中等长度导管在临床麻醉输液中的应用

Application of medium length catheter in clinical anesthesia infusion

目的研究中等长度导管在临床麻醉输液中应用的可行性和价值。方法选取2020年1月至2021年11月江苏省南通市通州区中医院麻醉手术中心的40例急性胆囊炎行开腹胆囊切除手术患者,按随机数字表法分为A组与B组,每组各20例。A组在超声引导下放置中等长度导管作为静脉输液工具,B组常规放置外周短静脉留置针。观察比较两组患者的穿刺成功率、导管平均更换时间、导管相关并发症。结果麻醉前A组的穿刺成功率高于B组,差异有统计学意义(P<0.05);术后A组的导管平均更换时间长于B组,差异有统计学意义(P<0.05);导管留置期间,A组的导管相关并发症总发生率低于B组,差异有统计学意义(P<0.05)。结论在临床麻醉中,使用超声可视化技术放置中等长度导管作为输液工具安全可行,并发症少,值得进一步研究应用。

Objective To study the feasibility and value of medium length catheter in clinical anesthesia infusion.Methods A total of 40 patients with acute cholecystitis who underwent open cholecystectomy in Anesthesia Surgery Center of Tongzhou District Hospital of Traditional Chinese Medicine of Nantong City in Jiangsu Province from January 2020 to November 2021 were selected.According to random number table method,they were divided into group A and group B,20 cases in each group.Group A was placed with medium length catheter as an intravenous infusion tool under ultrasound guidance.Peripheral short vein indwelling needle was routinely placed in group B.The puncture success rate,average catheter replacement time and catheter related complications were observed and compared between the two groups.Results Before anesthesia,the puncture success rate of group A was higher than that of group B,the difference was statistically significant(P<0.05).The average replacement time of catheter in group A was longer than that in group B,and the difference was statistically significant(P<0.05).During catheter indwelling,the total incidence of catheter-related complications in group A was less than that in group B,with statistically significant difference(P<0.05).Conclusion In clinical anesthesia,it is safe and feasible to use ultrasound visualization technology to place medium length catheter as infusion tool,with fewer complications.It is worthy of further study and generalization.