超声引导下颈内静脉穿刺和腋静脉穿刺在中心静脉置管的应用效果对比分析

Comparative analysis of the application effects of ultrasound-guided internal jugular vein puncture and axillary vein puncture in central venous catheterization

目的对比超声引导下颈内静脉穿刺和腋静脉穿刺在中心静脉置管(Central vein catheterization,CVC)的应用效果。方法选取2022年6月至2023年6月我院超声引导下CVC麻醉手术患者100例为研究对象,按照随机表法分为对照组(50例)和观察组(50例)。对照组实施超声引导下颈内静脉穿刺术,观察组实施超声引导下腋静脉穿刺术。比较两组置管时间、一次穿刺成功率、并发症及患者满意度。结果观察组置管时间(12.34±2.74)min短于对照组(18.49±3.51)min,一次穿刺成功率为96.00%(48/50)高于对照组80.00%(40/50),并发症发生率为2.00%(1/50)低于对照组16.00%(8/50),差异有统计学意义(P<0.05)。观察组总满意度为96.00%(48/50),高于对照组的82.00%(41/50),差异有统计学意义(P<0.05)。结论超声引导下行CVC采用腋静脉穿刺效果优于颈内静脉穿刺,穿刺时间更短,一次成功率更高,能够降低并发症发生,提升患者满意度,值得临床广泛应用。

Objective To compare the application effects of ultrasound guided internal jugular vein puncture and axillary vein puncture in central venous catheterization(CVC).Methods A total of 100 patients undergoing ultrasound-guided CVC anesthesia surgery in our hospital from June 2022 to June 2023 were selected as the study subjects.They were randomly divided into a control group(50 cases)and an observation group(50 cases).Compare the catheterization time,one-time puncture success rate,complications,and patient satisfaction between the two groups.Results The catheterization time of the observation group(12.34±2.74)minutes was shorter than that of the control group(18.49±3.51)minutes,and the success rate of one puncture was 96.00%(48/50),which was higher than that of the control group 80.00%(40/50).The incidence of complications was 2.00%(1/50),which was lower than that of the control group 16.00%(8/50).The total satisfaction rate of the observation group was 96.00%(48/50),which was higher than the control group’s 82.00%(41/50),with a statistically significant difference(P<0.05).Conclusion The effect of using axillary vein puncture under ultrasound guidance for CVC is better than that of using internal jugular vein puncture.The puncture time is shorter,the one-time success rate is higher,and it can reduce the occurrence of complications and improve patient satisfaction.It is worthy of clinical application.