|
| 老年患者超声引导下锁骨下静脉与腋静脉穿刺的比较 |
| Comparison of ultrasound guided subclavian vein and axillary vein puncture in elderly patients |
| |
| DOI：10.12089/jca.2020.06.004 |
| 中文关键词: 超声引导 锁骨下静脉 腋静脉 老年患者 |
| 英文关键词: Ultrasound guidance Subclavian vein Axillary vein Elderly patients |
| 基金项目: |
|
| 摘要点击次数: 3378 |
| 全文下载次数: 928 |
| 中文摘要: |
目的 比较老年患者超声引导下锁骨下静脉与腋静脉穿刺置管的效果。
方法 需要放置中心静脉导管的患者99例，男68例，女31例，年龄>65岁，随机分为两组：锁骨下静脉穿刺组（SV组，n=49）和腋静脉穿刺组（AV组，n=50）。记录锁骨下静脉和腋静脉超声定位时间、静脉深度、静脉最大内径，计算静脉塌陷率。记录深静脉一次穿刺成功、二次穿刺成功、总穿刺成功例数和穿刺时间。记录误穿动脉、气胸等并发症的发生情况。
结果 与AV组比较，SV组超声定位时间明显缩短（P<0.01），静脉深度、静脉最大内径明显增大（P<0.01），呼吸塌陷率明显降低（P<0.01），一次穿刺成功率和总穿刺成功率明显升高（P<0.05）。两组二次穿刺成功率、穿刺时间差异无统计学意义。两组均无误穿动脉、气胸等并发症。
结论 老年患者超声引导下锁骨下静脉穿刺较腋静脉穿刺成功率高。 |
| 英文摘要: |
Ojective To compare the effect of subclavian veinand axillary vein puncture under ultrasound guidance in elderly patients.
Methods Ninety-nine patients who needed central venous catheterization, 68 males and 31 females, aged > 65 years, were randomized into subclavian vein group (group SV, n = 49) and axillary vein group (group AV, n = 50). The ultrasonic location time, depth, maximum diameter and collapse index (the percentage of vein width changes due to respiration) of subclavian vein and axillary vein were recorded. The one attempt success rate, two attempt success rate, total success rate, the operation time and the complications of two groups were compared.
Results Comared with group AV, the ultrasonic location time was shorter (P < 0.01), the depth was greater (P < 0.01), the maximum diameter was wider (P < 0.01), and the collapse index was less in group SV (P < 0.01). The one-attempt success rate and total success rate were higher in group SV than those in group AV (P < 0.05). There was no statistically significant difference in the success rate and puncture time between the two groups. No pneumothorax or arterial punctures occurred in either group.
Conclusion Ultrasound guided subclavian vein approach is better than axillary vein approach in elderly patients. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
