彩色多普勒超声引导股静脉穿刺的临床观察

Femoral vein puncture under the guidance of color doppler flow imaging in clinical observation

目的探讨利用彩色多普勒超声引导股静脉穿刺的优势。方法选择2016年3月至2018年8月在本院行股静脉穿刺置管的患者158例为研究对象,采用随机数字表及随机余数分组法分为观察组和对照组,每组79例。对照组行常规股静脉穿刺,观察组在彩色多普勒超声引导直视下行股静脉穿刺,比较两组穿刺时间、穿刺针数及并发症发生情况。结果观察组穿刺置管时间为(12.16±3.14)min,明显短于对照组的(19.53±4.38)min,组间比较差异有统计学意义(P<0.05);观察组穿刺一次成功率为100%,明显高于对照组的87.34%,组间比较差异有统计学意义(P<0.05);观察组穿刺置管并发症发生率为1.27%,低于对照组的18.99%,组间比较差异有统计学意义(P<0.01)。结论彩色多普勒超声引导股静脉穿刺能明显缩短穿刺置管时间,提高一次穿刺成功率,降低穿刺置管并发症发生率。

Objective To explore the using femoral vein puncture under the guidance of color doppler flow imaging.Methods A total of 158 pa tients who underwent femoral vein catheterization in our hospital from March 2016 to August 2018 were selected as the research subjects,USES the random number table and random remainder grouping were used,all patients were divided into observation group and control group,with 79 cases in each group.Control group used conventional femoral vein puncture,observation group in look straight downward under the guidance of color dop pler flow imaging femoral vein puncture,comparing two groups of puncture time,needle count and complications.Results The observation group time of catheterization was(12.16±3.14)min,significantly shorter than the control group(19.53±4.38)min,the difference was statistically signifi cant between two groups(P<0.05);a puncture success rate was 100%,the observation group was obviously higher than that of control group 87.34%,the differences was statistically significant between two groups(P<0.05);Observation group complication rate was 1.27%,less than 18.99% of the control group,the differences between groups was statistically significant(P<0.01).Conclusion Femoral vein puncture under the guidance of color doppler ultrasound can significantly shorten the time of catheterization,improve a puncture success rate,reduce the incidence of complications of tube.