手三角定位法在锁骨下静脉穿刺中的应用

Skill Improvement:Subclavian Vein Puncture with Triangle of Hand

目的探讨提高锁骨下静脉穿刺成功率的方法。方法 116例患者随机分为实验组(60例,穿刺中使用手三角定位法)和对照组(56例,常规手法),比较两组间穿刺成功率和并发症的发生率。结果实验组一次性成功率91.7%(55例),总成功率96.7%(58例),并发症发生率1.7%(1例);对照组一次性成功率78.6%(44例),总成功率96.4%(54例),并发症发生率5.4%(3例),两组一次性成功率差异有统计学意义(P<0.05)。结论锁骨下静脉穿刺中使用手三角定位法有较高的一次性成功率。

Objective To approach the way to improve the achievement ratio of subclavian vein puncture. Methods All 116 cases of subclavian vein puncture were divided into experimental group （60 cases, with triangle of hand） and control group （56case, without triangle of hand） randomly to compare the achievement ratio and complication between two groups. Results there are 91.7% of case success during once time in experimental group, the total achievement ratio is 96.7%, with 1.7% of complication; corresponding outcome are 78.6%, 96.4%, 5.4% in control group, there was a statistically difference in both groups in achievement ratio in first time. Conclusion There is a higher achievement ratio in subclavian vein puncture with triangle of hand during once time.