血管超声与传统穿刺置入中心静脉导管在妇科手术患者中的临床对比研究

Comparative Clinical Study of Vascular Ultrasound and Conventional Puncture Placement of Central Venous Catheters in Gynecologic Surgery Patients

目的:探讨血管超声与传统穿刺置入中心静脉导管(central venous catheter,CVC)在妇科手术患者中的临床效果。方法:选取2018年4月—2019年5月连云港市妇幼保健院收治的按照传统操作方法置入CVC的54例妇科手术患者作为对照组,选取2020年8月—2021年7月收治的采用超声引导配合塞丁格技术置入CVC的63例妇科手术患者作为观察组。比较两组患者的穿刺成功率、并发症(穿刺时、留置期间)发生率情况。结果:观察组患者穿刺成功率、一针穿刺成功率均高于对照组患者,差异有统计学意义(χ^(2)=150.22、148.11,P<0.05);观察组患者穿刺时并发症发生率、留置期间并发症发生率均低于对照组患者,差异有统计学意义(χ^(2)=149.37、149.00,P<0.05);观察组患者穿刺时间短于对照组患者,差异有统计学意义(t=-79.41,P<0.05)。结论:血管超声配合塞丁格技术进行CVC穿刺,能够提高妇科手术患者穿刺成功率,降低其并发症发生率,从而提升其满意度,保证医疗安全。

Objective:To investigate the clinical outcomes of vascular ultrasound versus traditional puncture placement of central venous catheter(CVC)in gynecologic surgical patients.Methods:63 gynecological surgery patients admitted to the hospital from April 2018 to May 2019 who had CVCs placed according to the traditional operation method were selected as the control group,and 54 gynecological surgery patients admitted from August 2020 to July 2021 who had CVCs placed by using ultrasound guidance together with Sedinger’s technique were selected as the observation group.The difference in the rate of successful puncture and complications(at the time of puncture and during retention)was compared between the two groups.Results:The puncture success rate and one-needle puncture success rate of the observation group were higher than those of the control group,and the differences were statistically significant(χ^(2)=150.22,148.11;P<0.05).The complication rate at the time of puncture and the complication rate during retention were lower in the observation group than in the control group,and the difference was statistically significant(χ^(2)=149.37,149.00;P<0.05).The puncture time of the observation group was shorter than that of the control group,and the difference was statistically significant(t=-79.41,P<0.05).Conclusion:Vascular ultrasound with the Seidinger technique for CVC puncture can improve the success rate of puncture in gynecologic surgery patients and reduce their complication rate,thus improving patient satisfaction and ensuring medical safety.