgery in our hospital from February 2018 to February 2019 were selected and divided into the control group and the observation group according to the admission order, with 55 patients in each group.The control group received ultrasound-guided catheterization through internal jugular vein, and the observation group received ultrasound-guided catheterization through axillary vein.After catheterization, comfort, length of stay and complications were observed and compared between the two groups.Results The comfort of the observation group was higher than that of the control group(P<0.05).The hospitalization time of the observation group was shorter than that of the control group(P<0.05).The incidences of tube removal and catheter blockage in the observation group were lower than those in the control group(P<0.05);the incidences of skin injury and puncture infection in the two groups were not statistically significant(P>0.05).Conclusion The application of the ultrasound-guided transthoracic axillary vein catheterization can improve the perioperative comfort degree for intracranial tumor surgery patients, shorten hospital stay and lower complications, which is recommended.
作者
薛慧娟
Xue Huijuan(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan 471000)
出处
《辽宁医学杂志》
2021年第5期50-52,共3页
Medical Journal of Liaoning
关键词
超声引导
腋静脉穿刺置管
颅内肿瘤围术期
舒适度
并发症
Ultrasound guidance
Axillary vein catheterization
Perioperative period of intracranial tumors
Comfort
Complications
