B超引导下塞丁格技术置入中长管在神经外科患者中的应用效果

Application Effect of B-ultrasound Guided Seldinger Technique Placement of Medium-length Catheter on Neurosurgical Patients

目的探讨B超引导下塞丁格技术置入中长管在神经外科患者中的应用效果。方法选取2022年2月~2023年2月于张家港市第一人民医院收治的104例神经外科静脉治疗患者为研究对象,采用随机数表法将其分为对照组和观察组,每组各52例,对照组行传统盲穿下塞丁格技术PICC置管,观察组行B超引导下塞丁格技术置入中长导管,比较两组置管成功率、置管情况(置管安全性及非计划拔管率)、患者置管疼痛程度(VAS)和置管部位舒适度(GCQ)、置管期间相关并发症发生率(穿刺点渗血、导管移位脱出、静脉炎和导管堵塞)及满意度。结果观察组一次置管成功率高于对照组,差异有统计学意义(P<0.05);观察组置管安全性高于对照组(P<0.05),差异有统计学意义,观察组非计划拔管率低于对照组,差异有统计学意义(P<0.05);观察组疼痛程度评分低于对照组,差异有统计学意义(P<0.05),观察组舒适度高于对照组,差异有统计学意义(P<0.05);置管期间,观察组穿刺点渗血、导管移位或脱出、静脉炎、导管堵塞的总并发症发生率(3.84%vs 15.37%)低于对照组,差异有统计学意义(P<0.05);观察组的满意度(94.23%vs 75.00%)高于对照组,差异有统计学意义(P<0.05)。结论B超引导下塞丁格技术导入中长导管应用于神经外科患者静脉治疗,可有效提高一次性置管成功率,保障置管的安全度,提高患者的舒适度,降低患者置管的疼痛程度,减少相关并发生症发生风险,具有较好应用价值。

Objective To explore the application effect of B-ultrasound guided Seldinger technique placement of medium-length catheter on neurosurgical patients.Methods 104 neurosurgical patients with intravenous therapy admitted to Zhangjiagang First People’s Hospital from February 2022 to February 2023 were selected as the study subjects,and were divided into control group and observation group with 52 cases in each group according to the random number table method.The control group was given traditional blind puncture for Seldinger technique placement of peripherally inserted central catheter(PICC),and the observation group received B-ultrasound guided Seldinger technique placement of medium-length catheter.The success rate of catheterization,catheterization situation(catheterization safety and unplanned extubation rate),catheterization pain degree(VAS)and catheterization site comfort level(GCQ),incidence rates of related complications during catheterization(bleeding at puncture point,catheter displacement and removal,phlebitis and catheter blockage)and satisfaction were compared between the two groups.Results The success rate of one-time catheterization in observation group was higher than that in control group,with a statistical significance(P<0.05).The catheterization safety in observation group were higher compared with those in control group,with a statistical difference(P<0.05)while the unplanned extubation rate was lower than that in control group,with a statistical significance(P<0.05).The pain degree score was lower in observation group compared to control group,and the difference was statistically significant(P<0.05)while the comfort level was significantly higher than that in control group,and the difference was statistically significant(P<0.05).During catheterization,the total incidence rate of complications of bleeding at puncture point,catheter displacement and removal,phlebitis and catheter blockage in observation group was lower than that in control group(3.84%vs 15.37%),with a statistically significant difference(P<0.05).The satisfaction in observation group was higher compared with that in control group(94.23%vs 75.00%)with a statistically significant difference(P<0.05).Conclusion The application of B-ultrasound guided Seldinger technique placement of medium-length catheter in the intravenous therapy of neurosurgical patients can effectively improve the success rate of one-time catheterization,ensure the safety and accuracy of catheterization,enhance the comfort level,reduce the pain degree of catheterization,and lower the risk of related complications,and it has good application value.