骨髓腔内通路和中心静脉通路应用于危重症早期急救的对比研究

A comparative study of intraosseous access and central venous access in the early emergency treatment of critically ill patients

目的:比较骨髓腔内通路和中心静脉通路在危重症病人早期急救中的应用效果。方法:按照随机数字法将60例危重症病人随机分为骨髓腔内组与中心静脉组,每组30例。骨髓腔内组与中心静脉组病人分别建立骨髓腔内通路与中心静脉通路进行输液或药物治疗。比较2组的输注相关指标、操作者满意度及安全性指标。结果:骨髓腔内组的第一次穿刺成功率高于中心静脉组(P<0.05),通路建立时间、抢救室停留时间均短于中心静脉组(P<0.01)。骨髓腔内组操作者对器械使用满意度和对总体操作的满意度高于中心静脉组(P<0.01)。2组均无1 h通路并发症发生。结论:骨髓腔内通路是一种高效、快速、安全的血管通路,能为危重症病人的抢救赢得时间。

Objective:To compare the application effects between intraosseous access and central venous access in the early emergency treatment of critically ill patients.Methods:According to the random number method,60 critically ill patients were divided into the intraosseous group and central vein group(30 cases in each group).The intraosseous access and central vein access were established for infusion or drug treatment in the intraosseous group and central vein group,respectively.The infusion-related indexes,satisfaction of operator and safety indexes were compared between the two groups.Results:The first puncture success rate in intraosseous group was higher than that in central vein group(P<0.05).The access establishment time and rescue room stay time in intraosseous group were significantly higher than those in central vein group(P<0.01).The satisfaction of operator on equipment use and global operation in intraosseous group were significantly higher than those in central vein group(P<0.01).There was no 1 h-access complications in the two groups.Conclusions:The intraosseous access was an efficient,fast and safe vascular access,which can win time for the rescue of critically ill patients.