锁骨下静脉置管方法的改进研究

The research of improved method about Subclavian vein intubation

目的寻求一种穿刺成功率高,并发症少的锁骨下静脉穿刺置管方法。方法改进组88例采用改进的锁骨下静脉穿刺置管法,对照组87例采用传统锁骨下静脉穿刺置管法。结果传统组穿刺成功率87.6%,改进组成功率为97.7%(P<0.05);传统组操作时间平均为89.28±6.96 s,改进组为平均75.75±5.35 s。传统组四项主要并发症总的发生率较改进组明显减少(P<0.05)。结论改进的锁骨下静脉穿刺置管操作方便、迅速,成功率高,并发症少。

Objective Seek a method of subclavian vein intubation which has higer success rate and less complications.Methods 88 patients with the improved subclavian vein puncturing catheter method in improved group 87 cases with the traditional way in the control group.Results The success rate of traditional methods was 87.6%,the improved methods was 97.7%（P〈0.05）.The average time of traditional methods was（89.28±6.96）s,the improved way was（75.75±5.35）s.The overall incidence of improved method＇s four major complications was less than traditional intubation.Conclusion The improved subclavian vein intubation operation is convenient,and quick,which has higher success rate and less complications.