45°斜轴平面内与长轴平面内法在超声引导颈内静脉置管中的应用比较

Comparison the Application of 45 Degree Oblique Axis Plane and Long Axis Plane Method in Ultrasound Guided Internal Jugular Vein Puncture Tube

目的采用45°斜轴平面内法与长轴平面内法超声引导下行颈内静脉穿刺置管术,比较两种超声引导方式的优缺点。方法选取60例需行颈内静脉穿刺置管患者,采用随机的分组方式将患者平均分为两组,每组30例,对比两种超声引导方法的优缺点。结果 45°斜轴平面内法与长轴平面内法的首次穿刺成功率对比,P<0.05,差异具有统计学意义。结论 45°斜轴平面内法在首次穿刺成功率上优于长轴平面内法,并且不易损伤动脉。

Objective To investigate the application effects of 45 degree oblique axis and long axis method in ultrasound guided internal jugular vein puncture tube.Methods Selected 60 of internal jugular vein puncturetube were divided into two groups, each group had 30 cases,comparison of the advantages and disadvantages of two kinds of ultrasound guided method. Results Compared the success rate of the first puncture between the 45 degree oblique axis group and long axis group,P〈0.05, was difference had statistically significance. Conclusion 45 degree oblique axis plane method is superior to the long axis plane method in the success rate of the fist puncture,and is not easy to damage the artery.