探讨B超引导在急诊重症患者连续肾脏替代治疗股静脉血滤管留置中的临床价值及安全性

Discussion on the Clinical Value and Safety of B Ultrasound-Guided Treatment of Femoral Vein Blood Filter Tube Indwelling Upon the Emergency Patient Receiving Continuous Renal Replacement Therapy

目的探究B超引导在急诊连续肾脏替代治疗(Continuous Renal Replacement Therapy,CRRT)股静脉血滤管留置中的作用效果以及安全性,并分析其应用于临床的价值,为疾病的治疗康复提出指导。方法回顾性选取2015年1月~2016年1月期间,我院急诊收治的CRRT患者共128例,按照随机数表法将其分为对照组(64例)和观察组(64例),对照组采用B超引导,而观察组采用常规盲穿,记录两组患者治疗的结果以及安全性,并对记录数据作统计学的处理分析。结果观察组的一次穿刺成功率,置管成功率,手术操作时间以及不良反应等情况均要好于对照组,差异具有统计学意义(P<0.05)。结论相比于常规盲穿的方法,B超引导在急诊CRRT患者治疗中效果显著,手术操作时间短,置管成功率高,同时不良反应少,安全性好,适合在临床上推广使用,广大医学研究人员应当予以关注。

Objective To explore the clinical value of B ultrasoundguidedtreatment so as to provide guidance for the continuous renal replacement therapy, this study analyzed the effect and safety of B ultrasoundguided treatment of femoral vein blood filter tube indwelling upon the emergency patient who receives Continuous Renal Replacement Therapy (CRRT). Methods 128 patients who received CRRT during January, 2015 and January, 2016 were selected and reviewed. They were randomly divided into the control group (64 cases) and the observation group (64 cases). Patients of the control group were conducted B ultrasound-guided treatment and those of the observation group adopted conventional blind wear treatment. The treatment results and safety of both groups were recorded and the data were statistically analyzed. Results In the observation group, the onetime puncture success rate, catheterization success rate, operation time and adverse reactions were better than those of the control group, the differences were statistically significant (P<0.05). Conclusion Compared with the conventional blind wear, B ultrasoundguidedtreatment upon patients with continuous renal replacement therapy achieved notable effect for it had short operation time, high intubation success rate and good safety, while fewer adverse reaction. It is worth to be paid much attention by the medical researchers to promote its clinical application.