临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (3): 166-.

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手术患者开放式静脉留置针穿刺置管中采用超声引导下改良穿刺的应用价值

  

  1. 随州市曾都医院 手术室,湖北 随州 441300
  • 出版日期:2022-07-01 发布日期:2022-10-25

Application value of improved puncture guided by ultrasound in open venous indwelling needle catheterization in patients undergoing surgery

  1. Operating Room of Suizhou Zengdu Hospital, Hubei Suizhou 441300, China
  • Online:2022-07-01 Published:2022-10-25

摘要:

目的 探究手术患者开放式静脉留置针穿刺置管中采用超声引导下改良穿刺的应用价值。方法将随州市曾都医院2020 年10 月至2021 年6 月收治的253 例需置入外周静脉留置针的手术患者,根据随机数字表法分为A(128 例)、B(125 例)组,其中A 组进行超声引导下改良穿刺,B 组进行常规穿刺。比较两组患者一次性穿刺置管成功率和二次及以上穿刺成功率;比较两组患者穿刺次数、操作时间及穿刺时疼痛程度;比较两组患者并发症发生情况。结果 A 组患者一次性穿刺置管成功率为82.81%,明显高于B组(P <0.05);A 组患者操作时间、数字评定量表评分均明显低于B 组(均P < 0.05);A 组患者穿刺并发症总发生率明显低于B 组(P < 0.05)。结论 在手术患者开放式静脉留置针穿刺置管中采用超声引导下改良穿刺可显著改善穿刺效率,减轻手术患者穿刺时的疼痛感,并有效预防穿刺并发症。

关键词: 手术患者, 穿刺置管, 超声引导, 留置针

Abstract:

Objective To explore the application value of ultrasound-guided improved puncture in open venous indwelling needle catheterization for patients undergoing surgery. Method A total of 253 patients who were admitted to Suizhou Zengdu Hospital from October 2020 to June 2021 and needed peripheral venous indwelling needle were randomly divided into two groups: A (128 cases) and B (125 cases), in which group A underwent improved ultrasound-guided puncture and group B underwent conventional puncture. The success rate of onetime puncture and catheterization was compared between the two groups. The number of puncture times, operation time and pain degree during puncture were compared between the two groups. The incidence of complications was compared between the two groups. Result The success rate of one-time puncture catheterization in group A was 82.81%, which was significantly higher than that in group B (P < 0.05). Operation time and numerical rating scale score in group A were significantly lower than those in group B (all P < 0.05). The total incidence of puncture

complications in group A was significantly lower than that in group B (P < 0.05). Conclusion The improved puncture guided by ultrasound can significantly improve the puncture efficiency, reduce the pain and effectively prevent the puncture complications in the operation of open venous indwelling needle.

Key words: Surgical patients, Puncture catheterization, Ultrasonic guidance, Indwelling needle