| 王少银,胡俊.超声引导下旋转进针穿刺法对细血管置入中心静脉导管一次成功率的影响[J].安徽医药,2019,23(6):1146-1147. |
| 超声引导下旋转进针穿刺法对细血管置入中心静脉导管一次成功率的影响 |
| Effect of ultrasound-guided rotary injection puncture on peripherally inserted central catheter PICC catheterization of fine vessels |
| 投稿时间：2018-02-12 |
| DOI： |
| 中文关键词: 旋转进针穿刺法 血管直径 经外周静脉置入中心静脉导管 |
| 英文关键词: Rotating needle puncture Vessel diameter Central venous catheter inserted through peripheral vein |
| 基金项目: |
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| 摘要点击次数: 1971 |
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| 中文摘要: |
| 目的 探讨超声引导下旋转进针穿刺法对血管直径<3.5 mm病人首次置管成功率的影响。方法 选取六安市人民医院2016年1—12月血管直径<3.5 mm的置管病人33例作为对照组,选取2017年1—10月血管直径<3.5 mm的置管病人34例为研究组。对照组采用传统直刺的手法穿刺；研究组以旋转进针的手法进行穿刺。比较两组的一次性置管成功率。结果研究组一次性置管成功28例,成功率为82.35%,高于对照组的17例(51.51%),差异有统计学意义(χ2=7.221,P=0.007)。结论 旋转进针的穿刺手法能有效提高经细血管置入中心静脉导管一次性成功率,值得临床推广。 |
| 英文摘要: |
| ObjectiveTo investigate the effect of ultrasound-guided rotating needle puncture on the success rate of first catheterization in patients with vessel diameter less than 3.5 mm.Methods Thirty-three patients with vessel diameter < 3.5 mm in Lu'an People's Hospital from January to December 2016 were selected as control group,and 34 patients with vessel diameter < 3.5 mm from January to October 2017 were selected as study group.The control group was punctured by traditional direct puncture,while the study group was punctured by rotary puncture.The success rates of disposable catheterization were compared between the two groups.Results One-time catheterization was successful in 28 cases (82.35%) of the study group,which was higher than 17 cases (51.51%) in the control group,and the difference was statistically significant (χ2=7.221,P=0.007).Conclusion The puncture technique of rotating needle insertion can effectively improve the one-time success rate of central venous catheter insertion through small vessels,which is worthy of clinical promotion. |
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