新型心电图(ECG)引导中心静脉置管技术的有效性和安全性

Efficacy and Safety of a New Type of Electrocardiogram(ECG) Guided Central Venous Catheter Technique

目的:探讨新型心电图(ECG)引导中心静脉置管技术有效性和安全性。方法:选取2015年2月~2016年1月我院行中心静脉置管术患者60例为研究对象,采用随机信封分组方法将患者分为研究组和对照组,研究组在新型ECG引导下进行中心静脉置管术,对照组采用常规中心静脉置管术,比较两组患者一次性置管成功率及并发症发生情况。结果:研究组一次性穿刺成功率(90.00%)显著高于对照组(63.33%),比较有统计学意义(P<0.05)。研究组患者静脉炎、导管堵塞、血管损伤并发症发生率均低于对照组,比较有统计学意义(P<0.05)。结论:新型ECG引导中心静脉置管术可有效提高一次性置管成功率,降低并发症发生率,具有较为显著临床应用价值。

Objective： To explore the effectiveness and safety of the new electrocardiogram （ECG） guided central venous catheter technique. Methods： From February 2015 -January 2016 year in our hospital for central venous catheterization in 60 patients as the research object, the random grouping method of envelope were divided into study group and control group, the study group in the new ECG guided central venous catheter, the control group using conventional central venous catheterization, were compared between the two groups the one-time success rate of catheterization and complications. Results： The success rate of the study group （90%） was significantly higher than that of the control group （63.33%）, which was statistically significant （P 〈 0.05）. The incidence of phlebitis,catheter blockage, and vascular injury in the study group was lower than that in the control group, and there were significant （P 〈 0.05）. Conclusion： The new ECG guided central venous catheter placement can effectively improve the success rate of disposable catheter placement, reduce the incidence of complications, and has a significant clinical value.