ICU重症患者长时间留置股动脉导管的安全性分析

Security analysis of femora-artery-catheter indwelling for long-time in critical patients of ICU

目的:探讨ICU重症患者长时间留置股动脉导管的安全性和可行性。方法:回顾分析本院ICU 248例重症患者留置动脉导管的相关临床资料,根据穿刺部位分为股动脉组和和非股动脉组;根据动脉导管留置时间将股动脉组再分为短时间组(<7d)和长时间组(≥7d)。收集各组患者动脉穿刺置管后各种并发症数据进行比较分析。结果:股动脉组与非股动脉组比较、股动脉导管长时间组与短时间组比较,在导管相关性感染、血管并发症、导管血栓形成等方面差异无统计学意义;股动脉导管组的意外脱管率、导管阻塞率低于非股动脉导管组(P<0.05)。结论:ICU重症病人留置股动脉导管监测效果良好、留置时间长,可避免反复动脉穿刺,值得临床实践推广。

Objective：To discuss the security and feasibility of femora-artery-catheter indwelling for long-time in critical patients of ICU.Method：The clinical data of 248 critical patients with indwelling femora-artery-catheter were retrospectively analyzed.248 patients were divided into group of femora-artery-catheter and group of nonfemora-artery-catheter.Group of femora-artery-catheter were divided into two subgroups according catheter indwelling time：the short time group（＆lt;7d）and the long time group（≥7d）.Data about complications of femoraartery-catheter were collected and analyzed.Result：Compared with the group of non-femora-artery-catheter and the short time group,the differences of catheter related infection,vascular complications and thrombosis were not significant.Rate of unexpectedly drawn catheter and catheter obstruction were remarkably lower in the group of femora-artery-catheter（P＆lt;0.05）.Conclusion：For critical patients of ICU,indwelling femora-artery-catheter is an efffctive monitoring,which indwelled for longer time and avoid frequentative artery puncturing.So it is worthy of clinical practice and application.