B超引导下ICU休克患者动脉穿刺置管的应用研究

Application of B-ultrasound guided arterial catheterization in ICU shock patients

目的评价B超引导下动脉穿刺置管在ICU休克患者中的应用效果。方法随机选择160例休克患者,分成两组,对照组采用直接动脉穿刺置管法(触摸法),实验组采用床旁B超引导下动脉穿刺置管法,记录两组的穿刺次数、一次穿刺成功率和一次穿刺成功所需时间以及穿刺后有无出血、血肿、感染等并发症的发生,采用SPSS 21.0统计学软件进行数据处理分析。结果与对照组相比,实验组一次穿刺成功率较高(93.8%),平均穿刺次数较少(1.060±0.332),平均穿刺时间缩短(7.740±4.147),穿刺并发症减少(6.25%),差异均有统计学意义(P<0.05)。结论 ICU休克患者在床旁B超引导下的动脉穿刺置管可以提高一次穿刺成功率,减少穿刺次数和缩短穿刺时间,减少穿刺并发症的发生。

Objective To evaluate the effect of B-ultrasound guided arterial catheterization in ICU shock patients.Methods160patientswith shock were randomly divided into two groups.The control group was treated with direct arterial catheterization(touch method).The experimentalgroup was treated with bedside B-ultrasound guided arterial catheterization,and the number of puncture The success rate of puncture and the timerequired for the success of a puncture and the occurrence of complications such as bleeding,hematoma and infection after puncture,and SPSS21.0statistical software for data processing analysis.Results Compared with the control group,the success rate of puncture was lower in the experimentalgroup(93.8%),the average number of puncture was less(1.060±0.332),the average time of puncture was shorter(7.740±4.147)and the complicationof the puncture was decreased(6.25%),the differences were statistically significant(P<0.05).Conclusion Arterial puncture catheterization inpatients with ICU shock can improve the success rate of puncture,reduce the number of puncture and shorten the puncture time,and reduce the occurrenceof puncture complications.