摘要
目的:探讨两种腔内心电图定位技术在隧道式涤纶套双腔血透导管中的应用研究。方法:选择置入涤纶式双腔血透导管的病人60例,随机分成0.9%氯化钠溶液引导腔内心电图组与导丝引导腔内心电图组,各30例,比较两种方式引导腔内心电图出现的特征性P波稳定性、导管尖端到位率、医护人员满意度、手术耗时和穿刺点感染率。结果:所有病人在置入涤纶式双腔血透导管术过程中均能引导出稳定的腔内心电图,出现特征性P波,且导管尖端均位于右心房入口水平,导丝引导腔内心电图组特征性P波稳定性比例高于0.9%氯化钠溶液引导腔内心电图组,但差异无统计学意义(P>0.05);0.9%氯化钠溶液引导腔内心电图组阶段手术时间明显高于导丝引导腔内心电图组(P<0.01)。0.9%氯化钠溶液引导腔内心电图组医生和护士满意度均明显低于导丝引导腔内心电图组(P<0.01)。2组病人无感染发生,差异无统计学意义(P>0.05)。结论:两种方法均能引导出腔内心电图,导丝引导腔内心电图组获得特征性P波更稳定,流程更便捷,医护人员满意程度更高。
Objective:To explore the application of two intracavity electrocardiogram localization techniques in Dacron-cuffed double lumen hemodialysis catheter.Methods:Sixty patients implanted with Dacron-cuffed double lumen hemodialysis catheter were selected and randomly divided into 0.9%sodium chloride solution-guided lumen electrocardiogram group and wire-guided lumen electrocardiogram group(30 cases in each group).The characteristic P-wave stability,catheter tip in place rate,medical staffs′satisfaction,operation time and puncture point infection rate of the two methods were compared.Results:Stable intracavity electrocardiogram during the implantation of Dacron-cuffed double lumen hemodialysis catheter was exported in all patients,with characteristic P-wave,and the catheter tip was located at the level of right atrial entrance.The stability ratio of characteristic P-wave in wire-guided lumen electrocardiogram group was higher than that in 0.9%sodium chloride solution-guided lumen electrocardiogram group,but the difference was not statistically significant(P>0.05).The operation time in 0.9%sodium chloride solution-guided lumen electrocardiogram group was significantly higher than that in wire-guided lumen electrocardiogram group(P<0.01).The satisfaction of doctors and nurses in 0.9%sodium chloride solution-guided lumen electrocardiogram group was significantly lower than that in wire-guided lumen electrocardiogram group(P<0.01).There was no infection in the two groups,the difference of which was not statistically significant(P>0.05).Conclusions:Both methods can guide the intracavity electrocardiogram.The wire-guided intracavity electrocardiogram can obtain characteristic P-wave more stably,the process is more convenient,and the satisfaction degree of medical staffs is higher.
作者
付小伟
单玲
FU Xiao-wei;SHAN Ling(Department of Intravenous Therapy Clinic,Lianyungang Maternal and Child Health Care Hospital,Lianyungang Jiangsu 222000,China)
出处
《蚌埠医学院学报》
CAS
2023年第3期410-413,共4页
Journal of Bengbu Medical College
基金
连云港市卫生健康委员会指导性科技项目(ZD202103)
江苏省卫生健康委员会面上项目(Z2021075)。
关键词
腔内心电图
涤纶式双腔血透导管
尖端位置
intracavity electrocardiogram
Dacron-cuffed double lumen hemodialysis catheter
tip position
